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HR 3189 108th Congress House Health Access to health care Coinsurance Congress Congressional information resources Congressional reporting requirements Crime and Law Enforcement Dislocated workers Early retirement Economics and Public Finance Employee health benefits Families Finance and Financial Sector Government trust funds Health care fraud Health insurance Health insurance continuation Insurance premiums Labor and Employment Married people

Early Medicare Access and Affordability Act of 2003

Introduced: September 25, 2003 Introduced by: Pallone, Frank Democratic · New Jersey See on congress.gov
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This bill died when the 108th Congress ended
It never became law before the 108th Congress (2003–2004) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Oct 14, 2003
Referred to the Subcommittee on Employer-Employee Relations.
Sep 25, 2003
Introduced in House
Sep 25, 2003
Referred to the Committee on Ways and Means, and in addition to the Committees on Energy and Commerce, and Education and the Workforce, 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.
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 Plain-English summary Congressional Research Service
Early Medicare Access and Affordability Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add part D (Purchase of Medicare Benefits by Certain Individuals Age 62-to-65 Years of Age) (Medicare buy-in) entitling to the same Medicare benefits as an individual entitled to benefits under Medicare part A (Hospital Insurance) and enrolled under Medicare part B (Supplementary Medical Insurance) an enrolled individual age 62 to 65 who: (1) would be eligible for such benefits if 65; but (2) is not eligible for benefits under a Federal health insurance program or a group health plan.

Provides for monthly premiums, and creates the Medicare Early Access Trust Fund to hold them.

Amends SSA title XVIII to provide access to Medicare benefits to displaced workers age 55-to-62 and their spouses.

Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to provide for COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) continuation benefits for certain retired workers who lose retiree health coverage.

Amends SSA title XIX (Medicaid) to require State Medicaid plans to provide for Federal Medicare-cost sharing premium assistance for certain low-income individuals enrolled under the part D program.

What's happening now October 14, 2003

Referred to the Subcommittee on Employer-Employee Relations.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 3189: Early Medicare Access and Affordability Act of 2003. 108th Congress. Open America. https://openamerica.io/bill/108-HR-3189/
MLA
"H.R. 3189: Early Medicare Access and Affordability Act of 2003." 108th Congress, 2026, Open America, https://openamerica.io/bill/108-HR-3189/.
Bluebook (legal)
H.R. 3189, 108th Cong. (2026), https://openamerica.io/bill/108-HR-3189/.
Markdown link
[H.R. 3189: Early Medicare Access and Affordability Act of 2003](https://openamerica.io/bill/108-HR-3189/)
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