State Action
Want to understand how state public option proposals can better inform federal efforts? Our state resources can help you get your head around state efforts to develop and implement public option legislation and related proposals.
Multi-State Analyses
- States Move Forward with Public Option Programs, but Differ in How They Select Insurance Carriers (Commonwealth Fund, 2023)
- States Must Prioritize Health Equity as They Expand Coverage through Public Options (The Century Foundation, 2022)
- Innovative 1332 Waivers Proceed in Colorado and Washington (Manatt, 2022)
- Update on State Public Option-Style Laws: Getting to More Affordable Coverage (The Commonwealth Fund, 2022)
- A Public Option for Oregon: Health Care Policy Lessons from Other States (OSPIRG, 2021)
- Hill Democrats Ask for Input on Public Option as CO, NV Consider Adoption (Health Affairs, 2021)
- Joint Chairmen’s Report: Report on Costs, Feasibility, and a Review of Activity in Other States to Serve Individuals Ineligible for Medicaid or Qualified Health Plans with Advanced Premium Tax Credits (Maryland Health Benefit Exchange, 2021)
- Policy Snapshot: Public Health Insurance Option Plans (California Health Benefits Review Program, 2021)
- States Move Forward with Public Option Programs, but Differ in How They Select Insurance Carriers (Commonwealth Fund, 2023)
- State Public Health Insurance Options: A Comparison (United States of Care, 2021)
- State Public Option Plans — Too Modest to Improve Affordability? (New England Journal of Medicine, 2021)
- State Public Option–Style Laws: What Policymakers Need to Know (The Commonwealth Fund, 2021)
- State Public Options: State of Play and Potential for Future Action (Manatt, 2021)
- The State of Play: A Mid-Year Update on the Public Option at the Federal and State Level (Manatt & State Health & Value Strategies, 2021)
- Redefining the “Public Option”: Lessons from Washington State and New Mexico (Milbank Quarterly, 2020)
Colorado
- Advancing Equitable, Culturally Responsive Care Through the Colorado Option (U.S. of Care, 2022)
- Colorado Announces Premium Rate Reduction Targets for Public Option Plans (Center on Health Insurance Reforoms, 2022)
- Colorado’s Section 1332 Innovation Waiver Explainer (United States of Care, 2022)
- HHS Approves Nation’s First Section 1332 Waiver for a Public Option–Style Health Care Plan in Colorado (Commonwealth Fund, 2022)
- Heavily Modified, Colorado Public Option Appears to Have Neutralized Industry Opposition (Center on Health Insurance Reforms, 2021)
- Public Option Study Bills: A Key Step in the Policy Process (United States of Care, 2023)
- State Success Story: Colorado’s Milestone Health Care Affordability Law (United States of Care, 2021)
Nevada
- Fact Sheet – Nevada Public Option (Nevada Department of Health and Human Services, 2022)
- Nevada Actuarial Study Projects Significant Savings from Public Option Plans (Center on Health Insurance Reforms, 2022)
- Advancing Equity Through Public Options: How Colorado is Designing Culturally Responsive Networks (United States of Care, 2021)
- Nevada Jumps Aboard the Public Option Train: Legislative Proposal Aims to Lower Health Care Costs, Expand Coverage Choices (Center on Health Insurance Reforms, 2021)
- Public Option Study Bills: A Key Step in the Policy Process (United States of Care, 2023)
- The Public Option Finds an Uncommon Ally in Medicaid In Nevada (Health Affairs, 2021)
- Updates on Nevada’s Passage of the Public Option (United States of Care, 2021)
Washington
- A Progress Report on Washington’s Public Option Plans (CHIR Blog, 2023)
- Cascade Select Public Option: Report to the Legislature (Washington State Health Care Authority, 2022)
- Health Insurance Market Structure and State-Based Public Option Laws: Evidence from Washington State (Ruiz Sanchez, 2022)
- A Fixer Upper: Washington State Enacts Legislation to Boost Its Public Option (Center on Health Insurance Reforms, 2021)
- Cascade Select: Insights from Washington’s Public Option (Health Affairs, 2021)
- Encouraging Signs for the Public Option in Washington State: Improved Availability and Affordability of Plans in 2022 (Center on Health Insurance Reforms, 2021)
