# 119-hr-6147: Expanding Health Care Options for First Responders Act

119-hr-6147, Expanding Health Care Options for First Responders Act, is a 119th Congress bill sponsored by Rep. Landsman, Greg [D-OH-1] (D-OH); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-6147
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6147
- Congress: 119
- Title: Expanding Health Care Options for First Responders Act
- Status: introduced
- Introduced: 2025-11-19
- Sponsor: Rep. Landsman, Greg [D-OH-1] (D-OH)
- Cosponsors: 5
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Creates a Medicare buy-in for certain retired or disabled first responders aged 50–64.** This bill would let eligible individuals enroll in Medicare Parts A and B and Part D and choose Medicare Advantage plans with prescription drug coverage while coordinating enrollments with the Affordable Care Act. - Qualified first responders who separated from service due to retirement or disability could buy into Medicare at ages 50–64 and receive the same Parts A, B and D benefits and protections. They would also get guaranteed-issue Medigap policies at first enrollment and on reenrollment. - Premiums would be set by the Secretary as a monthly share of the annual per-person cost for Parts A, B and D and deposited into the Medicare Hospital Insurance and Supplementary Medical Insurance trust funds. People who pick higher-cost Medicare Advantage or drug plans would pay extra monthly premiums. - Coverage under this option would count as minimum essential coverage for ACA rules and be treated like a silver-level plan for premium tax credits. The bill would fund Treasury grants from 2027 through 2029 to help states and nonprofits with outreach, enrollment, and information on premium assistance.

## Cosponsors (5)

- Rep. Frankel, Lois [D-FL-22] (D-FL), 2025-11-21T00:00:00.000Z
- Rep. Ryan, Patrick [D-NY-18] (D-NY), 2025-11-21T00:00:00.000Z
- Rep. Casten, Sean [D-IL-6] (D-IL), 2025-12-03T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2026-04-02T00:00:00.000Z
- Rep. Kaptur, Marcy [D-OH-9] (D-OH), 2026-04-16T00:00:00.000Z

## Provisions PRIA read

- Medicare buy-in for first responders 50 to 64: benefit, high. If enacted, this bill would let qualified first responders ages 50 to 64 buy into Medicare. You would need to live in the U.S., be a citizen, national, or lawful permanent resident, and not already entitled to or eligible to enroll in Medicare Part A or Part B. Eligible jobs would include qualified…
- Outreach grants and rollout safeguards: benefit, medium. If enacted, the government would award grants from January 1, 2027 through December 31, 2029 to help with outreach, enrollment, and transitions. States, nonprofit community groups, and nonprofit first responder groups could receive funding; insurers would be excluded. Priority would go to areas at…
- Medicaid limits for buy-in enrollees: cost, medium. If enacted, people in the buy‑in would not get Medicaid help with Medicare cost sharing. States could not buy Medicaid beneficiaries ages 50 to 64 into the buy‑in. People otherwise eligible for Medicaid generally could not enroll in the buy‑in, except for those with certain Medicaid coverage that i…
- Costs and subsidies for buy-in coverage: mixed, high. If enacted, the Secretary would set a yearly average cost for this coverage, and your monthly premium would be one‑twelfth of that amount. If you choose a higher‑cost Medicare Advantage or drug plan, you would pay the extra monthly charge. Buy‑in coverage would count as minimum essential coverage a…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-7973: Momnibus Act
- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025
- 119-hr-5390: FAMILY Act
- 119-hr-15: Equality Act
- 119-hr-1589: American Dream and Promise Act of 2025

## Sources
- [119-hr-6147 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6147)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [119-hr-5390: FAMILY Act](https://policyrisk.com/legislation/119-hr-5390)
- [119-hr-15: Equality Act](https://policyrisk.com/legislation/119-hr-15)
- [119-hr-1589: American Dream and Promise Act of 2025](https://policyrisk.com/legislation/119-hr-1589)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6147 (as of 2026-09-21).