H.R. 3995 · Where this bill is now
In committee
Introduced in the House, sent to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned, Jun 12, 2025
What this bill does
In plain words · AI-written from the official summaryStates can offer Medicaid coverage to more people
This bill lets states offer a Medicaid plan that people can buy into if they don't already have Medicaid or other health insurance. States would start offering this option on January 1, 2026, and could set their own premiums and costs. The bill also gives extra federal funding to states that expand Medicaid eligibility and requires state Medicaid programs to cover sexual and reproductive health services, including abortion.
How it affects you
If you don't have health insurance and live in a state that chooses to offer this plan, you could potentially buy into Medicaid coverage. The bill primarily affects uninsured people and those eligible for Medicaid expansion, as well as people seeking reproductive health care covered by state Medicaid programs.
Read the official summary (Introduced in House, Jun 12, 2025)
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, 2026, 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 (i.e., federal matching rate) 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 sexual and reproductive health care services, including abortion services.
Written by AI (Claude) using only the official summary by the Congressional Research Service, the Library of Congress’s nonpartisan research staff. It can miss nuance, so check the official summary and the bill text for details.
1st SessionH. R. 3995
A BILL
State Public Option Act
Sponsor: Rep. Kim Schrier (D-WA-8) · Introduced Jun 12, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Jun 12, 2025: “Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.”
Sections
Sections · 6
- Sec. 1Short titleNo change
- Sec. 2Medicaid buy-in optionNo change
- Sec. 3Reviewing and updating Medicaid quality measuresNo change
- Sec. 4Renewal of application of Medicare payment rate floor to primary care services furnished under Medicaid and inclusion of additional providersNo change
- Sec. 5Increased FMAP for medical assistance to newly eligible individualsNo change
- Sec. 6Medicaid coverage of comprehensive sexual and reproductive health care servicesNo change