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Medicare Enrollment Protection Act of 2025

USA119th CongressHR-2744| House 
| Updated: 4/8/2025
Lloyd Smucker

Lloyd Smucker

Republican Representative

Pennsylvania

Cosponsors (6)
Donald Norcross (Democratic)Angie Craig (Democratic)Gus M. Bilirakis (Republican)Jefferson Shreve (Republican)Mike Thompson (Democratic)Erin Houchin (Republican)

Ways and Means Committee, Energy and Commerce Committee, Education and Workforce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill, known as the Medicare Enrollment Protection Act of 2025, establishes a new special enrollment period (SEP) for Medicare Part B, specifically designed for individuals transitioning from COBRA continuation coverage. This SEP is available to those enrolled in COBRA when they first become eligible for Part B, or who were previously eligible and then enrolled in COBRA, encompassing the months of COBRA coverage plus the three subsequent months, though it can only be used once per lifetime. A crucial aspect of the bill is the protection against late enrollment penalties ; months an individual was covered by COBRA will not be counted towards increased Part B premiums. The legislation also significantly addresses coordination of benefits by amending ERISA, PHSA, and the Internal Revenue Code to prevent COBRA plans from reducing or terminating benefits for individuals solely because they are eligible for, but not yet enrolled in, Medicare Part B. These amendments ensure COBRA benefits are provided as if the individual were not eligible for Part B, thereby preventing penalties for delaying Part B enrollment while covered by COBRA. However, the bill clarifies it does not mandate COBRA coverage for those already enrolled in Part B. Lastly, it mandates that the Secretary of Labor, in consultation with HHS, update COBRA notifications by January 1, 2026, to thoroughly explain Medicare secondary payer rules concerning COBRA.
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Timeline

Bill from Previous Congress

HR 117-8791
Medicare Enrollment Protection Act of 2022

Bill from Previous Congress

HR 118-8217
Medicare Enrollment Protection Act of 2024

Bill from Previous Congress

HR 116-2564
Medicare Enrollment Protection Act
Apr 8, 2025
Introduced in House
Apr 8, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, 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.
  • Bill from Previous Congress

    HR 117-8791
    Medicare Enrollment Protection Act of 2022


  • Bill from Previous Congress

    HR 118-8217
    Medicare Enrollment Protection Act of 2024


  • Bill from Previous Congress

    HR 116-2564
    Medicare Enrollment Protection Act


  • April 8, 2025
    Introduced in House


  • April 8, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, 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.

Health

Medicare Enrollment Protection Act of 2025

USA119th CongressHR-2744| House 
| Updated: 4/8/2025
This bill, known as the Medicare Enrollment Protection Act of 2025, establishes a new special enrollment period (SEP) for Medicare Part B, specifically designed for individuals transitioning from COBRA continuation coverage. This SEP is available to those enrolled in COBRA when they first become eligible for Part B, or who were previously eligible and then enrolled in COBRA, encompassing the months of COBRA coverage plus the three subsequent months, though it can only be used once per lifetime. A crucial aspect of the bill is the protection against late enrollment penalties ; months an individual was covered by COBRA will not be counted towards increased Part B premiums. The legislation also significantly addresses coordination of benefits by amending ERISA, PHSA, and the Internal Revenue Code to prevent COBRA plans from reducing or terminating benefits for individuals solely because they are eligible for, but not yet enrolled in, Medicare Part B. These amendments ensure COBRA benefits are provided as if the individual were not eligible for Part B, thereby preventing penalties for delaying Part B enrollment while covered by COBRA. However, the bill clarifies it does not mandate COBRA coverage for those already enrolled in Part B. Lastly, it mandates that the Secretary of Labor, in consultation with HHS, update COBRA notifications by January 1, 2026, to thoroughly explain Medicare secondary payer rules concerning COBRA.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 117-8791
Medicare Enrollment Protection Act of 2022

Bill from Previous Congress

HR 118-8217
Medicare Enrollment Protection Act of 2024

Bill from Previous Congress

HR 116-2564
Medicare Enrollment Protection Act
Apr 8, 2025
Introduced in House
Apr 8, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, 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.
  • Bill from Previous Congress

    HR 117-8791
    Medicare Enrollment Protection Act of 2022


  • Bill from Previous Congress

    HR 118-8217
    Medicare Enrollment Protection Act of 2024


  • Bill from Previous Congress

    HR 116-2564
    Medicare Enrollment Protection Act


  • April 8, 2025
    Introduced in House


  • April 8, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, 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.
Lloyd Smucker

Lloyd Smucker

Republican Representative

Pennsylvania

Cosponsors (6)
Donald Norcross (Democratic)Angie Craig (Democratic)Gus M. Bilirakis (Republican)Jefferson Shreve (Republican)Mike Thompson (Democratic)Erin Houchin (Republican)

Ways and Means Committee, Energy and Commerce Committee, Education and Workforce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted