H.R. 1419

Public Option Deficit Reduction Act

This bill requires the Department of Health and Human Services (HHS) to offer a public health insurance option through the health insurance exchange. Unlike the coverage options currently available on the exchange, which are administered by private insurance companies, this public option must be administered directly by HHS.

The public option must comply with the same general requirements as other plan types available on the exchange, including with respect to available benefits, benefit levels, provider networks, notices, consumer protections, and cost sharing. Medicare health care providers are automatically participants in the public option unless they opt out, and providers not participating in Medicare may opt in. In addition, the bill establishes requirements for setting premiums, payment rates, and provider incentives.

The bill appropriates funds to establish the public health insurance option, which HHS must repay over 10 years.