United States · Bill · HR
H.R. 4357 (108th)
Medicare Early Access Act of 2004
Introduced
12 May 2004
Last action
25 June 2004 · Referred
Status
Referred to the Subcommittee on Employer-Employee Relations.
Sponsors
Rep. Stark, Fortney Pete [D-CA-13], Sen. Brown, Sherrod [D-OH], Rep. Rangel, Charles B. [D-NY-15], Rep. Dingell, John D. [D-MI-12], Rep. Waxman, Henry A. [D-CA-33], Rep. Pelosi, Nancy [D-CA-11], Rep. Miller, George [D-CA-11], Rep. Pallone, Frank [D-NJ-6], Rep. Ackerman, Gary L. [D-NY-5], Rep. Alexander, Rodney [R-LA-5], Rep. Allen, Thomas H. [D-ME-1], Rep. Baca, Joe [D-CA-43], Rep. Berry, Marion [D-AR-1], Rep. Bishop, Timothy H. [D-NY-1], Rep. Boucher, Rick [D-VA-9], Rep. Capps, Lois [D-CA-24], Sen. Cardin, Benjamin L. [D-MD], Rep. Carson, Julia [D-IN-7], Rep. Clay, Wm. Lacy [D-MO-1], Rep. Crowley, Joseph [D-NY-14], Rep. Davis, Susan A. [D-CA-53], Rep. DeLauro, Rosa L. [D-CT-3], Rep. Delahunt, William D. [D-MA-10], Rep. Deutsch, Peter [D-FL-20], Rep. Emanuel, Rahm [D-IL-5], Rep. Engel, Eliot L. [D-NY-16], Rep. Evans, Lane [D-IL-17], Rep. Farr, Sam [D-CA-20], Rep. Filner, Bob [D-CA-51], Rep. Frank, Barney [D-MA-4], Rep. Frost, Martin [D-TX-24], Rep. Gephardt, Richard A. [D-MO-3], Rep. Gordon, Bart [D-TN-6], Rep. Green, Gene [D-TX-29], Rep. Grijalva, Raúl M. [D-AZ-7], Rep. Gutierrez, Luis V. [D-IL-4], Rep. Hinchey, Maurice D. [D-NY-22], Rep. Hoeffel, Joseph M. [D-PA-13], Rep. Holt, Rush [D-NJ-12], Rep. Hoyer, Steny H. [D-MD-5], Rep. Jackson, Jesse L., Jr. [D-IL-2], Rep. Jones, Stephanie Tubbs [D-OH-11], Rep. Kaptur, Marcy [D-OH-9], Rep. Kildee, Dale E. [D-MI-5], Rep. Kilpatrick, Carolyn C. [D-MI-13], Rep. Kleczka, Gerald D. [D-WI-4], Rep. Kucinich, Dennis J. [D-OH-10], Rep. Lantos, Tom [D-CA-12]
Subjects
Healthcare, Budget
Source updated
23 March 2026
Summary
Medicare Early Access Act of 2004 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, to add a new part E (Purchase of Medicare Benefits by Certain Individuals 55 to 65 Years of Age). Provides access to Medicare benefits for individuals 55 to 64 years of age who do not have coverage under a Federal health insurance program or under a group plan. Requires enrollees to pay a premium to receive Medicare coverage. Requires the Secretary to base the premium on the Secretary's estimate of the average, national annual per capita amount of the cost of providing services to the population. Allows early retirees with access to retiree coverage to enroll under this part while keeping their Federal or State COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) continuation coverage. Allows an employer that offers employment-based retiree health coverage to an individual who enrolls under this part to modify such coverage to provide for: (1) employer payment of items and services for which payment may not be made under Medicare; and (2) employer payment of 25 percent of the monthly premium applicable to the individual after enrollment. Creates in the Treasury the Medicare Early Access Trust Fund to hold the premiums collected under this Act and to support the new program. Amends the Internal Revenue Code to allow program enrollees to receive a 75 percent advance, refundable credit to offset premium costs (thus requiring program enrollees in the Medicare buy-in to be responsible for 25 percent of the monthly premiums).
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
12 May 2004
Introduced
Referred to the Committee on Ways and Means, and in addition to the Committees on Energy and Commerce, and Education and the Workforce, 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.
Source: IntroReferral
12 May 2004
Introduced
Referred to the Committee on Ways and Means, and in addition to the Committees on Energy and Commerce, and Education and the Workforce, 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.
