# 115-hr-4129: State Public Option Act

115-hr-4129, State Public Option Act, is a 115th Congress bill sponsored by Sen. Luján, Ben Ray [D-NM] (D-NM); status Referred to the Subcommittee on Health. (as of 2025-11-18).

- Canonical: https://policyrisk.com/legislation/115-hr-4129
- As of: 2025-11-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 115-hr-4129
- Congress: 115
- Title: State Public Option Act
- Status: Referred to the Subcommittee on Health.
- Introduced: 2017-10-25
- Sponsor: Sen. Luján, Ben Ray [D-NM] (D-NM)
- Cosponsors: 26
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

State Public Option Act This bill allows residents not already eligible for Medicaid who are not concurrently enrolled in other health insurance coverage to buy into a state Medicaid plan beginning January 1, 2018. The bill makes such buy-in coverage eligible for premium subsidies and reduced cost sharing under the Patient Protection and Affordable Care Act. The Agency for Healthcare Research and Quality shall develop standardized, state-level metrics of access to, and satisfaction with, providers for individuals enrolled in state Medicaid plans. Primary care services furnished under Medicaid by certain providers must be paid at a rate that is not less than the rate under Medicare part B. Beginning in FY2019, the Department of Health and Human Services may award grants to states for the purpose of improving access to services for individuals enrolled in state Medicaid plans. The bill provides the enhanced federal medical assistance percentage to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place.

## Cosponsors (26)

- Rep. Blumenauer, Earl [D-OR-3] (D-OR), 2017-10-25T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2017-10-25T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2017-10-25T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2017-10-25T00:00:00.000Z
- Rep. Delaney, John K. [D-MD-6] (D-MD), 2017-10-25T00:00:00.000Z
- Rep. Doyle, Michael F. [D-PA-18] (D-PA), 2017-10-25T00:00:00.000Z
- ELIOT ENGEL (D-NY), 2017-10-25T00:00:00.000Z
- Rep. Eshoo, Anna G. [D-CA-16] (D-CA), 2017-10-25T00:00:00.000Z
- Rep. Fudge, Marcia L. [D-OH-11] (D-OH), 2017-10-25T00:00:00.000Z
- Sen. Gallego, Ruben [D-AZ] (D-AZ), 2017-10-25T00:00:00.000Z
- Rep. Jayapal, Pramila [D-WA-7] (D-WA), 2017-10-25T00:00:00.000Z
- Rep. Jeffries, Hakeem S. [D-NY-8] (D-NY), 2017-10-25T00:00:00.000Z
- Rep. Kihuen, Ruben J. [D-NV-4] (D-NV), 2017-10-25T00:00:00.000Z
- Rep. Langevin, James R. [D-RI-2] (D-RI), 2017-10-25T00:00:00.000Z
- Rep. Napolitano, Grace F. [D-CA-31] (D-CA), 2017-10-25T00:00:00.000Z
- Rep. O'Rourke, Beto [D-TX-16] (D-TX), 2017-10-25T00:00:00.000Z
- Sen. Rosen, Jacky [D-NV] (D-NV), 2017-10-25T00:00:00.000Z
- Rep. Titus, Dina [D-NV-1] (D-NV), 2017-10-25T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2017-10-25T00:00:00.000Z
- Rep. Walz, Timothy J. [D-MN-1] (D-MN), 2017-10-25T00:00:00.000Z
- Rep. Lujan Grisham, Michelle [D-NM-1] (D-NM), 2017-10-25T00:00:00.000Z
- Rep. Takano, Mark [D-CA-39] (D-CA), 2017-10-25T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2017-10-25T00:00:00.000Z
- Rep. Cicilline, David N. [D-RI-1] (D-RI), 2017-10-25T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2017-10-31T00:00:00.000Z
- Rep. Khanna, Ro [D-CA-17] (D-CA), 2018-06-05T00:00:00.000Z

## Related bills

- 115-hr-6135: Keep Families Together Act
- 115-hr-6033: International Human Rights Defense Act of 2018
- 115-hr-5087: Assault Weapons Ban of 2018
- 115-hr-4240: Public Safety and Second Amendment Rights Protection Act of 2017
- 115-hr-3947: Automatic Gunfire Prevention Act
- 115-hr-3440: Dream Act of 2017

## Sources
- [115-hr-4129 on Congress.gov](https://www.congress.gov/bill/115th-congress/house-bill/4129)

## Related
- [115-hr-6135: Keep Families Together Act](https://policyrisk.com/legislation/115-hr-6135)
- [115-hr-6033: International Human Rights Defense Act of 2018](https://policyrisk.com/legislation/115-hr-6033)
- [115-hr-5087: Assault Weapons Ban of 2018](https://policyrisk.com/legislation/115-hr-5087)
- [115-hr-4240: Public Safety and Second Amendment Rights Protection Act of 2017](https://policyrisk.com/legislation/115-hr-4240)
- [115-hr-3947: Automatic Gunfire Prevention Act](https://policyrisk.com/legislation/115-hr-3947)
- [115-hr-3440: Dream Act of 2017](https://policyrisk.com/legislation/115-hr-3440)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/115-hr-4129 (as of 2025-11-18).