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H.R. 4974: State Public Option Act

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H.R. 4974: State Public Option Act

117th Congress · introduced 2021-08-06 · Health · Latest: Referred to the Subcommittee on Health.

federal

Follow this bill, step by step

  1. Where it came from: introduced 2021-08-06 · official record
  2. Who proposed it: Rep. Schrier, Kim [D-WA-8] · 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 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, 2022, 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 reproductive health care services, including abortion services.

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

Arguments for (supporters)

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Arguments against (opponents)

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Alternatives

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

Officials and money

Sponsor: Rep. Schrier, Kim [D-WA-8] · 15 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Dwight Evans (D-PA), Ruben Gallego (D-AZ), Betty McCollum (D-MN), Peter Welch (D-VT), Steve Cohen (D-TN), Paul Tonko (D-NY), Eleanor Holmes Norton (D-DC), Doris O. Matsui (D-CA), Ilhan Omar (D-MN), Gwen Moore (D-WI), Pete Aguilar (D-CA), Janice D. Schakowsky (D-IL)

Sponsor's campaign money: Rep. Schrier, Kim [D-WA-8] reported raising $3.8 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-cong117-hr4974 · catalog fed-us-congress-bills-cong117 · updated 2026-11-15 by psicol fed-bills-cong117