Bills/S. 3221

Expanding Health Care Options for First Responders Act

Expanding Health Care Options for First Responders Act

In CommitteeHealthcareSenateSenate Bill · 119th Congress
Bill Progress · Senate
Introduced
Committee
Passed House
Passed Senate
Passed Both
Signed

Plain Language Summary

# Expanding Health Care Options for First Responders Act - Summary **What the bill would do:** This bill would create a new Medicare enrollment option for first responders (such as firefighters, police officers, and paramedics) aged 50-64 who have retired or left service due to disability. Rather than waiting until age 65 when most people become eligible for Medicare, these individuals could buy into the Medicare program earlier. The Centers for Medicare & Medicaid Services would set the premium costs and determine when people can enroll. **Who it affects and key provisions:** The bill primarily affects retired first responders and disabled first responders between ages 50-64 who currently lack access to Medicare.

It also includes funding for states and nonprofit organizations to conduct outreach and help eligible first responders understand and enroll in the program. By allowing earlier Medicare access, the bill aims to address health care coverage gaps for this group during the years before they reach traditional Medicare eligibility age. **Current status:** The bill is currently in committee (S. 3221 in the 119th Congress), meaning it has been introduced but has not yet been voted on by the full Senate.

CRS Official Summary

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.

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Latest Action

November 19, 2025

Read twice and referred to the Committee on Finance.

Sponsor

D
Gallego, Ruben [D-AZ]
D-AZ · Senate

Key Dates

Introduced
November 19, 2025
Last Updated
November 19, 2025
Read Full Text on Congress.gov →
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