I 
111TH CONGRESS 
2D SESSION 
H. R. 5808 
To amend the Patient Protection and Affordable Care Act to establish a 
public health insurance option. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 21, 2010 
Ms. WOOLSEY (for herself, Ms. BALDWIN, Mr. BECERRA, Mr. BLUMENAUER, 
Mr. BOSWELL, Ms. CORRINE BROWN of Florida, Mrs. CAPPS, Mr. 
CAPUANO, Mr. CARSON of Indiana, Mrs. CHRISTENSEN, Ms. CHU, Ms. 
CLARKE, Mr. CLAY, Mr. CLEAVER, Mr. CLYBURN, Mr. COHEN, Mr. CON-
YERS, Mr. CUMMINGS, Mr. DAVIS of Illinois, Mr. DEFAZIO, Mr. DOYLE, 
Ms. EDWARDS of Maryland, Mr. ELLISON, Mr. ENGEL, Ms. ESHOO, Mr. 
FARR, Mr. FATTAH, Mr. FILNER, Mr. FRANK of Massachusetts, Ms. 
FUDGE, Mr. GARAMENDI, Mr. GRAYSON, Mr. AL GREEN of Texas, Mr. 
GENE GREEN of Texas, Mr. GRIJALVA, Mr. GUTIERREZ, Mr. HALL of 
New York, Mr. HARE, Ms. HARMAN, Mr. HASTINGS of Florida, Mr. HIN-
CHEY, Ms. HIRONO, Mr. HOLT, Mr. HONDA, Mr. JACKSON of Illinois, 
Ms. JACKSON LEE of Texas, Mr. JOHNSON of Georgia, Ms. EDDIE BER-
NICE JOHNSON of Texas, Ms. KAPTUR, Mr. KENNEDY, Mr. KILDEE, Ms. 
KILPATRICK of Michigan, Mr. KUCINICH, Mr. LANGEVIN, Ms. LEE of 
California, Mr. LEWIS of Georgia, Ms. ZOE LOFGREN of California, Mr. 
LUJA´N, Mrs. MALONEY, Mr. MARKEY of Massachusetts, Ms. MATSUI, 
Ms. MCCOLLUM, Mr. MCDERMOTT, Mr. MCGOVERN, Ms. MOORE of Wis-
consin, Mr. MORAN of Virginia, Mr. MURPHY of Connecticut, Mr. NAD-
LER of New York, Mrs. NAPOLITANO, Ms. NORTON, Mr. OBERSTAR, Mr. 
OLVER, Mr. PASTOR of Arizona, Mr. PAYNE, Ms. PINGREE of Maine, Mr. 
POLIS of Colorado, Mr. PRICE of North Carolina, Mr. RANGEL, Ms. 
RICHARDSON, Mr. ROTHMAN of New Jersey, Ms. ROYBAL-ALLARD, Mr. 
RUSH, Mr. RYAN of Ohio, Ms. LINDA T. SA´NCHEZ of California, Mr. 
SARBANES, Ms. SCHAKOWSKY, Mr. SCOTT of Virginia, Mr. SERRANO, Ms. 
SHEA-PORTER, Mr. SHERMAN, Mr. SIRES, Ms. SLAUGHTER, Ms. SPEIER, 
Mr. STARK, Mr. THOMPSON of Mississippi, Mr. THOMPSON of California, 
Mr. TIERNEY, Mr. TONKO, Mr. TOWNS, Ms. VELA´ZQUEZ, Ms. WATERS, 
Ms. WATSON, Mr. WATT, Mr. WELCH, Mr. WU, Mr. YARMUTH, Mr. 
DEUTCH, Mr. DELAHUNT, Mr. PIERLUISI, Mr. ACKERMAN, Mr. ISRAEL, 
Mrs. LOWEY, Mr. SCHIFF, Mr. DOGGETT, Mr. BERMAN, Ms. TSONGAS, 
Mr. HIGGINS, Mr. SABLAN, Ms. DEGETTE, Mr. WEINER, Mr. MICHAUD, 
Ms. DELAURO, Mr. GEORGE MILLER of California, Mr. WAXMAN, Mr. 
LARSON of Connecticut, Mr. LEVIN, Mr. PALLONE, Mr. ANDREWS, and 
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Mrs. DAVIS of California) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
A BILL 
To amend the Patient Protection and Affordable Care Act 
to establish a public health insurance option. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. PUBLIC HEALTH INSURANCE OPTION. 
(a) IN GENERAL.—Part III of subtitle D of title I 
of the Patient Protection and Affordable Care Act (Public 
Law 111–148) is amended by adding at the end the fol-
lowing new section: 
‘‘SEC. 1325. PUBLIC HEALTH INSURANCE OPTION. 
‘‘(a) ESTABLISHMENT AND ADMINISTRATION OF A 
PUBLIC HEALTH INSURANCE OPTION.— 
‘‘(1) ESTABLISHMENT.—For years beginning 
with 2014, the Secretary of Health and Human 
Services (in this subtitle referred to as the ‘Sec-
retary’) shall provide for the offering through Ex-
changes established under this title of a health bene-
fits plan (in this Act referred to as the ‘public health 
insurance option’) that ensures choice, competition, 
and stability of affordable, high-quality coverage 
throughout the United States in accordance with 
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