Affordable CHOICE Act

Key Provisions

• Creates a new federal health insurance option to be offered through the Affordable Care Act (ACA) Exchanges starting January 1, 2027.
• Requires the new public health insurance option to offer bronze, silver, and gold plans, similar to private plans.
• Sets premiums for the public option at a level that fully covers its health benefits and administrative costs.
• Requires the government to negotiate payment rates with doctors and hospitals by January 1, 2026, or use Medicare rates if no agreement is reached.
• Negotiates prescription drug prices, or uses Medicare rates if no agreement is reached.
• Lets most doctors and hospitals who accept Medicare or Medicaid automatically participate in the public option unless they choose not to.