119th Congress · introduced in the Senate · Nov 19, 2025
Expanding Health Care Options for First Responders Act
Official title from Congress.gov
Latest action (Nov 19, 2025): Read twice and referred to the Committee on Finance.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in Senate (Nov 19, 2025)
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.
No cosponsors.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Read twice and referred to the Committee on Finance.
Introduced in Senate
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
13 citations.
INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Health Issues
$204,309
Spent on own lobbying
…r 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 A…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL TROOPERS COALITION · lobbying firm or registrant: WINNING STRATEGIES WASHINGTON
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Law Enforcement/Crime/Criminal Justice
$10,000
Paid to lobbying firm
…rotect 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
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
PEACE OFFICERS RESEARCH ASSOCIATION OF CALIFORNIA · lobbying firm or registrant: STEPTOE LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
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).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL FRATERNAL ORDER OF POLICE · lobbying firm or registrant: NATIONAL FRATERNAL ORDER OF POLICE
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · amended · posted Sep 29, 2026 · issue area: Health Issues
$100,000
Spent on own lobbying
…/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 t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL FRATERNAL ORDER OF POLICE · lobbying firm or registrant: NATIONAL FRATERNAL ORDER OF POLICE
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · amended · posted Sep 29, 2026 · issue area: Health Issues
$100,000
Spent on own lobbying
…/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 t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL FRATERNAL ORDER OF POLICE · lobbying firm or registrant: NATIONAL FRATERNAL ORDER OF POLICE
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · amended · posted Sep 29, 2026 · issue area: Health Issues
$100,000
Spent on own lobbying
…/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 t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$196,000
Spent on own lobbying
…r 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 Is…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
PEACE OFFICERS RESEARCH ASSOCIATION OF CALIFORNIA · lobbying firm or registrant: STEPTOE LLP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 19, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
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).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL TROOPERS COALITION · lobbying firm or registrant: WINNING STRATEGIES WASHINGTON
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Law Enforcement/Crime/Criminal Justice
$10,000
Paid to lobbying firm
…rotect 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
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$164,993
Spent on own lobbying
…921, 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 fe…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
PEACE OFFICERS RESEARCH ASSOCIATION OF CALIFORNIA · lobbying firm or registrant: STEPTOE LLP
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 19, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
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).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL TROOPERS COALITION · lobbying firm or registrant: WINNING STRATEGIES WASHINGTON
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 18, 2026 · issue area: Law Enforcement/Crime/Criminal Justice
$10,000
Paid to lobbying firm
…rotect 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
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS · lobbying firm or registrant: INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$184,304
Spent on own lobbying
…921, 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 fe…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing