State legislators in Nevada have passed a bill which would allow residents to buy into the state’s Medicaid program, offering a new public health insurance option.

As Vox reports, the details of the proposal, like whether those buy-in members would have copays and deductibles, would have to be worked by regulators. Under the four-page framework, Nevada residents who qualify for subsidies under the Affordable Care Act could use that money to buy in, and those who don’t receive subsidies would be able to use their own money.

“There is no way people can be productive members of society and take care of their families if healthcare is a privilege and not a right,” said the sponsor of the bill, Nevada Assemblyman Michael Sprinkle. “That’s really where this bill started, thinking through, how do we make healthcare a right in our state.”

In Nevada, Medicaid reimburses physicians at 81 percent of Medicare’s rates. The question now is whether the state’s Republican governor will sign the bill.

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