[19980331]98-73_医疗保险扩展：克林顿总统关于允许65岁之前参保的建议.pdf

Congressional Research Service The Library of CongressCRS Report for CongressReceived through the CRS Web98-73 EPWUpdated March 31, 1998Medicare Expansion: President ClintonsProposals to Allow Coverage Before Age 65Bob Lyke, Beth C. Fuchs, and Jennifer OSullivanSpecialists in Social LegislationMadeleine SmithConsultantEducation and Public Welfare DivisionSummaryPresident Clinton has proposed allowing people ages 62 through 64 to buy intoMedicare if they do not have access to employer-sponsored or federal health insurance.Displaced workers ages 55 through 61 generally would also be allowed to buy in if theylost employer-sponsored insurance. In addition, retirees ages 55 and over whose formeremployers terminated or substantially reduced retiree health insurance would bepermitted to extend their COBRA coverage (defined on page 6) until age 65. Theproposals have been introduced as H.R. 3470 (Representative Stark) and S. 1789(Senator Moynihan).The Presidents proposals would help people in these age groups obtain healthinsurance. While most of them already are covered by employment-based, government,or private non-group plans, nearly one in seven is uninsured. Many without coveragefind t