US Federal 2025-2026 Regular Session

US Federal House Bill HB6157

Introduced
11/19/25  

Caption

FORCE Act of 2025 First Responders’ Care Expansion Act of 2025

Impact

If passed, HB6157 would significantly alter the eligibility requirements for Medicare, expanding it to include first responders aged 57 who have not yet reached the standard retirement age of 65. This amendment will create a new enrollment section under Title XVIII of the Social Security Act, providing first responders with access to similar benefits as those typically available to older adults. The proposed bill also establishes the Medicare First Responder Trust Fund to manage premiums collected from these enrollees, ensuring that funds are allocated specifically to support their healthcare needs.

Summary

House Bill 6157, known as the First Responders' Care Expansion Act of 2025 (FORCE Act), aims to amend the Social Security Act to allow first responders to enroll in Medicare benefits at age 57. This legislation recognizes the unique challenges faced by individuals in first responder roles, who often endure physical and mental strain throughout their careers. By allowing these professionals to access Medicare earlier than the traditional age of 65, the bill intends to provide timely healthcare support to those who have dedicated a decade or more in specified occupations as defined under Standard Occupation Classification codes.

Contention

While the bill has garnered support due to its focus on supporting first responders, it may face objections on grounds of potential financial implications for the Medicare program. Opponents may argue that expanding eligibility could strain available resources and undermine the program's long-term sustainability. Furthermore, there may be discussions surrounding the necessity of defining which professions specifically qualify as 'first responders' and concerns about the implications of such definitions on future healthcare legislation.

Implementation

The bill outlines that it will not affect the current eligibility or benefits of individuals already entitled to Medicare under existing provisions. It ensures that those enrolled under the new provision will receive the same range of benefits as current Medicare recipients, including access to Medicare Advantage plans and prescription drug coverage. By establishing enrollment periods and coverage mechanisms specifically for this group, HB6157 addresses the urgent healthcare needs of first responders while ensuring compliance with existing Medicare regulations.

Companion Bills

No companion bills found.

Previously Filed As

US HB6147

Expanding Health Care Options for First Responders Act

US SB3221

Expanding Health Care Options for First Responders Act

US HB8493

Peer Support for Our First Responders Act of 2026

US SB939

Medicare Dental, Hearing, and Vision Expansion Act of 2025

US HB4451

CARE for Kids Act of 2025 Caregivers, Access, and Responsible Expansion for Kids Act of 2025

US HB6601

CARE for First Responders Act Crisis Assistance and Resources in Emergencies for First Responders Act

US HB740

Veterans’ ACCESS Act of 2025 Veterans’ Assuring Critical Care Expansions to Support Servicemembers Act of 2025

US SB180

Protecting First Responders from Secondary Exposure Act of 2025

US HB621

Protecting First Responders from Secondary Exposure Act of 2025

US HB3658

911 Community Crisis Responders Act of 2025

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