State Public Option Act

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, 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.

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Timeline

1. 12 June 2025

   Introduced

   Read twice and referred to the Committee on Finance.

   Source: IntroReferral

2. 12 June 2025

   Introduced

   Introduced in Senate

   Source: IntroReferral

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

2 official files

• Introduced in Senate

  Introduced in Senate · EN · 12 June 2025

  DownloadOpen at official source

• Introduced in Senate

  summary · EN · 12 June 2025

  Open at official source

Sponsors

• Sen. Schatz, Brian [D-HI] · D · Sponsor
• Sen. Luján, Ben Ray [D-NM] · D · Sponsor
• Sen. Merkley, Jeff [D-OR] · D · Sponsor
• Sen. Shaheen, Jeanne [D-NH] · D · Sponsor
• Sen. Blumenthal, Richard [D-CT] · D · Sponsor
• Sen. Whitehouse, Sheldon [D-RI] · D · Sponsor
• Sen. Klobuchar, Amy [D-MN] · D · Sponsor
• Sen. Welch, Peter [D-VT] · D · Sponsor
• Sen. Rosen, Jacky [D-NV] · D · Sponsor
• Sen. Smith, Tina [D-MN] · D · Sponsor
• Sen. Murphy, Christopher [D-CT] · D · Sponsor
• Sen. Booker, Cory A. [D-NJ] · D · Sponsor
• Sen. Durbin, Richard J. [D-IL] · D · Sponsor
• Sen. Heinrich, Martin [D-NM] · D · Sponsor
• Sen. Hirono, Mazie K. [D-HI] · D · Cosponsor
• · ssfi00 · Standing

Related records

• related to → State Public Option Act