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H.R. 1277 116th 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: February 14, 2019 Introduced by: Ben Ray Luján Democratic · New Mexico See on congress.gov
Health AbortionAppropriationsChild healthDepartment of Health and Human Services
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Executive agency funding and structureHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth personnelHealth programs administration and fundingIncome tax creditsMedicaidMedicarePerformance measurementSex and reproductive healthState and local government operationsWomen's health
This bill died when the 116th Congress ended
It never became law before the 116th Congress (2019–2020) 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 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Dec 10, 2019
Subcommittee Hearings Held.
Feb 15, 2019
Referred to the Subcommittee on Health.
Feb 14, 2019
Referred to the Subcommittee on Health.
Feb 14, 2019
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.
Feb 14, 2019
Introduced in House
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 Latest action December 10, 2019

Subcommittee Hearings Held.

 Plain-English summary Congressional Research Service

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, 2020, 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 (FMAP) 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.

 Related & companion bills 3
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 1277: State Public Option Act. 116th Congress. Open America. https://openamerica.io/bill/116-HR-1277/
MLA
"H.R. 1277: State Public Option Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-1277/.
Bluebook (legal)
H.R. 1277, 116th Cong. (2026), https://openamerica.io/bill/116-HR-1277/.
Markdown link
[H.R. 1277: State Public Option Act](https://openamerica.io/bill/116-HR-1277/)
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