Expanding Health Care Options for First Responders Act
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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.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (5)
2026 · third_quarter · Health Issues
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
H.R. 1410 (Garbarino, R-NY) the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); H.R. 3327 (Bacon, R-NE) the Public Safety Retirees Healthcare Protection Act, which would update the Healthcare Enhancement for Local Public Safety (HELPS) Retirees Act in current Federal law; H.R. 6147 (Landsman, D-OH) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50; S. 739 (Gillibrand, D-NY), the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); S. 3221 (Gallego, D-AZ) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50;
Client expense: $100,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2026 · third_quarter · Health Issues
H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2538/S. 3145, CARE Act of 2025 H.R. 2921/S. 2745, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453/S. 4658, Parkinson's Protection for Firefighters Act H.R. 5575, FASTER Act H.R. 6147/S. 3221, Expanding Health Care Options for First Responders Act H.R. 10492/S. 5433, Wildland Firefighter Health and Safety Act S. 4819, Lifeline for First Responders Act Issues related to NIOSH programs supporting fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures Issues related to CMS payments for ambulance service Issues related to CMS payments for pre-hospital blood transfusions Issues related to the WTC Health Program Issues related to the Rural EMS Training and Equipment Assistance Program
Client expense: $204,309 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)
2026 · third_quarter · Law Enforcement/Crime/Criminal Justice
Policies affecting law enforcement; Qualified immunity H.R.503; Thin Blue Line Act: H.R. 378; HELPER Act: H.R. 2094; Qualified Immunity Act of 2023: S. 122; Auto Theft Prevention Act: H.R. 568; Invest to Protect Act of 2023; Law Enforcement Officers Safety (LEOSA) Reform Act: H.R. 2243, Fuel the Force Act: HR 7210, Expanding Health Care for First Responders Act, S. 3221, H.R. 6147
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Health Issues
FORCE Act of 2025 (H.R. 6157); Expanding Health Care Options for First Responders Act (S. 3221 / H.R. 6147); First Responders Wellness Act (S. 666); Public Safety Officer Concussion and Traumatic Brain Injury Health Act (S. 1409 / H.R. 2830).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE
2026 · third_quarter · Health Issues
H.R. 869/S.343, Keep Our PACT Act, all provisions H.R. 1520/S. 1782, CharlotteWoodwardOrgan Transplant Discrimination Prevention Act, all provisions H.R. 2540/S.1234, SSI Savings Penalty Elimination Act, all provisions H.R. 2598/S.1277, IDEA Full Funding Act, all provisions H.R. 3049, HEADs UP Act of 2025, all provisions H.R. 3939, RISE Act, all provisions H.R. 4086, Autism Family Caregivers Act, all provisions H.R. 4644/S.2459, ABLE Employment Flexibility Act, all provisions H.R. 6147/S. 3211, Recognizing the Role of Direct Support Professionals Act, all provisions H.R. 6602/S.4089, Supporting Blue Envelope Programs Act, all provisions H.R.8298, SSISavingsandEfficiencyAct of 2026, all provisions H.R. 8540/S. 5321, HCBS Access Act, all provisions H.R. 8620, CARES Hotline Act, all provisions H.R. 8845, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2027, provisions related to funding for the Kevin and Avonte's Law Program H.R. 9260, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027, provisions related to funding autism research and services at the National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration; assistive technology programs and special education at the Department of Education H.R.9495, Department of Defense Appropriations Act, 2027, provisions related to funding for the congressionally directed medical research autism research program H.R. 9809, Disabled Access Credit Modernization Act, all provisions H.R. 10049/S. 5285, Visitable Inclusive Tax Credits for Accessible Living (VITAL) Act, all provisions H.R. 10446, Incentivizing Small Business Employee Retention Act of 2026, all provisions S. 4492, ABLE MATCH (Making Able a Tool to Combat Hardship) Act, all provisions S. 4493, A bill to clarify the use of direct deposit for contributions to ABLE programs, all provisions S. 4498, ABLE Tomorrow Act, all provisions S.4784, National Defense Authorization Act for Fiscal Year 