Bills · HR 7023
IN COMMITTEE· 119TH CONGRESS
House BillHR 7023Health
Affordable CHOICE Act
INTRO JAN 12· LAST ACTION JAN 12
READING
8MIN
COSPONSORS
6
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenVoters should care about this bill because it attempts to address concerns about the affordability and availability of health insurance. If this bill becomes law, it could lead to more competitive health insurance markets, potentially driving down premiums and out-of-pocket costs for many Americans. For those who struggle to find affordable private insurance plans, a public option could offer a vital pathway to securing comprehensive health coverage.
Without this bill, the current health insurance landscape would remain largely unchanged, with private insurers being the primary options on the ACA marketplaces. If enacted, this legislation could introduce greater stability and choice, potentially pushing private insurers to offer more competitive rates and benefits. It represents a significant policy shift that could impact healthcare access and costs across the country.
KEY PROVISIONS
5AI-extractedPROVISION 01
Establishes a "public health insurance option" to be offered through the Affordable Care Act (ACA) marketplaces starting in plan years beginning on or after January 1, 2027.
This creates a new, government-run alternative to private health insurance plans, increasing consumer choice and competition.
PROVISION 02
Requires the Secretary of Health and Human Services to design the public option as an affordable, high-quality plan that complies with most ACA rules for private plans.
This ensures the public option is a viable and competitive choice while maintaining consumer protections and quality standards.
PROVISION 03
Mandates that the Secretary negotiate payment rates with healthcare providers and for prescription drugs, defaulting to Medicare rates if no agreement is reached.
This mechanism aims to control healthcare costs and make the public option more affordable for enrollees.
PROVISION 04
Establishes that the public option's premium rates must be set to fully cover its health benefits and administrative costs, including a contingency margin.
This ensures the public option is financially self-sustaining and does not rely on direct taxpayer subsidies for its ongoing operations.
PROVISION 05
Allows states to form advisory councils to provide recommendations on the public option's operations, quality improvement, and cost containment strategies within their state.
This provides a mechanism for local input and customization of the public option to better serve state-specific needs.
SPONSORSHIP
1 + 6
D· Illinois
YRS IN OFFICE
27
BILLS LED
39
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 6 REP 0 IND 0
ACTION TIMELINE
2 EVENTSJAN 12
Introduced in House
JAN 12
Referred to the House Committee on Energy and Commerce.
BILL INFO
TypeHouse Bill
NumberHR 7023
Congress119th
StatusIn Committee
IntroducedJan 12, 2026
Last actionJan 12, 2026
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IN COMMITTEE· 119TH CONGRESS · ENERGY AND COMMERCE COMMITTEE · INTRODUCED JAN 12, 2026
House BillHR 7023Health
Affordable CHOICE Act
INTRODUCED JAN 12, 2026· LAST ACTION JAN 12, 2026
PASSAGE CHANCES
—%
READING
8 min
COSPONSORS
6
COMPLEXITY
Moderate
