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H.R. 4129: State Public Option Act

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H.R. 4129: State Public Option Act

115th Congress · introduced 2017-10-25 · Health · Latest: Referred to the Subcommittee on Health.

federal

Follow this bill, step by step

  1. Where it came from: introduced 2017-10-25 · official record
  2. Who proposed it: Rep. Lujan, Ben Ray [D-NM-3] · what a sponsor is
  3. What happened next: no floor votes in our records yet. Why?
  4. Where it stands now: Referred to the Subcommittee on Health. Not final yet: this can still change. We check for updates every day.
  5. If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

State Public Option Act

Plain summary

State Public Option Act This bill allows residents not already eligible for Medicaid who are not concurrently enrolled in other health insurance coverage to buy into a state Medicaid plan beginning January 1, 2018. The bill makes such buy-in coverage eligible for premium subsidies and reduced cost sharing under the Patient Protection and Affordable Care Act. The Agency for Healthcare Research and Quality shall develop standardized, state-level metrics of access to, and satisfaction with, providers for individuals enrolled in state Medicaid plans. Primary care services furnished under Medicaid by certain providers must be paid at a rate that is not less than the rate under Medicare part B. Beginning in FY2019, the Department of Health and Human Services may award grants to states for the purpose of improving access to services for individuals enrolled in state Medicaid plans. The bill provides the enhanced federal medical assistance percentage 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.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

State Public Option Act

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

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Alternatives

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Lujan, Ben Ray [D-NM-3] · 26 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

André Carson (D-IN), Yvette D. Clarke (D-NY), Steve Cohen (D-TN), Ruben Gallego (D-AZ), Pramila Jayapal (D-WA), Hakeem S. Jeffries (D-NY), Jacky Rosen (D-NV), Dina Titus (D-NV), Paul Tonko (D-NY), Mark Takano (D-CA), Raja Krishnamoorthi (D-IL), Bonnie Watson Coleman (D-NJ), Ro Khanna (D-CA)

Sponsor's campaign money: Rep. Lujan, Ben Ray [D-NM-3] reported raising $6.5 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (1)
Bill
A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Record fed-us-cong115-hr4129 · catalog fed-us-congress-bills-cong115 · updated 2026-11-15 by psicol fed-bills-cong115