Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
The Medicare-X Choice Act of 2026 creates a new public health plan option that will be available through health insurance exchanges starting in 2028 for individuals and small businesses. The bill authorizes $2 billion in initial funding to establish and operate the Medicare Exchange health plan, which will offer silver and gold coverage levels, provide free primary care services, and set premiums based on actual costs while paying providers using Medicare's fee-for-service rates. Beginning in 2028, the Health and Human Services Secretary may implement innovative payment models such as accountable care organizations and value-based purchasing, along with grants to help integrate medical care with social services like food and housing assistance, while expanding telehealth in underserved areas. The legislation explicitly protects traditional Medicare benefits and trust funds from any changes. Additionally, the bill requires the Department of Justice and Federal Trade Commission to report on their antitrust enforcement activities, with an initial report due within one year and a comprehensive report by September 30, 2032.
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