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Proposed

Bill · 119th Congress · S 3599

Affordable CHOICE Act

Refreshed 31 min ago

Introduced 2026-01-08Topic: health care · budget

Summary

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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 on or after January 1, 2027. The plan would offer bronze, silver, and gold levels and follow the same rules as other Exchange plans. Premiums would be set by geographic area to cover the full cost of benefits and administration. Payment rates for providers and prescription drugs would be negotiated by the Secretary, with Medicare rates used if no agreement is reached. Providers in Medicare or Medicaid would be included in the plan's network unless they opt out, and start-up funding would be repaid to the Treasury over 10 years.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-01-08SenateRead twice and referred to the Committee on Health, Education, Labor, and Pensions.refer
2026-01-08Introduced in Senateintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-11. Provisions and opinion polling arrive in a later release.