Source: IntroReferral
12 May 2004
Introduced
Sponsor introductory remarks on measure. (CR E826-827)
Source: IntroReferral
12 May 2004
Introduced
Introduced in House
Source: IntroReferral
12 May 2004
Introduced
Introduced in House
Source: IntroReferral
18 May 2004
Referred
Referred to the Subcommittee on Health.
Source: Committee
21 May 2004
Referred
Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.
Source: Committee
25 June 2004
Referred
Referred to the Subcommittee on Employer-Employee Relations.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 12 May 2004 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 12 May 2004
Introduced in House (PDF)
Introduced in House · EN · 12 May 2004
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Introduced in House
summary · EN · 12 May 2004
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Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Rep. Stark, Fortney Pete [D-CA-13] · D · Sponsor
- Sen. Brown, Sherrod [D-OH] · D · Sponsor
- Rep. Rangel, Charles B. [D-NY-15] · D · Sponsor
- Rep. Dingell, John D. [D-MI-12] · D · Sponsor
- Rep. Waxman, Henry A. [D-CA-33] · D · Sponsor
- Rep. Pelosi, Nancy [D-CA-11] · D · Sponsor
- Rep. Miller, George [D-CA-11] · D · Sponsor
- Rep. Pallone, Frank [D-NJ-6] · D · Sponsor
- Rep. Ackerman, Gary L. [D-NY-5] · D · Sponsor
- Rep. Alexander, Rodney [R-LA-5] · D · Sponsor
- Rep. Allen, Thomas H. [D-ME-1] · D · Sponsor
- Rep. Baca, Joe [D-CA-43] · D · Sponsor
- Rep. Berry, Marion [D-AR-1] · D · Sponsor
- Rep. Bishop, Timothy H. [D-NY-1] · D · Sponsor
- Rep. Boucher, Rick [D-VA-9] · D · Sponsor
- Rep. Capps, Lois [D-CA-24] · D · Sponsor
- Sen. Cardin, Benjamin L. [D-MD] · D · Sponsor
- Rep. Carson, Julia [D-IN-7] · D · Sponsor
- Rep. Clay, Wm. Lacy [D-MO-1] · D · Sponsor
- Rep. Crowley, Joseph [D-NY-14] · D · Sponsor
- Rep. Davis, Susan A. [D-CA-53] · D · Sponsor
- Rep. DeLauro, Rosa L. [D-CT-3] · D · Sponsor
- Rep. Delahunt, William D. [D-MA-10] · D · Sponsor
- Rep. Deutsch, Peter [D-FL-20] · D · Sponsor
- Rep. Emanuel, Rahm [D-IL-5] · D · Sponsor
- Rep. Engel, Eliot L. [D-NY-16] · D · Sponsor
- Rep. Evans, Lane [D-IL-17] · D · Sponsor
- Rep. Farr, Sam [D-CA-20] · D · Sponsor
- Rep. Filner, Bob [D-CA-51] · D · Sponsor
- Rep. Frank, Barney [D-MA-4] · D · Sponsor
- Rep. Frost, Martin [D-TX-24] · D · Sponsor
- Rep. Gephardt, Richard A. [D-MO-3] · D · Sponsor
- Rep. Gordon, Bart [D-TN-6] · D · Sponsor
- Rep. Green, Gene [D-TX-29] · D · Sponsor
- Rep. Grijalva, Raúl M. [D-AZ-7] · D · Sponsor
- Rep. Gutierrez, Luis V. [D-IL-4] · D · Sponsor
- Rep. Hinchey, Maurice D. [D-NY-22] · D · Sponsor
- Rep. Hoeffel, Joseph M. [D-PA-13] · D · Sponsor
- Rep. Holt, Rush [D-NJ-12] · D · Sponsor
- Rep. Hoyer, Steny H. [D-MD-5] · D · Sponsor
- Rep. Jackson, Jesse L., Jr. [D-IL-2] · D · Sponsor
- Rep. Jones, Stephanie Tubbs [D-OH-11] · D · Sponsor
- Rep. Kaptur, Marcy [D-OH-9] · D · Sponsor
- Rep. Kildee, Dale E. [D-MI-5] · D · Sponsor
- Rep. Kilpatrick, Carolyn C. [D-MI-13] · D · Sponsor
- Rep. Kleczka, Gerald D. [D-WI-4] · D · Sponsor
- Rep. Kucinich, Dennis J. [D-OH-10] · D · Sponsor
- Rep. Lantos, Tom [D-CA-12] · D · Sponsor
Showing 48 of 97 sponsors and actors.
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/108th-congress/house-bill/4357
- Open data entity: https://api.congress.gov/v3/bill/108/hr/4357
- us · 108-hr-4357 · source updated 23 March 2026