hold on there's just too much going on in Congress lmao...
Establishes a public health insurance option through healthcare exchanges.
Rep. Jan Schakowsky (D-IL) and 4 Democratic co-sponsors.
Introduced in the House, referred to committee.
This bill, introduced by Representative Jan Schakowsky (D-IL) and four other Democratic co-sponsors, would amend the Affordable Care Act to create a new government-run health insurance plan. This "public health insurance option" would be offered through existing healthcare exchanges, aiming to provide more affordable and high-quality coverage. It has been referred to the House Committee on Energy and Commerce for review.
Introduced Jan 12, 2026
H.R. 7023 was introduced in the House of Representatives on January 12, 2026, and immediately referred to the House Committee on Energy and Commerce. For the bill to advance, the committee must first approve it. After that, it would need to pass a vote in the full House, then move to the Senate for a similar process, and finally be signed by the President to become law.
Starting in 2027, you might see a new 'public health insurance option' available on your state's health insurance exchange (healthcare.gov), offering bronze, silver, and gold plans. This option aims to offer affordable, high-quality coverage, with premiums designed to cover its costs. If passed, the government would negotiate payment rates with healthcare providers, using Medicare rates as a fallback if negotiations fail, which could influence how providers are paid for your care.
Supporters Say
Supporters say this bill would increase healthcare choices, introduce competition, and lower costs for consumers.
Critics Say
Critics often raise concerns that a government-run option could create unfair competition for private insurance companies.
Those in favor highlight the bill's goal to provide "value, choice, competition, and stability of affordable, high-quality coverage." They argue it would give consumers a much-needed alternative to private insurance plans. Conversely, opponents frequently express apprehension that a government-backed plan could destabilize the existing private insurance market by drawing away healthier, lower-cost enrollees or by using its scale to gain an unfair advantage.