1. Short title This Act may be cited as the Medicare Buy-In and Health Care Stabilization Act of 2019 . 2. Findings Congress finds as follows: (1) Medicare has coverage gaps and should provide more comprehensive coverage, including increasing coverage for the medical needs of beneficiaries relating to hearing, dental, and vision care. (2) Special needs populations face financial challenges to secure coverage for Medicare’s out of pocket costs and other hurdles. (3) Medicare Buy-In is a step in the right direction as Congress considers additional needed legislation to address these and other coverage issues and beneficiary financial challenges in Medicare and Medicare Buy-In. 3. Medicare buy-in option (a) In general Title XVIII of the Social Security Act ( 42 U.S.C. 1395c et seq.) is amended by adding at the end the following new section: 1899C. Medicare buy-in option (a) Option (1) In general Every individual who meets the requirements described in paragraph (2) shall be eligible to enroll under this section. (2) Eligibility An individual who meets the following requirements is eligible to enroll under this section: (A) Age The individual has attained 50 years of age, but has not attained 65 years of age. (B) Medicare eligibility (but for age) The individual is not otherwise entitled to benefits under part A or eligible to enroll under part A or part B but would be eligible for benefits under part A or part B if the individual were 65 years of age. (3) Part A, B, and D benefits and protections An individual enrolled under this section is entitled to the same benefits (and shall receive the same protections) under this title as an individual who is entitled to benefits under part A and enrolled under parts B and D, including the ability to enroll in a Medicare Advantage plan that provides qualified prescription drug coverage (an MA–PD plan) and including access to the Medicare Beneficiary Ombudsman under section 1808(c). (b) Enrollment and coverage periods The Secretary shall establish enrollment and coverage