United States · Bill · HR
H.R. 4974 (117th)
State Public Option Act
Introduced
6 August 2021
Last action
9 August 2021 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Kim Schrier, Dwight Evans, Sen. Gallego, Ruben [D-AZ], Betty McCollum, Eric Swalwell, Sen. Welch, Peter [D-VT], Rep. Cohen, Steve [D-TN-9], Paul Tonko, MIKE DOYLE, Del. Norton, Eleanor Holmes [D-DC-At Large], Rep. Matsui, Doris O. [D-CA-7], Rep. Omar, Ilhan [D-MN-5], Dean Phillips, Gwen Moore, Pete Aguilar, Rep. Schakowsky, Janice D. [D-IL-9]
Subjects
Healthcare
Source updated
10 January 2026
Summary
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, 2022, 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 reproductive health care services, including abortion services.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
6 August 2021
Introduced
Introduced in House
Source: IntroReferral
6 August 2021
Introduced
Introduced in House
Source: IntroReferral
6 August 2021
Referred
Referred to the Subcommittee on Health.
Source: Committee
6 August 2021
Introduced
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.
Source: IntroReferral
9 August 2021
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 6 August 2021 · Official file
Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 6 August 2021
Introduced in House (PDF)
Introduced in House · EN · 6 August 2021
Introduced in House
summary · EN · 6 August 2021
Sponsors
- Kim Schrier · D · Sponsor
- Dwight Evans · D · Sponsor
- Sen. Gallego, Ruben [D-AZ] · D · Sponsor
- Betty McCollum · D · Sponsor
- Eric Swalwell · D · Sponsor
- Sen. Welch, Peter [D-VT] · D · Sponsor
- Rep. Cohen, Steve [D-TN-9] · D · Sponsor
- Paul Tonko · D · Sponsor
- MIKE DOYLE · D · Sponsor
- Del. Norton, Eleanor Holmes [D-DC-At Large] · D · Sponsor
- Rep. Matsui, Doris O. [D-CA-7] · D · Sponsor
- Rep. Omar, Ilhan [D-MN-5] · D · Sponsor
- Dean Phillips · D · Sponsor
- Gwen Moore · D · Sponsor
- Pete Aguilar · D · Sponsor
- Rep. Schakowsky, Janice D. [D-IL-9] · D · Cosponsor
- · hsif00 · Standing
- · hswm00 · Standing
Related records
- related to → State Public Option Act
- related to → Incentivizing Medicaid Expansion Act of 2021
- related to → State Public Option Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/117th-congress/house-bill/4974
- Open data entity: https://api.congress.gov/v3/bill/117/hr/4974
- us · 117-hr-4974 · source updated 10 January 2026