# 119-s-2073: State Public Option Act 119-s-2073, State Public Option Act, is a 119th Congress bill sponsored by Sen. Schatz, Brian [D-HI] (D-HI); status introduced; PRIA reads it as touching household money (as of 2026-06-13). - Canonical: https://policyrisk.com/legislation/119-s-2073 - As of: 2026-06-13 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: 119-s-2073 - Congress: 119 - Title: State Public Option Act - Status: introduced - Introduced: 2025-06-12 - Sponsor: Sen. Schatz, Brian [D-HI] (D-HI) - Cosponsors: 14 - Policy area: Health - Touches household money: yes - Last recorded action: 2026-06-13 ## Summary **Lets states offer a Medicaid buy-in for uninsured residents.** It would also raise Medicaid primary care payment minimums, change how the federal match is timed for expansions, and require Medicaid to cover comprehensive sexual and reproductive health care including abortion. - Individuals and families: People who are not already eligible for Medicaid and who lack other health coverage could buy into their state Medicaid plan starting January 1, 2026, if the state chooses to offer it. - States: States that expand Medicaid for newly eligible people would receive the enhanced federal medical assistance percentage (FMAP) regardless of when they expand. The bill measures that match using each state’s first consecutive 12-month periods of providing coverage instead of fixed calendar years. - Primary care providers: The bill would set a Medicaid primary care payment floor at no less than Medicare rates for many providers, including board-certified family physicians, internists, pediatricians, and board-certified obstetrician/gynecologists, plus rural health clinics and federally qualified health centers. It also extends the floor to advanced practice clinicians and requires minimum payment portions for nurse practitioners, physician assistants, and certified nurse-midwives so their pay meets required thresholds. - People seeking reproductive care: State Medicaid plans would have to include comprehensive sexual and reproductive health services, including abortion and abortion-related services. Benchmark and benchmark-equivalent coverage could not enroll people unless those plans include these services, and these coverage requirements apply to care furnished on or after January 1, 2026. ## Cosponsors (14) - Sen. Luján, Ben Ray [D-NM] (D-NM), 2025-06-12T00:00:00.000Z - Sen. Merkley, Jeff [D-OR] (D-OR), 2025-06-12T00:00:00.000Z - Sen. Shaheen, Jeanne [D-NH] (D-NH), 2025-06-12T00:00:00.000Z - Sen. Blumenthal, Richard [D-CT] (D-CT), 2025-06-12T00:00:00.000Z - Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2025-06-12T00:00:00.000Z - Sen. Klobuchar, Amy [D-MN] (D-MN), 2025-06-12T00:00:00.000Z - Sen. Welch, Peter [D-VT] (D-VT), 2025-06-12T00:00:00.000Z - Sen. Rosen, Jacky [D-NV] (D-NV), 2025-06-12T00:00:00.000Z - Sen. Smith, Tina [D-MN] (D-MN), 2025-06-12T00:00:00.000Z - Sen. Murphy, Christopher [D-CT] (D-CT), 2025-06-12T00:00:00.000Z - Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-06-12T00:00:00.000Z - Sen. Durbin, Richard J. [D-IL] (D-IL), 2025-06-12T00:00:00.000Z - Sen. Heinrich, Martin [D-NM] (D-NM), 2025-06-12T00:00:00.000Z - Sen. Hirono, Mazie K. [D-HI] (D-HI), 2025-06-23T00:00:00.000Z ## Provisions PRIA read - Premium tax credits for buy-ins: benefit, high. This bill would make people who buy into Medicaid and pay premiums eligible for ACA premium tax credits and cost‑sharing reductions if they meet the income rules. If no silver plan is offered where you live, your buy-in coverage would count as the second‑lowest‑cost silver plan for credit calculati… - Higher Medicaid primary care pay: benefit, medium. This bill would renew a rule that Medicaid must pay many primary care services at least 100% of the Medicare Part B rate. For services in 2013 and 2014 it would apply to family medicine, internal medicine, and pediatric physicians. After enactment the 100% floor would apply to a wider set of provid… - Medicaid coverage of reproductive care: benefit, medium. This bill would add comprehensive sexual and reproductive health services, including abortion and related care, to Medicaid's definition of medical assistance. States would have to include these services in their State Medicaid plans. A State could not enroll people in benchmark or benchmark‑equiva… - New timing for enhanced Medicaid match: benefit, medium. This bill would change how the extra federal Medicaid match for newly eligible people is timed. Instead of fixed calendar years, the higher match would run in consecutive 12‑month periods starting when a State first provides medical assistance to newly eligible people. The change would take effect… - New state Medicaid buy-in option: mixed, medium. This bill would let a State offer a Medicaid buy-in that residents could buy through the State's ACA Exchange. You would be able to join if you live in the State and are not enrolled in another plan. States could charge premiums, but total premiums for all buy-in people in a family could not exceed… ## Related bills - 119-s-5066: Health Equity and Accountability Act of 2026 - 119-s-2823: FAMILY Act - 119-s-51: Washington, D.C. Admission Act - 119-s-5108: Right to IVF Act of 2026 - 119-s-1503: Equality Act - 119-s-2295: Child Care for Working Families Act ## Sources - [119-s-2073 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2073) ## Related - [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066) - [119-s-2823: FAMILY Act](https://policyrisk.com/legislation/119-s-2823) - [119-s-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-s-51) - [119-s-5108: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-s-5108) - [119-s-1503: Equality Act](https://policyrisk.com/legislation/119-s-1503) - [119-s-2295: Child Care for Working Families Act](https://policyrisk.com/legislation/119-s-2295) - [All bills in Congress](https://policyrisk.com/legislation) Source: PRIA, https://policyrisk.com/legislation/119-s-2073 (as of 2026-06-13).