# 119-s-3369: Medicare-X Choice Act of 2025

119-s-3369, Medicare-X Choice Act of 2025, is a 119th Congress bill sponsored by Sen. Bennet, Michael F. [D-CO] (D-CO); status introduced; PRIA reads it as touching household money (as of 2026-08-26).

- Canonical: https://policyrisk.com/legislation/119-s-3369
- As of: 2026-08-26
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3369
- Congress: 119
- Title: Medicare-X Choice Act of 2025
- Status: introduced
- Introduced: 2025-12-04
- Sponsor: Sen. Bennet, Michael F. [D-CO] (D-CO)
- Cosponsors: 10
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-26

## Summary

**Creates a new federally run "Medicare Exchange health plan" sold on ACA Exchanges that sets benefits, provider payments, and premiums across the individual and small-group markets.** The plan must offer at least silver and gold options and cover primary care with no cost-sharing.

## Cosponsors (10)

- Sen. Kaine, Tim [D-VA] (D-VA), 2025-12-04T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-12-04T00:00:00.000Z
- Sen. Duckworth, Tammy [D-IL] (D-IL), 2025-12-04T00:00:00.000Z
- Sen. Smith, Tina [D-MN] (D-MN), 2025-12-04T00:00:00.000Z
- Sen. Warnock, Raphael G. [D-GA] (D-GA), 2025-12-04T00:00:00.000Z
- Sen. Hickenlooper, John W. [D-CO] (D-CO), 2025-12-04T00:00:00.000Z
- Sen. Klobuchar, Amy [D-MN] (D-MN), 2025-12-04T00:00:00.000Z
- Sen. Peters, Gary C. [D-MI] (D-MI), 2025-12-09T00:00:00.000Z
- Sen. Slotkin, Elissa [D-MI] (D-MI), 2025-12-09T00:00:00.000Z
- Sen. Shaheen, Jeanne [D-NH] (D-NH), 2025-12-18T00:00:00.000Z

## Provisions PRIA read

- Medicare benefits and trust funds: benefit, high. If enacted, the bill would state that nothing in this title would change Medicare benefits under title XVIII. It would also protect the Hospital Insurance and Supplementary Medical Insurance trust funds, including the Medicare prescription drug account.
- Health and social service integration: benefit, medium. If enacted, the bill would let HHS link medical care under the plan with food, housing, transportation, and income help when that integration reduces spending or improves quality. The Secretary could award grants to colleges, local agencies, nonprofits, and others to build community partnerships, r…
- Funding, data, and admin rules: benefit, medium. If enacted, the bill would create two Treasury funds to support the plan. Congress would appropriate $1 billion to a Data and Technology Fund for FY2027 and $1 billion to a Plan Reserve Fund for FY2027, with amounts available until spent and funds consisting of amounts appropriated in fiscal years…
- New Medicare-style plan for Exchanges: mixed, medium. If enacted, the bill would create a new Medicare Exchange health plan offered on the ACA exchanges starting plan year 2028. You could enroll only if you are an ACA "qualified individual" for the whole enrollment period and are not eligible for Medicare. The plan must offer at least silver and gold…
- Provider and drug payment rules: mixed, medium. If enacted, the bill would generally pay providers at rates like original Medicare for services covered by the new plan. The Secretary could raise some rural reimbursements by up to 50 percent where appropriate. Prescription drug payment rates for the plan would be negotiated by the Secretary. The…

## Related bills

- 119-s-5066: Health Equity and Accountability Act of 2026
- 119-s-51: Washington, D.C. Admission Act
- 119-s-5108: Right to IVF Act of 2026
- 119-s-1503: Equality Act
- 119-s-1232: Workplace Violence Prevention for Health Care and Social Service Workers Act
- 119-s-2295: Child Care for Working Families Act

## Sources
- [119-s-3369 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3369)

## Related
- [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066)
- [119-s-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-s-51)
- [119-s-5108: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-s-5108)
- [119-s-1503: Equality Act](https://policyrisk.com/legislation/119-s-1503)
- [119-s-1232: Workplace Violence Prevention for Health Care and Social Service Workers Act](https://policyrisk.com/legislation/119-s-1232)
- [119-s-2295: Child Care for Working Families Act](https://policyrisk.com/legislation/119-s-2295)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3369 (as of 2026-08-26).