Expanding Health Care Options for First Responders Act | ChamberLight
Bills · HR 6147
IN COMMITTEE· 119TH CONGRESS
House BillHR 6147Health
Expanding Health Care Options for First Responders Act
INTRO NOV 19· LAST ACTION NOV 19
READING
10MIN
COSPONSORS
5
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8
Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
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This bill matters because it addresses a significant gap in healthcare coverage for a specific group of essential workers: first responders who often face early retirement due to the demanding and dangerous nature of their jobs, or who become disabled in the line of duty. Currently, if these individuals retire or become disabled before age 65, they may struggle to find affordable and comprehensive health insurance until they qualify for Medicare. They might rely on expensive COBRA coverage, employer-provided retiree plans that vary widely, or private plans through the Affordable Care Act marketplace.
If this bill becomes law, it would provide a stable and familiar healthcare option for these first responders, allowing them to access the broad benefits of Medicare by paying a premium. This could offer them greater peace of mind and financial security regarding their health, knowing they have a clear path to continuous coverage. If it doesn't become law, this specific group of first responders will continue to navigate existing private insurance markets or alternative benefits, which may be less comprehensive or more costly during the crucial years before they turn 65.
KEY PROVISIONS
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PROVISION 01
Allows first responders aged 50 to 64 who have separated from service due to retirement or disability to voluntarily enroll in Medicare.
This creates a new healthcare option for a specific group that typically loses employer-sponsored coverage before standard Medicare eligibility.
PROVISION 02
Enrollees will receive full Medicare Parts A, B, and D benefits, including the option to join a Medicare Advantage plan.
This ensures comprehensive health, medical, and prescription drug coverage comparable to standard Medicare beneficiaries.
PROVISION 03
Individuals enrolling under this option must pay a monthly premium equal to the full average per capita cost of Medicare Parts A, B, and D benefits and administrative expenses.
This structure ensures the program is self-funded by participant premiums and does not draw from general taxpayer funds.
PROVISION 04
The coverage provided under this option counts as 'minimum essential coverage' under the Affordable Care Act (ACA) and may make enrollees eligible for ACA premium assistance and cost-sharing subsidies.
This integrates the new Medicare option with existing healthcare subsidy structures, potentially making the premiums more affordable for some.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
This bill matters because it addresses a significant gap in healthcare coverage for a specific group of essential workers: first responders who often face early retirement due to the demanding and dangerous nature of their jobs, or who become disabled in the line of duty. Currently, if these individuals retire or become disabled before age 65, they may struggle to find affordable and comprehensive health insurance until they qualify for Medicare. They might rely on expensive COBRA coverage, employer-provided retiree plans that vary widely, or private plans through the Affordable Care Act marketplace.
If this bill becomes law, it would provide a stable and familiar healthcare option for these first responders, allowing them to access the broad benefits of Medicare by paying a premium. This could offer them greater peace of mind and financial security regarding their health, knowing they have a clear path to continuous coverage. If it doesn't become law, this specific group of first responders will continue to navigate existing private insurance markets or alternative benefits, which may be less comprehensive or more costly during the crucial years before they turn 65.
KEY PROVISIONS
AI-extracted
high
Allows first responders aged 50 to 64 who have separated from service due to retirement or disability to voluntarily enroll in Medicare.
This creates a new healthcare option for a specific group that typically loses employer-sponsored coverage before standard Medicare eligibility.
high
Enrollees will receive full Medicare Parts A, B, and D benefits, including the option to join a Medicare Advantage plan.
This ensures comprehensive health, medical, and prescription drug coverage comparable to standard Medicare beneficiaries.
med
Individuals enrolling under this option must pay a monthly premium equal to the full average per capita cost of Medicare Parts A, B, and D benefits and administrative expenses.
This structure ensures the program is self-funded by participant premiums and does not draw from general taxpayer funds.
med
The coverage provided under this option counts as 'minimum essential coverage' under the Affordable Care Act (ACA) and may make enrollees eligible for ACA premium assistance and cost-sharing subsidies.
This integrates the new Medicare option with existing healthcare subsidy structures, potentially making the premiums more affordable for some.
January 1 of the first year beginning at least one year after the date of enactment of this section
Coverage for individuals enrolling under this section shall first begin.
For the first year that begins more than 1 year after the date of enactment of this section
Determination of monthly premiums begins.
GLOSSARY
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First Responder
Professionals such as police officers, firefighters, and certain federal law enforcement officers who are among the first to arrive and provide assistance at the scene of an emergency.
Medicare Buy-in
An option allowing individuals who are not yet eligible for traditional Medicare benefits (usually at age 65) to enroll by paying premiums.
Title XVIII of the Social Security Act
The specific part of the Social Security Act that established and governs the Medicare program, providing health insurance to eligible Americans.
Medicare Advantage (MA-PD)
A type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A (hospital) and Part B (medical) benefits, often including prescription drug coverage (Part D).
Minimum Essential Coverage
A type of health insurance coverage that meets the Affordable Care Act's requirement for having health insurance. Most health plans, including job-based plans, plans bought on the marketplace, and Medicare, count as minimum essential coverage.
Qualified Health Plan
An insurance plan that is certified by the Health Insurance Marketplace, meets certain requirements, and provides essential health benefits.
ACTION TIMELINE
2 EVENTS
NOV 19, 25
Introduced in House
INTROREFERRAL
NOV 19, 25
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.