Last updated: May 2026
Tracks federal proposals for Medicare buy-in, Medicaid buy-in, public option plans, and single-payer healthcare reform initiatives.
FEDERAL
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Section 1332 Waivers Reduce Premiums A few states are using federal money to support efforts to build or sustain public-option health plans.

State Of Flux Federal actors are eyeing single-payer health insurance, but states are adroitly reforming the system using vastly different, innovative models.

States Debate Single-Payer Harbinger or Passing Storm?