2027, provisions related to the Exceptional Family Member Program and TRICARE Autism Care Demonstration S. 5006, Work Without Worry Act of 2026, all provisions Implementation of Public Law 118-80, Autism CARES Act of 2024, all provisions Implementation of Medicaid home and community-based services policies Implementation of Medicaid program integrity policies related to autism services A bill not yet introduced to permanently extend the Money Follows the Person program and protections against spousal impoverishment for recipients of Medicaid home and community based services A bill not introduced related to Fiscal Year 2027 appropriations by the Senate, provisions related to funding autism research and services at the National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration; assistive technology programs and special education at the Department of Education; study of housing needs of autistic adults at the Department of Housing and Urban Development, funding for the Kevin and Avonte's Law Program; and the congressionally directed medical research autism research program A bill not yet introduced in the Senate to enhance skills related to family caregivers and developmental disabilities A bill not yet introduced to reauthorize the Kevin and Avonte's Law program
Client expense: $20,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · second_quarter · Health Issues
H.R. 1410 (Garbarino, R-NY) the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); H.R. 3327 (Bacon, R-NE) the Public Safety Retirees Healthcare Protection Act, which would update the Healthcare Enhancement for Local Public Safety (HELPS) Retirees Act in current Federal law; H.R. 6147 (Landsman, D-OH) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50; S. 739 (Gillibrand, D-NY), the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); S. 3221 (Gallego, D-AZ) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50;
Client expense: $100,000 · Firm income: Not reported
2026 · first_quarter · Health Issues
H.R. 1410 (Garbarino, R-NY) the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); H.R. 3327 (Bacon, R-NE) the Public Safety Retirees Healthcare Protection Act, which would update the Healthcare Enhancement for Local Public Safety (HELPS) Retirees Act in current Federal law; H.R. 6147 (Landsman, D-OH) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50; S. 739 (Gillibrand, D-NY), the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); S. 3221 (Gallego, D-AZ) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50;
Client expense: $100,000 · Firm income: Not reported
2026 · second_quarter · Health Issues
H.R. 1410 (Garbarino, R-NY) the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); H.R. 3327 (Bacon, R-NE) the Public Safety Retirees Healthcare Protection Act, which would update the Healthcare Enhancement for Local Public Safety (HELPS) Retirees Act in current Federal law; H.R. 6147 (Landsman, D-OH) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50; S. 739 (Gillibrand, D-NY), the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); S. 3221 (Gallego, D-AZ) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50;
Client expense: $100,000 · Firm income: Not reported
2026 · second_quarter · Health Issues
H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2538/S. 3145, CARE Act of 2025 H.R. 2921/S. 2745, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453/S. 4658, Parkinson's Protection for Firefighters Act H.R. 5575, FASTER Act H.R. 6147/S. 3221, Expanding Health Care Options for First Responders Act S. 4819, Lifeline for First Responders Act Issues related to NIOSH programs supporting fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures Issues related to CMS payments for ambulance service Issues related to CMS payments for pre-hospital blood transfusions
Client expense: $196,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE
2026 · second_quarter · Health Issues
FORCE Act of 2025 (H.R. 6157); Expanding Health Care Options for First Responders Act (S. 3221 / H.R. 6147); First Responders Wellness Act (S. 666); Public Safety Officer Concussion and Traumatic Brain Injury Health Act (S. 1409 / H.R. 2830).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE
2026 · second_quarter · Law Enforcement/Crime/Criminal Justice
Policies affecting law enforcement; Qualified immunity H.R.503; Thin Blue Line Act: H.R. 378; HELPER Act: H.R. 2094; Qualified Immunity Act of 2023: S. 122; Auto Theft Prevention Act: H.R. 568; Invest to Protect Act of 2023; Law Enforcement Officers Safety (LEOSA) Reform Act: H.R. 2243, Fuel the Force Act: HR 7210, Expanding Health Care for First Responders Act, S. 3221, H.R. 6147
