# 119-hr-7023: Affordable CHOICE Act

119-hr-7023, Affordable CHOICE Act, is a 119th Congress bill sponsored by Rep. Schakowsky, Janice D. [D-IL-9] (D-IL); status introduced; PRIA reads it as touching household money (as of 2026-06-26).

- Canonical: https://policyrisk.com/legislation/119-hr-7023
- As of: 2026-06-26
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-7023
- Congress: 119
- Title: Affordable CHOICE Act
- Status: introduced
- Introduced: 2026-01-12
- Sponsor: Rep. Schakowsky, Janice D. [D-IL-9] (D-IL)
- Cosponsors: 6
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-06-26

## Summary

**This bill would create a new federal public health insurance option** that the Secretary would sell directly through the ACA Exchanges to offer lower-cost bronze, silver, and gold plans while following existing Exchange benefits and consumer protections. Its main goals are more affordable choice, stronger competition, and nationwide plan stability.

## Cosponsors (6)

- Rep. Cohen, Steve [D-TN-9] (D-TN), 2026-01-12T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2026-01-12T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2026-01-12T00:00:00.000Z
- Rep. Moore, Gwen [D-WI-4] (D-WI), 2026-01-12T00:00:00.000Z
- Rep. Stevens, Haley M. [D-MI-11] (D-MI), 2026-05-29T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2026-06-24T00:00:00.000Z

## Provisions PRIA read

- New public health plan on Exchanges: benefit, high. If enacted, the bill would create a federal public health insurance option offered on the ACA Exchanges for plan years starting January 1, 2027. The Secretary would offer bronze, silver, and gold plans that count as qualified health plans and follow Exchange benefit and consumer protection rules. T…
- Federal startup funding and contracting rules: benefit, high. If enacted, the bill would create a Treasury account for PHIO receipts and payments and apply a Social Security Act rule to those funds. It would authorize start‑up money and allow the government to cover 90 days of claims reserves based on projected enrollment, subject to appropriation. Start‑up f…
- More providers in the public plan: benefit, medium. The bill would require the Secretary to set conditions for which providers can join the PHIO network. Providers must be licensed or certified by the State. Providers that participate in Medicare or a State Medicaid plan would be treated as PHIO providers unless they opt out, and the Secretary would…
- Drug payments with Medicare fallback: mixed, medium. The bill would require the Secretary to negotiate prescription drug payment rates for the PHIO. If no agreement is reached, drug payments would use Medicare‑equivalent rates, adjusted for drugs Medicare does not cover. If you enroll in PHIO, negotiated rates or the Medicare fallback would change th…
- Provider payments tied to Medicare rates: mixed, medium. The bill would require the Secretary to try to negotiate PHIO provider payment rates by January 1, 2026. If no negotiated agreement is reached, the Secretary would pay providers at rates determined like original Medicare fee‑for‑service, with adjustments for services Medicare does not cover. If you…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-7973: Momnibus Act
- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025
- 119-hr-2086: Rights for the TSA Workforce Act
- 119-hr-9941: Right to IVF Act of 2026

## Sources
- [119-hr-7023 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/7023)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [119-hr-2086: Rights for the TSA Workforce Act](https://policyrisk.com/legislation/119-hr-2086)
- [119-hr-9941: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-hr-9941)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-7023 (as of 2026-06-26).