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H.R. 6147 119th Congress House

Expanding Health Care Options for First Responders Act

Official title: To amend title XVIII of the Social Security Act to provide an option for first responders age 50 to 64 who are separated from service due to retirement or disability to buy into Medicare.

Introduced: November 19, 2025 Introduced by: Greg Landsman Democratic · Ohio See on congress.gov
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Nov 19, 2025
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.
Nov 19, 2025
Introduced in House
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What's happening now November 19, 2025

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.

 Plain-English summary Congressional Research Service

Expanding Health Care Options for First Responders Act

This bill establishes a Medicare buy-in option for certain qualifying first responders.

Specifically, the bill allows first responders aged 50 to 64 to enroll in Medicare if they are retired or otherwise separated from service due to a disability. 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.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Lobbying activity 18

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

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APA
U.S. Congress. (2026). H.R. 6147: Expanding Health Care Options for First Responders Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-6147/
MLA
"H.R. 6147: Expanding Health Care Options for First Responders Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-6147/.
Bluebook (legal)
H.R. 6147, 119th Cong. (2026), https://openamerica.io/bill/119-HR-6147/.
Markdown link
[H.R. 6147: Expanding Health Care Options for First Responders Act](https://openamerica.io/bill/119-HR-6147/)
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