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H.R. 4789 (111th): Medicare You Can Buy Into Act

The text of the bill below is as of Mar 9, 2010 (Introduced). The bill was not enacted into law.

Summary of this bill

Source: Wikipedia

The proposed Public Option Act is a bill that was introduced to the United States House of Representatives in 2010. It would permit U.S. citizens (and permanent residents) to buy into Medicare public health insurance by paying premiums. The bill was introduced by Representative Alan Grayson, a Democrat from Florida. As of March 24, 2010 it had eighty cosponsors.

This summary is from Wikipedia.



2d Session

H. R. 4789


March 9, 2010

(for himself, Mr. Filner, Mr. Polis of Colorado, Ms. Pingree of Maine, Ms. Shea-Porter, Ms. Schakowsky, Mr. Frank of Massachusetts, Mr. Kucinich, Ms. Edwards of Maryland, Ms. Watson, and Ms. Jackson Lee of Texas) introduced the following bill; which was referred to the Committee on Ways and Means


To amend title XVIII of the Social Security Act to provide for an option for any citizen or permanent resident of the United States to buy into Medicare.


Short title

This Act may be cited as the Public Option Act or the Medicare You Can Buy Into Act.


Universal Medicare buy-in option


In general

Part A of title XVIII of the Social Security Act is amended—


in section 1818(a), by striking or 1818A and inserting , 1818A, or 1818B; and


by inserting after section 1818A the following new section:


Universal buy-in


In general

(a) Every individual who—


is a resident of the United States;


is either (A) a citizen or national of the United States, or (B) an alien lawfully admitted for permanent residence; and


is not otherwise entitled to benefits under this part or eligible to enroll under this part;

shall be eligible to enroll in the insurance program established by this part. An individual may enroll under this section only in such manner and form as may be prescribed in regulations, and only during an enrollment period prescribed in or under this section.

Enrollment; coverage

The Secretary shall establish enrollment periods and coverage under this section consistent with the principles for establishment of enrollment periods and coverage for individuals under section 1818, except that no entitlement to benefits under this part shall be effective before the first day of the first calendar year beginning after the date of the enactment of this Act.




In general

The provisions of subsections (d)(1), (d)(2), and (d)(3) of section 1818 insofar as they apply to premiums (including collection of premiums) shall apply to premiums and collection of premiums under this section, except that—


paragraphs (4) and (5) of section 1818 shall not be applicable; and


the estimate of the monthly actuarial rate under section 1818(d) shall be computed and applied under this paragraph based upon costs incurred for individuals within each age cohort specified in paragraph (2) rather than for all individuals age 65 and older.


Age cohorts

The age cohorts specified in this paragraph are as follows:


Individuals under 19 years of age.


Individuals at least 19 years of age but not more than 25 years of age.


Individuals at least 26 years of age and not more than 35 years of age.


Individuals at least 36 years of age and not more than 45 years of age.


Individuals at least 46 years of age and not more than 55 years of age.


Individuals at least 56 years of age and not more than 64 years of age.



An individual enrolled under this part pursuant to this section shall not be treated as enrolled under this part (or any other part of this title) for purposes of obtaining medical assistance for medicare cost-sharing or otherwise under title XIX.