Bridge to Medicaid Act of 2025
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The Bridge to Medicaid Act of 2025 aims to expand access to affordable health insurance for low-income individuals in states that haven’t expanded Medicaid under the Affordable Care Act. It primarily does this by modifying provisions related to cost-sharing reductions for qualified health plans and expanding enrollment periods for eligible individuals. The bill also includes temporary changes to premium tax credits and increases the Federal Medical Assistance Percentage (FMAP) for states providing Medicaid coverage to newly eligible individuals. It seeks to address healthcare disparities in states not participating in the Medicaid expansion.
Key provisions
- Reduces cost-sharing for eligible individuals with household incomes up to 138% of the poverty line in 2025.
- Expands enrollment periods for low-income individuals to include coverage offered during 2026-2028.
- Increases the share of costs borne by qualified health plans for specified enrollees to 99% during 2026-2028.
- Temporarily increases premium tax credits for individuals with household incomes up to 138% of the poverty line (2026-2028).
- Provides additional benefits, including non-emergency medical transportation and specific healthcare services, to low-income individuals receiving cost-sharing reductions.
- Increases the FMAP for states providing Medicaid coverage to newly eligible individuals.
- Modifies the Affordable Care Act to allow for increased premium tax credits for low-income employees receiving employer-provided coverage.
- Establishes a grant program to support Exchanges in states that have not expanded Medicaid.
Bill text
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Sponsors
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2 on record
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