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S 489 116th Congress Senate Health Abortion Appropriations Child health Department of Health and Human Services Executive agency funding and structure Health care costs and insurance Health care coverage and access Health care quality Health personnel Health programs administration and funding Income tax credits Medicaid Medicare Performance measurement Sex and reproductive health State and local government operations Women's health

State Public Option Act

Introduced: February 14, 2019 Introduced by: Schatz, Brian Democratic · Hawaii See on congress.gov
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 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Feb 14, 2019
Read twice and referred to the Committee on Finance.
Feb 14, 2019
Introduced in Senate
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 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.

What's happening now February 14, 2019

Read twice and referred to the Committee on Finance.

 Related & companion bills 3
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
Cite this page click to expand
APA
U.S. Congress. (2026). S. 489: State Public Option Act. 116th Congress. Open America. https://openamerica.io/bill/116-S-489/
MLA
"S. 489: State Public Option Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-S-489/.
Bluebook (legal)
S. 489, 116th Cong. (2026), https://openamerica.io/bill/116-S-489/.
Markdown link
[S. 489: State Public Option Act](https://openamerica.io/bill/116-S-489/)
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