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HR 2881 117th Congress House

Medicare Buy-In and Health Care Stabilization Act of 2021

Official title: To amend title XVIII of the Social Security Act to provide for an option for individuals who are ages 50 to 64 to buy into Medicare, to provide for health insu… Show full official titleShow less

Official title: To amend title XVIII of the Social Security Act to provide for an option for individuals who are ages 50 to 64 to buy into Medicare, to provide for health insurance market stabilization, and for other purposes.

Introduced: April 28, 2021 See on congress.gov
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This bill died when the 117th Congress ended
It never became law before the 117th Congress (2021–2022) 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 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 29, 2021
Referred to the Subcommittee on Health.
Apr 28, 2021
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Apr 28, 2021
Referred to the Subcommittee on Health.
Apr 28, 2021
Referred to the Subcommittee on Social Security.
Apr 28, 2021
Introduced in House
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 Latest action April 29, 2021

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Medicare Buy-In and Health Care Stabilization Act of 2021

This bill establishes a Medicare buy-in option for certain qualifying individuals and makes a series of other changes relating to health care costs.

Specifically, the bill allows individuals aged 50 to 64 to enroll in Medicare if such individuals would otherwise qualify for Medicare at the age of 65. The Centers for Medicare & Medicaid Services (CMS) must determine enrollment periods and set premiums for the buy-in option established under the bill, in accordance with specified requirements. The CMS must also award grants to states and nonprofit organizations for outreach and enrollment activities relating to the buy-in option.

The bill also (1) establishes a supplemental option under Medicare to cover cost-sharing for beneficiaries; (2) repeals provisions that prohibit the CMS from negotiating the prices of prescription drugs; (3) establishes an individual market reinsurance program relating to coverage of high-cost individuals, as specified; and (4) makes permanent certain increases and expansions of the premium tax credit.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 5
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APA
U.S. Congress. (2026). H.R. 2881: Medicare Buy-In and Health Care Stabilization Act of 2021. 117th Congress. Open America. https://openamerica.io/bill/117-HR-2881/
MLA
"H.R. 2881: Medicare Buy-In and Health Care Stabilization Act of 2021." 117th Congress, 2026, Open America, https://openamerica.io/bill/117-HR-2881/.
Bluebook (legal)
H.R. 2881, 117th Cong. (2026), https://openamerica.io/bill/117-HR-2881/.
Markdown link
[H.R. 2881: Medicare Buy-In and Health Care Stabilization Act of 2021](https://openamerica.io/bill/117-HR-2881/)
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