Medicare-X Choice Act of 2026

This bill would create a federal public health insurance plan, called the Medicare Exchange health plan, sold through the Affordable Care Act exchanges to individuals and small businesses starting in plan year 2028. Premiums would cover the plan's full costs, providers would generally be paid Medicare rates, primary care would have no cost-sharing, and doctors enrolled in Medicare or Medicaid would also have to participate in the new plan. The bill would also create a nationwide reinsurance program, remove the income cap on ACA premium tax credits and change how they are calculated, and change how family coverage affordability is measured. It would remove a ban on Medicare negotiating Part D drug prices and fund antitrust enforcement in health care markets.

Full text and official record on Congress.gov

Sponsors

• Angie Craig Democrat sponsor
• 2 cosponsors