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US SB2073
Bill
AI Summary
- Creates a Medicaid buy-in program beginning January 1, 2026, allowing state residents not enrolled in other health insurance to purchase Medicaid coverage through state health insurance exchanges
- Caps annual premiums at 8.5% of household income for buy-in participants and makes them eligible for Affordable Care Act premium tax credits and cost-sharing reductions
- Provides states 90% federal matching funds for administrative costs of the buy-in program and requires managed care entities to pay primary care providers at Medicare rates
- Extends enhanced federal matching rates (90-100%) to states that newly expand Medicaid, applying the original ACA phase-in schedule regardless of when a state opts in
- Mandates Medicaid coverage of comprehensive sexual and reproductive health care services, including abortion services, effective January 1, 2026
Legislative Description
State Public Option Act
Health
Last Action
Read twice and referred to the Committee on Finance.
6/12/2025
Committee Referrals
Finance6/12/2025
Full Bill Text
No bill text available