Bill > S3221

This bill introduces a Medicare buy-in option specifically for first responders aged 50 to 64 who have been separated from service due to retirement or disability. The legislation would allow eligible first responders who are U.S. residents and citizens (or lawful permanent residents) to purchase Medicare coverage before the standard eligibility age of 65. Qualified first responders include law enforcement officers, certain employees covered under specific federal tax and retirement codes, and federal firefighters who have retired or become disabled. Participants would pay monthly premiums based on the average annual per capita cost of Medicare benefits, and would receive comprehensive coverage under Medicare Parts A, B, and D, including the option to enroll in Medicare Advantage plans. The bill establishes special enrollment periods, ensures the coverage counts as minimum essential health coverage for tax purposes, and prohibits Medicaid beneficiaries from using this option. An advisory committee called the Medicare Buy-In Oversight Board will be created to monitor the program's implementation, and the Secretary of Health and Human Services will be authorized to award grants between 2027-2029 to support outreach, enrollment assistance, and education about the new Medicare buy-in option for first responders.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3221/all-info