State Public Option Act
The summary
What this bill does
State Public Option Act
This bill allows residents who are not already eligible for Medicaid and not concurrently enrolled in other health insurance coverage to buy into a state Medicaid plan beginning January 1, 2026, at the option of the state. State Medicaid programs may set premiums and cost-sharing requirements for such coverage in accordance with specified limitations.
The bill also (1) provides the enhanced Federal Medical Assistance Percentage (i.e., federal matching rate) to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place; and (2) requires state Medicaid programs to cover comprehensive sexual and reproductive health care services, including abortion services.
Legislative timeline
From introduction
Jun 12, 2025
Introduced & referred to committee
Congressional support
Sponsors & Cosponsors
U.S. Representative - WA District 8 · D-WA
Roll-call vote
The vote, by member
The vote, by member
VERSION CHANGES
What changed,
and where.
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Bill Metadata
| Congress | 119 |
| Bill Type | HR |
| Bill Number | 3995 |
| Origin Chamber | House |
| Current Status | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. |
| Policy Area | Health |
| Primary Committee | Not assigned |
| Introduced | June 12, 2025 |
| Latest Action | June 12, 2025 |
| Cosponsors | 0 · House vote — · — views |