- Participation, Pricing, and Enrollment in a Health Insurance “Public Option”: Evidence From Washington State’s Cascade Care Program (Milbank Quarterly, 2021)
- Washington State’s Quasi-Public Option (Milbank Quarterly, 2020)
- Public Option 1.0: Washington State Takes an Important Step Forward (Health Affairs, 2019)
- What Does a Public Option Do? Evidence from California (Emory University, 2023)
- Public Option Study Bills: A Key Step in the Policy Process (United States of Care, 2023)
- Options to Increase Health Coverage in West Virginia (Urban Institute, 2023)
- Are State Public Option Health Plans Worth It? (Harvard Journal on Legislation, 2022)
- The Clearest Road To An ACA Public Option Runs Through The States (Health Affairs, 2022)
- Increasing Subsidies and Expanding Health Insurance Options in Connecticut (RAND, 2022)
- Low Cost Carriers in ACA: Insights from the 2018-2021 Market Experience 2022 (Wakely, 2022)
- Oregon’s Bridge Plan Promotes Continuity of Coverage and Lays the Foundation for a Public Health Insurance Option (United States of Care, 2022)
- Oregon’s Public Option Implementation Report Emphasizes Cost Containment, Health Equity (Center on Health Insurance Reforms, 2022)
- A Permanent Boost to Federal Premium Assistance Could Change State Approaches to ACA 1332 Waivers (The Commonwealth Fund, 2021)
- A Public Option for Oregon: Health Care Policy Lessons from Other States (OSPIRG, 2021)
- Advancing the Public Option in 2021: Leveraging Existing Federal Authority to Assist State Efforts (The Commonwealth Fund, 2021)
- Feasibility Report for Coverage Affordability Initiatives in Illinois (State of Illinois, 2021)
- Joint Chairmen’s Report: Report on Costs, Feasibility, and a Review of Activity in Other States to Serve Individuals Ineligible for Medicaid or Qualified Health Plans with Advanced Premium Tax Credits (Maryland Health Benefit Exchange, 2021)
- Oregon Health Authority Public Option Implementation Report (Manatt, 2021)
- Policy Snapshot: Public Health Insurance Option Plans (California Health Benefits Review Program, 2021)
- Public Options Will Improve Health Equity Across the Country (Center for American Progress, 2021)
- Senate Concurrent Resolution No. 10 Study: Evaluating Public Health Insurance Plan Options for Nevada Residents (Manatt, 2021)
- State Public Options: Comparing Models from Across the Country (California Health Care Foundation & Manatt, 2021)
- Medicaid Buy-In: Program Options and Considerations (MACPAC, 2020)
- Options for Designing a Public Option (RAND, 2020)
- Options to Increase Health Coverage in West Virginia (Urban Institute, 2023)
- Oregon Public Option Report: An Evaluation and Comparison of Proposed Delivery Models (Manatt, 2020)
- States Seek to Improve Affordability, Expand Coverage with “Public Option” and Medicaid Buy-in Proposals (Center on Health Insurance Reforms, 2020)
- States Work to Make Individual Market Health Coverage More Affordable, But Long-Term Solutions Call for Federal Leadership (The Commonwealth Fund, 2020)
- Why the Biden Administration Should Help States Develop Capitated Public Options (Milbank Quarterly, 2020)
- Medicaid Buy-In and Public Option: The State of Play (Manatt, 2019)
- Quantitative Evaluation of a Targeted Medicaid Buy-In for New Mexico (Manatt, 2019)
- State Medicaid Buy-Ins: Key Questions to Consider (Manatt & State Health & Value Strategies, 2019)
- The Future of Health Care? How States Are Trailblazing Medicaid Buy-In Programs (Petrie Flom Center, 2019)
- The Landscape of Federal and State Healthcare Buy-In Models: Considerations for Policymakers (Manatt, 2019)
- What State Health Care Reform Proposals Could Teach Congress (The Century Foundation, 2019)
- A Framework for Evaluating Medicaid Buy-In Proposals (Health Affairs, 2018)
- A Promising Strategy for an Affordable Medicaid Buy-In Option in Colorado (Manatt, 2018)
- Evaluating Medicaid Buy-In Options for New Mexico (Manatt, 2018)
- Medicaid Buy-In: State Options, Design Considerations and Section 1332 Waiver Implications (Manatt & State Health & Value Strategies, 2018)
- State Medicaid Buy-Ins: Implications for Low-Income Enrollees (National Health Law Program, 2018)