Public Option Deficit Reduction Act
Latest action. Referred to the subcommitteeA smaller panel inside a standing committee with jurisdiction over a slice of its subject matter. Most hearings and the first markup usually happen here.Read the full definition (opens a new tab) on Health.
Public Option Deficit Reduction Act
This bill amends the Patient Protection and Affordable Care Act to require the Department of Health and Human Services (HHS) to offer a public health insurance option that ensures choice, competition, and stability of affordable, high-quality coverage throughout the United States. The bill declares that HHS's primary responsibility is to create a low-cost plan without compromising quality or access to care.
The bill sets forth provisions related to the establishment and governance of the public health insurance option, including that plans under the option must: (1) be offered only through health insurance exchanges; (2) comply with requirements for plans offered through exchanges, including requirements related to benefits, benefit levels, provider networks, notices, consumer protections, and cost sharing; and (3) include plans with bronze, silver, and gold tier benefits.
HHS must: (1) establish an office of the ombudsman for the public health insurance option; (2) collect data to establish premiums and payment rates; (3) establish geographically adjusted premiums at a level sufficient to fully finance the costs of the health benefits provided, administrative costs, and a contingency margin; and (4) establish payment rates for health care providers at Medicare rates, with higher rates for the first three years.
The bill appropriates funding for the establishment of the public health insurance option. HHS must repay this amount over 10 years.
HHS may use innovative payment mechanisms and policies to determine payments for items and services under the public health insurance option.
Written by analysts at the Congressional Research Service and published on Congress.gov, not by Civibrief. Summarized at the "Introduced in House" stage on March 2, 2017. It describes the bill, it is not the legal text.
Where is it in the process, and what happens next?
4 steps remain before this bill could become law.
The record's latest action, on March 17, 2017: Referred to the Subcommittee on Health.
- Clearing the committees it was referred to, and being scheduled for a floor vote
- Passage by the House
- Passage by the Senate
- The President's signature. If the President vetoes it, two-thirds of both chambers must vote to override.
How likely is it to become law?
Civibrief does not forecast outcomes and this page has no opinion about this one. What the record supports is a base rate, which is a fact about the whole pile, not a prediction about this measure.
In the 115th Congress (2017-18), 442 of the 11,421 bills and joint resolutions introduced became law, about 3.9 percent. That count covers every measure at every stage, including the many that never left committee.
This one is not there yet: 4 steps are still outstanding, listed above.
Has anyone actually voted on it?
No. No roll call in this Congress cites this measure. That is the ordinary outcome: most measures never reach a recorded floor vote, and a committee ends most of them simply by not acting.
A vote is not the only thing that happens to a measure. Hearings, markups, and referrals are all recorded actions, and none of them is a vote of the full chamber.
Who is behind it?
PETER DEFAZIO (D-OR) introduced it on March 2, 2017, and 8 members have since signed on as cosponsors.
They are 8 Democrats.
Cosponsoring is a formal signature on the text. It is not a commitment to vote for the measure, it does not bind anyone's party, and a long list of cosponsors is a measure of attention rather than of prospects.
How long has it been in play?
It was introduced on March 2, 2017, 3479 days ago. The most recent recorded action was 3464 days ago, on March 17, 2017.
Measures do not carry over. Anything the 115th Congress has not finished by January 3, 2019 dies when the term ends, and has to be introduced again from the start in the next Congress.
Every answer above is assembled from this measure's own record on Congress.gov and from published counts of what Congress has passed before. Civibrief does not predict outcomes and takes no position on any measure.
Vote history
- HouseIn committee, no floor vote yet
- SenateAwaits House passage
- PresidentAwaits both chambers