Congress·In Committee·H.R. 7023

Rep. Schakowsky Introduces Affordable CHOICE Act to Create National Public Health Insurance Option

Affordable CHOICE Act

Legislative Progress

House

Senate

President

Law

This bill would create a new government-run health insurance plan, often called a "public option," that people could choose on the official insurance exchanges. It would offer three levels of coverage—Bronze, Silver, and Gold—similar to the private plans already available.
The goal is to provide more competition in the insurance market, which could help lower prices for families. The government would manage the plan directly instead of hiring a private insurance company to do it.
Doctors and hospitals that already take Medicare or Medicaid would automatically be part of this new plan's network unless they specifically choose to opt out. This helps ensure that people who sign up can actually find a doctor nearby.
The plan is designed to pay for itself. While the government would provide some money to get it started, that money must be paid back over 10 years. After that, the plan would rely entirely on the monthly premiums paid by the people who sign up for it.
If the government and healthcare providers can't agree on how much services should cost, the plan will default to paying the same rates that Medicare currently pays. This could lead to lower costs for patients but might face pushback from some medical groups.

HealthcareEconomy Finance

Who is affectedScoreImpactCertaintyScopeDurationSentiment

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

2 milestones2 actions

Jan 12, 2026House

Referred to the House Committee on Energy and Commerce.

Jan 12, 2026

Introduced in House

1 bill

Affordable CHOICE Act

Jan 8 — Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Document Type

Congressional Bill

Official Title

Affordable CHOICE Act

Bill NumberHR 7023

Congress119th Congress

ChamberHouse of Representatives

Latest ActionReferred to the House Committee on Energy and Commerce.

(4)

D: 4

Congress.gov

Official legislative information

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