State Legislative Tracker – State Public Option Studies Tracker – February 2024

This tracker, updated February 2024, summarizes state legislation initiating studies on public option health insurance models—framed as preliminary steps that do not yet implement an actual public option. It covers enacted legislation in California (SB 770), Minnesota (SF 2995), and Washington (SB 5399), each requiring actuarial studies, implementation plans, or federal waiver discussions. Council members can use this resource to monitor early-stage state activity that may foreshadow future public option proposals in their markets.

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December 1, 2023

Section 1332 Waivers Reduce Premiums

A few states are using federal money to support efforts to build or sustain public-option health plans.

October 1, 2011

Bungled Effort

Only state regulators could complicate an effort to simplify the regulation of surplus lines.

October 31, 2025

Slippery States

As businesses increasingly integrate artificial intelligence into operations, inconsistent state rules pose risk and compliance challenges.

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