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HR 4129 115th Congress House

State Public Option Act

Official title: To establish a State public option through Medicaid to provide Americans with the choice of a high-quality, low-cost health insurance plan.

Introduced: October 25, 2017 Introduced by: Luján, Ben Ray Democratic · New Mexico See on congress.gov
Health AppropriationsChild healthDepartment of Health and Human ServicesExecutive agency funding and structure
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Health care costs and insuranceHealth care coverage and accessHealth care qualityHealth personnelHealth programs administration and fundingIncome tax creditsMedicaidMedicarePerformance measurementState and local financeWomen's health
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This bill died when the 115th Congress ended
It never became law before the 115th Congress (2017–2018) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Oct 27, 2017
Referred to the Subcommittee on Health.
Oct 25, 2017
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.
Oct 25, 2017
Introduced in House
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 Latest action October 27, 2017

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

State Public Option Act

This bill allows residents not already eligible for Medicaid who are not concurrently enrolled in other health insurance coverage to buy into a state Medicaid plan beginning January 1, 2018.

The bill makes such buy-in coverage eligible for premium subsidies and reduced cost sharing under the Patient Protection and Affordable Care Act.

The Agency for Healthcare Research and Quality shall develop standardized, state-level metrics of access to, and satisfaction with, providers for individuals enrolled in state Medicaid plans.

Primary care services furnished under Medicaid by certain providers must be paid at a rate that is not less than the rate under Medicare part B.

Beginning in FY2019, the Department of Health and Human Services may award grants to states for the purpose of improving access to services for individuals enrolled in state Medicaid plans.

The bill provides the enhanced federal medical assistance percentage 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.

 Related & companion bills 1
  • S 2001 Identical bill State Public Option Act
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
 Cosponsors 18
All 18 Democratic 13
D
Khanna, Ro
California · Jun 5, 2018
 D
Watson Coleman, Bonnie
New Jersey · Oct 31, 2017
 D
Carson, André
Indiana · Oct 25, 2017
 D
Clarke, Yvette D.
New York · Oct 25, 2017
 D
Cohen, Steve
Tennessee · Oct 25, 2017
Delaney, John
· Oct 25, 2017
 D
Gallego, Ruben
Arizona · Oct 25, 2017
 D
Jayapal, Pramila
Washington · Oct 25, 2017
 D
Jeffries, Hakeem S.
New York · Oct 25, 2017
Kihuen, Ruben
· Oct 25, 2017
 D
Krishnamoorthi, Raja
Illinois · Oct 25, 2017
Lujan Grisham, Michelle
· Oct 25, 2017
O'Rourke, Beto
· Oct 25, 2017
 D
Rosen, Jacky
Nevada · Oct 25, 2017
 D
Takano, Mark
California · Oct 25, 2017
 D
Titus, Dina
Nevada · Oct 25, 2017
 D
Tonko, Paul
New York · Oct 25, 2017
Walz, Timothy
· Oct 25, 2017
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4129: State Public Option Act. 115th Congress. Open America. https://openamerica.io/bill/115-HR-4129/
MLA
"H.R. 4129: State Public Option Act." 115th Congress, 2026, Open America, https://openamerica.io/bill/115-HR-4129/.
Bluebook (legal)
H.R. 4129, 115th Cong. (2026), https://openamerica.io/bill/115-HR-4129/.
Markdown link
[H.R. 4129: State Public Option Act](https://openamerica.io/bill/115-HR-4129/)
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