Affordable CHOICE Act

This bill would require the federal Secretary of Health and Human Services to create a government-run health insurance plan, called the public health insurance option, sold only through the Affordable Care Act Exchanges starting with plan years beginning January 1, 2027. The plan would offer bronze, silver, and gold coverage levels and follow the same rules that apply to other Exchange plans. Premiums would be set by geographic area at levels meant to cover all benefit and administrative costs. Payments to doctors and other providers would be negotiated, with Medicare rates used if no agreement is reached, and providers in Medicare or Medicaid would be included in the plan's network unless they opt out. Start-up funding would be authorized and repaid to the Treasury over 10 years.

Full text and official record on Congress.gov

Sponsors

• Janice D. Schakowsky Democrat sponsor
• 6 cosponsors