Expanding Health Care Options for First Responders Act
Summary
The "Expanding Health Care Options for First Responders Act" aims to amend Title XVIII of the Social Security Act, allowing first responders aged 50-64, who have separated from service due to retirement or disability, to buy into Medicare. This bill enables eligible first responders to enroll in Medicare Parts A, B, and D, including Medicare Advantage plans. It also establishes premium structures, enrollment periods, and coordination with the Affordable Care Act.
Expected Effects
The Act would provide a new healthcare option for retired or disabled first responders, potentially improving their access to medical care. It also establishes an oversight board and outreach programs to ensure effective implementation. The Act specifies how this new coverage interacts with existing Affordable Care Act provisions and Medigap policies.
Potential Benefits
- Provides healthcare access to first responders aged 50-64 who are separated from service due to retirement or disability.
- Allows enrollment in Medicare Parts A, B, and D, including Medicare Advantage plans.
- Establishes enrollment and coverage periods coordinated with the Affordable Care Act.
- Creates an oversight board to monitor implementation and make recommendations.
- Includes outreach and enrollment programs to raise awareness and assist eligible individuals.
Potential Disadvantages
- Requires the establishment of new premium structures and administrative processes.
- May increase costs to the federal government through the Medicare program.
- Could potentially impact the financial stability of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, although the bill aims to prevent this.
- Individuals enrolled under this section are not eligible for Medicare cost-sharing assistance under Title XIX.
- States are prohibited from buying their Medicaid beneficiaries ages 50 to 64 into Medicare under this section.
Constitutional Alignment
The bill appears to align with the "general Welfare" clause of the Constitution's preamble, as it seeks to provide healthcare options for a specific group of citizens. Congress has the power to legislate on matters related to Social Security and Medicare under its implied powers to provide for the general welfare. The bill does not appear to infringe upon any specific constitutional rights or limitations.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).