Sponsors (251)
The bill speeds access to SSDI and immediate Medicare hospital coverage for people with metastatic breast cancer—improving near-term financial and medical security for patients—while increasing federal spending and creating administrative and precedent risks for SSA and CMS.
People with metastatic breast cancer under age 65 will become immediately eligible for Medicare Part A, removing the 24-month waiting period and ensuring faster access to hospital coverage.
People with metastatic breast cancer will get earlier or more timely access to SSDI because SSA is given clearer authority to treat these cases as exceptions, which should reduce adjudication delays and speed income support.
Affected patients will face lower out-of-pocket hospital and inpatient costs and hospitals will receive Medicare reimbursement sooner, improving payment certainty for providers and reducing financial strain on families.
Taxpayers and federal trust funds are likely to face increased SSDI and Medicare outlays because more people will receive earlier SSDI benefits and immediate Medicare Part A coverage, adding budgetary pressure.
Creating a disease-specific exception and changing eligibility rules will increase administrative workload for SSA and CMS, risk initial processing delays, and could prompt requests for similar special rules for other conditions, complicating program administration.
Applicants who filed before enactment and recently received denials may be disadvantaged because the rule applies only to applications filed after enactment, forcing some to reapply to receive the new benefits.
Based on analysis of 3 sections of legislative text.
Removes SSDI timing rules and waives the 24‑month Medicare Part A waiting period so people with metastatic breast cancer may access SSDI timing benefits and Medicare sooner.
Introduced March 11, 2025 by Andrew R. Garbarino · Last progress March 11, 2025
Allows people with metastatic breast cancer to get Social Security Disability Insurance (DIB/SSDI) timing benefits and Medicare Part A sooner than under current rules. It removes certain SSDI timing rules for metastatic breast cancer claims filed after enactment and waives the 24‑month Medicare Part A waiting period for eligible disabled beneficiaries with metastatic breast cancer for months beginning after enactment.