01/08/2026 | Press release | Distributed by Public on 01/08/2026 15:26
WASHINGTON - As the Republican attack on our health care system continues, U.S. Representative Jan Schakowsky (IL-09) and U.S. Senators Sheldon Whitehouse (D-RI) and Elissa Slotkin (D-MI) introduced the Affordable Consumer Health Options and Insurance Competition Enhancement (CHOICE) Act to add a publicly operated health insurance option to the Affordable Care Act's individual marketplaces. The measure would drive competition and guarantee American consumers access to an affordable, high-quality plan in every insurance market in the country.
"I am committed to ensuring that every person in the United States has access to quality, affordable health care," said Congresswoman Jan Schakowsky. "At a time when families are being squeezed by rising premiums and high health care costs, Congress must act. This legislation is a practical, proven way to drive down premiums, increase competition, and expand access to coverage for millions of Americans and small businesses. Health care is a right, not a privilege, and it is long past time we give people a real, affordable choice."
"Democrats remain united in our fight to make high-quality, affordable health care available to families across America," said Senator Sheldon Whitehouse. "Republicans have a longstanding obsession with taking health care from their constituents. Republicans' concern that the tax credits are lining the pockets of big insurance companies should be easily assuaged by a public option -- a health plan administered by the government that would get more people covered and lower insurance costs across the marketplace."
"Our health care system is fundamentally broken, it's not working," said Senator Elissa Slotkin. "We need deep changes to make sure everyone has access to health care coverage they can afford. That's why we need a public insurance option, similar to Medicare, that provides affordable coverage to those who need it. The Affordable CHOICE Act will do just that, while supporting competition to drive down costs for everyone."
Republicans are waging an all-out attack on health care.
In July, President Trump and Congressional Republicans jammed through their Big, Beautiful-for-Billionaires bill, which slashes almost a trillion dollars from Medicaid, triggered a half-trillion dollar cut to Medicare, and raises health insurance costs, all to bankroll tax breaks for billionaires and big corporations. Without bipartisan action to extend the Affordable Care Act enhanced premium tax credits, health insurance premiums are set to more than double on average next year.
Now, President Trump and Republican lawmakers are voicing a newfound opposition to lining the pockets of large insurers. Yet, they have released no alternative bill, even as health care premiums are more than doubling for many American families. Supporting the Affordable CHOICE Act would do just that---by cutting out the insurance middlemen and proving Americans with a direct health insurance option, we can achieve greater health care access and increase competition.
The Republicans' attack on health insurance comes as more than 27 million Americans are uninsured. A public option would tackle the uninsured rate by stimulating competition and driving down prices with a stable coverage choice.
The Affordable CHOICE Act would create a public health insurance option subject to the same requirements that apply to other plans offered on Affordable Care Act exchanges. It would offer the same tax credits available to individual marketplace consumers as well as essential, comprehensive benefits.
The Affordable CHOICE Act is cosponsored in the House by Reps. Steve Cohen (TN-09), Eleanor Holmes Norton (DC-AL), Julie Johnson (TX-32), and Gwen Moore (WI-04).
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