Last updated: May 2026
A comprehensive tracker of state public option and universal healthcare legislation, including enacted programs in Colorado, Nevada, and Washington, and pending proposals across multiple states.
STATE
State Legislative Tracker – Public Option Implementation
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Section 1332 Waivers Reduce Premiums
Section 1332 Waivers Reduce Premiums A few states are using federal money to support efforts to build or sustain public-option health plans.
Bungled Effort
Bungled Effort Only state regulators could complicate an effort to simplify the regulation of surplus lines.
Slippery States
Slippery States As businesses increasingly integrate artificial intelligence into operations, inconsistent state rules pose risk and compliance challenges.