No. SB 1408
Filed under Healthcare.
Medical Coverage Assistance Program for Working Individuals with Disabilities; Citing this act as the "Economic Self-Sufficiency for Working Individuals with Disabilities Act"; contingent upon federal approval, requiring the Agency for Health Care Administration to implement and administer a Medicaid buy-in program for specified individuals with disabilities under certain circumstances; requiring the agency to determine the income eligibility level for the program; specifying requirements for the program; requiring the agency to seek federal approval through a Medicaid waiver or state plan amendment by a specified date, etc.
Plain English Summary
AI-GENERATEDCreates a Medicaid buy-in program letting working individuals with disabilities, ages 18 to 64, keep Medicaid coverage even after their income rises above the usual eligibility limit, contingent on federal approval of the change.
The agency sets the new, higher income cutoff itself, and the program must cover full Medicaid benefits while capping premiums or cost-sharing at a percentage of income the agency also gets to set.
The agency must ask the federal government for approval by October 1, 2026, but nothing in the program exists for anyone unless and until that federal approval actually comes through.
AIThe agency must implement and administer a Medicaid buy-in program under federal Ticket to Work authority for people with disabilities, ages 18 to 64, who work but earn too much for standard Medicaid eligibility.
AIRather than a fixed income limit written into the statute, the agency itself determines the new, higher income eligibility level that lets a working person with a disability qualify for the buy-in program.
AIThe buy-in program must provide the same full scope of Medicaid benefits as regular Medicaid, and any premium or cost-sharing charged to participants must be limited to a percentage of the individual's income, set by the agency.
AIThe agency's duty to actually implement and administer the buy-in program is triggered only once federal approval is granted; nothing in the act requires the program to operate absent that approval.
AIThe agency must formally request federal approval for the program, through a Medicaid waiver or state plan amendment, no later than October 1, 2026.