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HR 6147119th CongressIn Committee
Expanding Health Care Options for First Responders Act
Introduced: Nov 19, 2025
Sponsor: Rep. Landsman, Greg [D-OH-1] (D-Ohio)
Standard Summary
Comprehensive overview in 1-2 paragraphs
This bill establishes a Medicare buy-in program for first responders aged 50-64 who are separated from service due to retirement or disability. It allows eligible individuals to purchase Medicare coverage with premiums based on per capita costs, provides guaranteed issue of Medigap policies, includes outreach funding, and ensures coordination with the Affordable Care Act's premium assistance and cost-sharing programs.
Key Points
- 1Creates Medicare buy-in option for first responders aged 50-64
- 2Eligibility limited to those separated due to retirement or disability
- 3Covers law enforcement officers, firefighters, and federal firefighters
- 4Premiums based on per capita costs for Medicare services
- 5Guaranteed issue of Medigap policies upon enrollment
- 6Includes outreach and enrollment assistance funding
Impact Areas
First respondersMedicare programHealthcare accessFederal employee benefitsAffordable Care ActMedicare Advantage plans
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