Early-Onset Alzheimer’s Coverage Act of 2026

Sharice Davids

Democrat · KS · Representative

Source: Congress.gov · FEC

No cosponsors on record. Bills can pass without cosponsors — this often means the sponsor introduced the bill alone, either because it's a messaging bill, a chairman's mark, or simply early in the legislative cycle.

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.

2026-10-05

Source: Congress.gov

Plain-English summary pending. Introduced on 2026-10-05. Check back soon — summaries are generated as bills progress through Congress.

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 10726 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 10726 To amend title XVIII of the Social Security Act to allow individuals with Alzheimer's disease to buy in to the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES October 5, 2026 Ms. Davids of Kansas introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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 _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to allow individuals with Alzheimer's disease to buy in to the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Early-Onset Alzheimer's Coverage Act of 2026''. SEC. 2. MEDICARE BUY-IN OPTION. (a) In General.--Title XVIII of the Social Security Act (42 U.S.C. 1395c et seq.) is amended by adding at the end the following new section: ``buy-in option for individuals with alzheimer's disease ``Sec. 1899D. (a) Option.-- ``(1) In general.--Every individual who meets the requirements described in paragraph (2) shall be eligible to enroll under this section. ``(2) Eligibility.--An individual who meets the following requirements is eligible to enroll under this section: ``(A) Alzheimer's disease.--The individual has been diagnosed with early-onset Alzheimer's disease (as defined by the Commissioner of Social Security through the Program Operations Manual System (or a successor document)). ``(B) Medicare eligibility (but for age).--The individual is not otherwise entitled to benefits under part A or eligible to enroll under part A or part B but would be eligible to enroll under part A or part B if the individual were 65 years of age. ``(3) Part a, b, and d benefits and protections.--An individual enrolled under this section is entitled to the same benefits (and shall receive the same protections) under this title as an individual who is entitled to benefits under part A and enrolled under parts B and D, including the ability to enroll in a Medicare Advantage plan that provides qualified prescription drug coverage (an MA-PD plan) and including access to the Medicare Beneficiary Ombudsman under section 1808(c). ``(b) Enrollment and Coverage Periods.-- ``(1) Enrollment periods.--The Secretary shall provide for a 3-month enrollment period for an individual described in subsection (a) that begins on the first day of the first month following the month in which such individual is first diagnosed with early-onset Alzheimer's disease. The Secretary shall provide for such special enrollment periods similar to those provided under part B. ``(2) Coverage period.--Coverage under this section shall begin on the first day of the first month following the month in which such individual enrolls under this section. ``(c) Application of Part A, B, and D Premiums.--An individual enrolled under this section for a month shall be responsible for such month for any premium applicable under sections 1818 and 1839, or under a prescription drug plan under part D, as if such individual were 65 years of age but not otherwise entitled to benefits under part A and were enrolled under part A, part B, or a prescription drug plan under part D (as applicable). ``(d) Clarification.--Nothing in this section shall affect the benefits or eligibility under this title of individuals who would otherwise be entitled to or eligible for benefits under this title or title XIX, or both.…

``(e) Access to Medigap.--Individuals eligible for enrollment pursuant to this section shall be eligible for coverage provided through medicare supplemental policies certified under section 1882 if the individual applies for enrollment in such policy during the six- month period following the date of enrollment pursuant to this section. The Secretary shall require each issuer of medicare supplemental policies in a State to ensure that at least 1 such policy is available to such individuals in such State.''. (b) Medigap.--Section 1882 of the Social Security Act is amended by adding at the end the following new subsection: ``(aa) Development of New Standards for Certain Medicare Supplemental Policies Relating to Buy-In Option.--The Secretary shall request the National Association of Insurance Commissioners to review and revise the standards for benefit packages described in subsection (p)(1), to otherwise update standards to include requirements for each issuer of a medicare supplemental policy that offers such a policy in a State, with respect to each year, to comply with the requirements of section 1899D(e). Such revisions shall be made consistent with the rules applicable under subsection (p)(1)(E) with the reference to the `1991 NAIC Model Regulation' deemed a reference to the NAIC Model Regulation as published in the Federal Register on December 4, 1998, and as subsequently updated by the National Association of Insurance Commissioners to reflect previous changes in law and the reference to `date of enactment of this subsection' deemed a reference to the date of enactment of this subsection (aa).''. (c) Updating Materials.--Not later than 30 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall update applicable information provided by the Department of Health and Human Services relating to the Medicare program (such as the notices commonly referred to as ``Medicare & You'' and ``Welcome to Medicare'') to include information on the eligibility provided under the amendments made by this section. <all>

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