The Bridge to Medicaid Act of 2024 is designed to provide affordable health insurance coverage to low-income people in states that have not expanded Medicaid. The bill specifically targets individuals with household incomes at or below 138 percent of the poverty line and makes coverage more affordable by dramatically reducing their out-of-pocket costs through insurance marketplaces. For plan years 2026 through 2028, the bill would require health insurers to cover 99 percent of covered costs for eligible low-income enrollees, with the federal government reimbursing insurers 12 percent of costs through existing healthcare funds. The legislation also adds supplemental benefits like non-emergency medical transportation and expands access to premium tax credits, while investing approximately $170 million in outreach, education, and navigator programs to help low-income individuals enroll in coverage. These provisions are temporary, generally applying from 2026 through 2028, with some changes to Medicaid funding formulas extending through 2029.
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