State Public Option Act

The State Public Option Act creates a new Medicaid buy-in program allowing previously uninsured residents (who don't have other health insurance) to purchase Medicaid coverage starting January 1, 2025. Participants can receive premium tax credits and cost-sharing reductions, with premiums capped at 8.5% of family income. States must update quality measures for this population by 2029 and can enroll participants through state health insurance exchanges. This program expands coverage options for individuals who don't qualify for traditional Medicaid but can't afford private insurance.