Last updated: August 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.
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State Legislative Tracker – Public Option Implementation – August 2026
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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.
Three Months That Almost Killed the Nevada Insurance Markets
The Nevada legislature passed a bill barring inclusion of defense costs in liability insurance coverage limits.
Medicare Expansion? Doesn’t Seem Likely.
Democrats aren’t united on a public option approach, focus on exchange plans and big pharma instead.