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HR 6147

Expanding Health Care Options for First Responders Act

119th Congress Introduced by Sean Casten and 5 co-sponsors

HR 6147 allows first responders aged 50-64, retired or disabled, to buy into Medicare, ensuring better healthcare access as they transition from active duty.

Introduced in House
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WeVote Research Nonpartisan
Bill Summary · HR 6147

Summary of HR 6147

Bill Number: HR 6147
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.
Status: Introduced in House
Introduced Date: November 19, 2025
Classification: Bill

Purpose and Intent

The primary purpose of HR 6147 is to amend the Social Security Act to allow first responders aged 50 to 64, who have been separated from service due to retirement or disability, the option to buy into Medicare. This legislation aims to provide a safety net for these individuals, ensuring they have access to necessary healthcare services as they transition out of active duty.

Key Provisions

  • Eligibility: The bill specifically targets first responders, which includes firefighters, police officers, emergency medical technicians (EMTs), and other similar roles.
  • Age Requirement: Eligible individuals must be between the ages of 50 and 64.
  • Separation from Service: The bill applies to those who have retired or become disabled, leading to their separation from active service.
  • Medicare Buy-In Option: The legislation would allow these eligible first responders to purchase Medicare coverage, providing them with access to healthcare benefits typically available to individuals aged 65 and older.

Impact

  • Affected Population: The bill is expected to benefit a significant number of first responders who may face challenges in accessing affordable healthcare as they age or transition out of their careers.
  • Healthcare Access: By allowing a buy-in option for Medicare, the bill aims to improve healthcare access and financial security for this demographic, potentially reducing the burden on state and local health systems.
  • Financial Considerations: While specific costs associated with the buy-in option are not detailed in the bill, it is anticipated that the program would require funding mechanisms to support the additional enrollees in Medicare.

Procedural Aspects

  • Committee Review: Upon introduction, HR 6147 was referred to the Committee on Ways and Means and the Committee on Energy and Commerce for further consideration. The timeline for review by these committees will be determined by the Speaker of the House.
  • Legislative Process: As the bill progresses through the legislative process, it may undergo amendments and revisions based on committee feedback and discussions.

Conclusion

HR 6147 represents a significant step toward enhancing healthcare access for first responders nearing retirement age. By providing a Medicare buy-in option, the bill seeks to address the unique challenges faced by this essential workforce as they transition from active duty to retirement or disability. The outcome of this legislation will depend on further committee evaluations and potential modifications as it moves through the legislative process.

Compiled from official sources — confirm details with the bill’s official record.

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