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H.R. 5165: Improving Medicare Coverage Act

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H.R. 5165: Improving Medicare Coverage Act

117th Congress · introduced 2021-09-03 · Health · Latest: Referred to the Subcommittee on Health.

federal

Follow this bill, step by step

  1. Where it came from: introduced 2021-09-03 · official record
  2. Who proposed it: Rep. Jayapal, Pramila [D-WA-7] · what a sponsor is
  3. What happened next: no floor votes in our records yet. Why?
  4. Where it stands now: Referred to the Subcommittee on Health. Not final yet: this can still change. We check for updates every day.
  5. If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

Improving Medicare Coverage Act

Plain summary

Improving Medicare Coverage Act This bill temporarily expands eligibility for Medicare. It also temporarily establishes a premium and cost-sharing assistance program for low-income beneficiaries. Specifically, the bill lowers the age of eligibility for Medicare from 65 to 60. The Centers for Medicare & Medicaid Services must establish procedures to provide for automatic enrollment of qualifying individuals. Enrollment must be completed within 11 months of the bill's enactment. The bill also establishes a program under Medicare to assist low-income Medicare beneficiaries with premiums, coinsurance, deductibles, and other costs. Currently, such assistance is provided through Medicare Savings Programs, which are administered by state Medicaid programs. The bill also establishes a related special enrollment period under Medicare, expands eligibility for assistance to beneficiaries with income up to 200% of the federal poverty line, and provides for joint eligibility determinations with respect to the bill's program and the low-income subsidy program under the Medicare prescription drug benefit. The bill's provisions generally take effect six months after the bill's enactment and terminate five years later.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

Improving Medicare Coverage Act

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

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Alternatives

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Jayapal, Pramila [D-WA-7] · 136 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Joe Neguse (D-CO), Haley M. Stevens (D-MI), Debbie Dingell (D-MI), Alma S. Adams (D-NC), Pete Aguilar (D-CA), Nanette Diaz Barragán (D-CA), Suzanne Bonamici (D-OR), Julia Brownley (D-CA), Salud O. Carbajal (D-CA), André Carson (D-IN), Troy A. Carter (D-LA), Joaquin Castro (D-TX), Judy Chu (D-CA), Katherine M. Clark (D-MA), Yvette D. Clarke (D-NY), Steve Cohen (D-TN), J. Luis Correa (D-CA), Joe Courtney (D-CT), Angie Craig (D-MN), Madeleine Dean (D-PA), Diana DeGette (D-CO), Rosa L. DeLauro (D-CT), Mark DeSaulnier (D-CA), Adriano Espaillat (D-NY), Dwight Evans (D-PA), Ruben Gallego (D-AZ), Jesús G. "Chuy" García (D-IL), Sylvia R. Garcia (D-TX), Al Green (D-TX), Jahana Hayes (D-CT), Steven Horsford (D-NV), Jared Huffman (D-CA), Sara Jacobs (D-CA), Henry C. "Hank" Johnson, Jr. (D-GA), Marcy Kaptur (D-OH), Ro Khanna (D-CA), Andy Kim (D-NJ), Raja Krishnamoorthi (D-IL), Rick Larsen (D-WA), John B. Larson (D-CT) and 76 more.

Sponsor's campaign money: Rep. Jayapal, Pramila [D-WA-7] reported raising $2.9 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (1)
Bill
A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Record fed-us-cong117-hr5165 · catalog fed-us-congress-bills-cong117 · updated 2026-11-15 by psicol fed-bills-cong117