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Health Issues
H.R. 1410 (Garbarino, R-NY) the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); H.R. 3327 (Bacon, R-NE) the Public Safety Retirees Healthcare Protection Act, which would update the Healthcare Enhancement for Local Public Safety (HELPS) Retirees Act in current Federal law; H.R. 6147 (Landsman, D-OH) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50; S. 739 (Gillibrand, D-NY), the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); S. 3221 (Gallego, D-AZ) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50;
Client expense: $100,000 · Firm income: Not reported
2026 · first_quarter · Health Issues
H.R. 7148, Consolidated Appropriations Act, 2026 H.R. 842/S. 339, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 891, Bipartisan Health Care Act H.R. 1410/S. 739, 9/11 Responder and Survivor Health Funding Correction Act H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453, Parkinson's Protection for Firefighters Act H.R. 6147/S. 3221, Expanding Health Care Options for First Responders Act Issues related to NIOSH programs which support fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures
Client expense: $164,993 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE
2026 · first_quarter · Health Issues
FORCE Act of 2025 (H.R. 6157); Expanding Health Care Options for First Responders Act (S. 3221 / H.R. 6147); First Responders Wellness Act (S. 666); Public Safety Officer Concussion and Traumatic Brain Injury Health Act (S. 1409 / H.R. 2830).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE
2026 · first_quarter · Law Enforcement/Crime/Criminal Justice
Policies affecting law enforcement; Qualified immunity H.R.503; Thin Blue Line Act: H.R. 378; HELPER Act: H.R. 2094; Qualified Immunity Act of 2023: S. 122; Auto Theft Prevention Act: H.R. 568; Invest to Protect Act of 2023; Law Enforcement Officers Safety (LEOSA) Reform Act: H.R. 2243, Fuel the Force Act: HR 7210, Expanding Health Care for First Responders Act, S. 3221, H.R. 6147
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Health Issues
H.R. 1410 (Garbarino, R-NY) the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); H.R. 3327 (Bacon, R-NE) the Public Safety Retirees Healthcare Protection Act, which would update the Healthcare Enhancement for Local Public Safety (HELPS) Retirees Act in current Federal law; H.R. 6147 (Landsman, D-OH) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50; S. 739 (Gillibrand, D-NY), the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); S. 3221 (Gallego, D-AZ) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50;
Client expense: $100,000 · Firm income: Not reported
2025 · fourth_quarter · Health Issues
H.R. 1410 (Garbarino, R-NY) the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); H.R. 3327 (Bacon, R-NE) the Public Safety Retirees Healthcare Protection Act, which would update the Healthcare Enhancement for Local Public Safety (HELPS) Retirees Act in current Federal law; H.R. 6147 (Landsman, D-OH) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50; S. 739 (Gillibrand, D-NY), the 9/11 Responder and Survivor Health Funding Correction Act, which addresses the impending funding shortfall facing the World Trade Center Health Program (WTCHP); S. 3221 (Gallego, D-AZ) the Expanding Health Care Options for First Responders Act, which would give law enforcement and other public safety professionals the option to buy into Medicare at the age of 50;
Client expense: $100,000 · Firm income: Not reported
2025 · fourth_quarter · Health Issues
H.R. 842/S. 339, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 891, Bipartisan Health Care Act H.R. 1410/S. 739, 9/11 Responder and Survivor Health Funding Correction Act H.R. 1610, FIRE Cancer Act of 2025 H.R. 1902, Helping Emergency Responders Overcome (HERO) Act H.R. 2921, Federal Firefighter Cancer Detection and Prevention Act of 2025 H.R. 3791, EMS Counts Act H.R. 4453, Parkinson's Protection for Firefighters Act H.R. 6147/S. 3221, Expanding Health Care Options for First Responders Act Issues related to NIOSH programs which support fire fighters Issues related to cancer screenings for federal fire fighters Issues related to fertility following PFAS exposures
Client expense: $184,304 · Firm income: Not reported
| Democratic |
| NY |
| Sean Casten | Democratic | IL |
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE