We have received text from H.R. 3995: State Public Option Act. This bill was received on 2025-06-12, and currently has no cosponsors.
Here is a short summary of the bill:
The State Public Option Act aims to establish a public health insurance option by allowing individuals to buy into Medicaid coverage. Here are the main components of the bill:
Medicaid Buy-In Option
- The bill amends the Social Security Act to create a structure where eligible individuals can enroll in Medicaid starting January 1, 2026. This includes individuals who are not currently enrolled in any other health insurance plan.
- Individuals will pay premiums and other cost-sharing fees, enabling them access to Medicaid benefits.
- States will be required to offer this buy-in option through their health insurance exchanges.
Coverage Requirements
- The Medicaid buy-in program must provide at least minimum essential health coverage as specified by federal guidelines. This will include coverage for a range of medical services.
- The bill places limits on the premiums charged, capping them at 8.5% of the household income.
- Cost-sharing requirements will align with existing ACA guidelines, ensuring that Medicaid participants are eligible for cost-sharing reductions under the Affordable Care Act.
Financial Incentives
- The bill introduces enhanced federal funding amounts for state administrative costs related to the Medicaid buy-in program, contributing up to 90% for reasonable administrative expenses.
- States that collect premiums will remit a percentage of excess revenues to the federal government.
Managed Care and Quality Measures
- Legislation mandates that states provide updated quality measures for the population opting into the buy-in program.
- States will be empowered to implement managed care solutions for Medicaid buy-in participants, ensuring quality and cost-effectiveness in healthcare delivery.
Coverage for Sexual and Reproductive Health Services
- The bill requires that comprehensive sexual and reproductive health services, including abortion services, are included in the Medicaid coverage offered under the buy-in option.
- States may need to modify their Medicaid plans to ensure that these services are available as part of the health coverage offered to eligible individuals.
Funding for Implementation
- The bill allocates $50 million for the fiscal year 2026 to support states in updating and implementing necessary quality measures and operational adjustments related to the buy-in program.
Impact on Providers
- Medicaid reimbursement rates for primary care services will be updated to ensure they are at least equal to those in Medicare, encouraging participation from healthcare providers.
Enrollment Procedures
- States will have the autonomy to set specific enrollment periods for the Medicaid buy-in program, which may mirror existing ACA exchange enrollment windows.
- The bill allows for the use of advance premium tax credits to offset costs for eligible individuals purchasing Medicaid coverage.
Relevant Companies
- None found
Representative Kim Schrier Bill Proposals
Here are some bills which have recently been proposed by Representative Kim Schrier:
- H.R.3995: To establish a State public option through Medicaid to provide Americans with the choice of a high-quality, low-cost health insurance plan.
- H.R.3889: National Prescribed Fire Act of 2025
- H.R.3826: Expanding Access to Diabetes Self-Management Training Act of 2025
- H.R.3657: Hydropower Licensing Transparency Act
- H.R.3656: To amend the Agricultural Research, Extension, and Education Reform Act of 1998 to authorize the Secretary of Agriculture to waive the matching funds requirement under the specialty crop research initiative, and for other purposes.
- H.R.3568: AG RESEARCH Act
You can track bills proposed by Representative Kim Schrier on Quiver Quantitative's politician page for Schrier.
Representative Kim Schrier Net Worth
Quiver Quantitative estimates that Representative Kim Schrier is worth $29.7M, as of August 15th, 2025. This is the 40th highest net worth in Congress, per our live estimates.
Schrier has approximately $2.4M invested in publicly traded assets which Quiver is able to track live.
You can track Representative Kim Schrier's net worth on Quiver Quantitative's politician page for Schrier.
Representative Kim Schrier Stock Trading
We have data on up to $18.3M of trades from Representative Kim Schrier, which we parsed from STOCK Act filings. Some of the largest trades include:
- A March 3rd, 2020 sale of up to $5M of $AAPL. The stock has risen 221.83% since then.
- A March 22nd, 2022 sale of up to $500K of $TSLA. The stock has risen 1.28% since then.
- A October 28th, 2021 sale of up to $50K of $EWBC. The stock has risen 28.89% since then.
- A October 28th, 2021 sale of up to $50K of $JPM. The stock has risen 72.67% since then.
- A October 28th, 2021 sale of up to $50K of $CLF. The stock has fallen 56.81% since then.
You can track Representative Kim Schrier's stock trading on Quiver Quantitative's politician page for Schrier.
This article is not financial advice. See Quiver Quantitative's disclaimers for more information.
