"In February 2019, Gillibrand and twenty-two other Democratic senators introduced the State Public Option Act, a bill that would authorize states to form a Medicaid buy-in program for all residents and thereby grant all denizens of the state the ability to buy into a state-driven Medicaid health insurance plan if they wished.Brian Schatz, a bill cosponsor, said the legislation would "unlock each state’s Medicaid program to anyone who wants it, giving people a high-quality, low-cost public health insurance option" and that its goal was "to make sure that every single American has comprehensive health care coverage."