Sending Office: Honorable Antonio Delgado
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Cosponsor H.R. 2000 – The Medicare-X Choice Act

Sponsors: Reps. Antonio Delgado, John Larson & Brian Higgins

Cosponsors: Reps. Jason Crow, Lori Trahan, Abigail Spanberger, Harley Rouda, and Max Rose


Dear Colleague:

We invite you to join us in cosponsoring H.R. 2000, the bicameral Medicare-X Choice Act of 2019, legislation to create a public option health plan that would offer families, individuals, and small businesses additional, low-cost health insurance choices
and create more competition in the marketplace.

Despite the success of the Affordable Care Act, too many Americans still live in areas with limited competition and unaffordable health care costs. In 2019,

17 percent
of those enrolled on the exchanges lived in an area with just one insurer.

The plan would build on the Medicare framework to establish a public insurance option. Medicare-X initially would be available on the individual exchange in areas where there is a shortage of insurers or higher health care costs due to less competition—including
rural communities in Colorado and Virginia. By 2024, Medicare-X would expand to every ZIP code in the country. By 2025, the public plan would be added as another option on the Small Business Health Options Program (SHOP) Marketplace.

Medicare-X would use Medicare’s network of doctors and providers and guarantee the essential health benefits established in the ACA, such as maternity care and mental health services. Additionally, it would ensure access to affordable prescription drugs
by offering prices negotiated in conjunction with the Medicare Part D program.

The legislation includes several key provisions to further lower costs and increase coverage. It eliminates the subsidy cliff for Americans above 400% of the Federal Poverty Level (FPL), ultimately ensuring individuals do not pay more than 13 percent of
their income toward their premium for a benchmark plan. It also increases the tax credit for individuals below 400% FPL, authorizes $30 billion over three years for a national reinsurance program, and establishes a grant program to integrate social needs in
the delivery of health care services.

We hope you will join us in support of the Medicare-X Choice Act. Please contact Jessie Andrews with Rep. Antonio Delgado’s office if you have any questions or to cosponsor.



ANTONIO DELGADO                     JOHN LARSON                    BRIAN HIGGINS

Member of Congress                          Member of Congress              Member of Congres

Related Legislative Issues

Selected legislative information: Family Issues, Government, HealthCare

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