SESSION WATCH
Died HOUSE · SESSION 2026

No. HB 1433

Medical Coverage Assistance Program for Working Individuals with Disabilities
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SPONSOR
Harris
FILED BY
Jennifer Harris — District 44, Democrat [search donations]
EFFECTIVE
upon becoming a law
DIED IN
Health Care Facilities & Systems Subcommittee

Filed under Healthcare.

PROVIDED SUMMARY

Medical Coverage Assistance Program for Working Individuals with Disabilities; Requires AHCA to implement & administer Medicaid buy-in program for specified working individuals with disabilities; provides requirements for program; requires agency to seek by specified date federal approval through Medicaid waiver or state plan amendment to implement program; requires agency to implement & administer program upon receiving federal approval.

Full bill text →

Plain English Summary

AI-GENERATED
Creates a Medicaid buy-in program for disabled workers, pending federal approval.

Contingent on federal approval, the Agency for Health Care Administration must create a Medicaid buy-in program for people with disabilities, ages 18 to 64, who work but earn too much to qualify for regular Medicaid.

The agency sets a new, higher income ceiling for this group and must provide full Medicaid benefits once someone qualifies, charging only a premium capped at a percentage of their income that the agency itself decides.

By October 1, 2026, the agency must ask the federal government for the Medicaid waiver or state plan change needed to run this program, and may only launch it after that approval comes through.

KEY PROVISIONS
§ 1 Creates a Medicaid buy-in program for working disabled adults majors. 409.9141

AIContingent on federal approval, the agency must implement and administer a Medicaid buy-in program authorized under federal work-incentive law, letting eligible individuals keep Medicaid coverage despite earning too much for regular enrollment.

“the agency shall implement and administer a Medicaid buy-in program, authorized under the Ticket to Work and Work Incentives Improvement Act of 1999” bill text, line 25 →
§ 2 Limits eligibility to working, disabled adults over the income cap majors. 409.9141

AIOnly individuals with disabilities between 18 and 64 years old, who work and whose income exceeds the normal Medicaid eligibility ceiling, may join the buy-in program; the agency sets the new, higher ceiling that applies to them.

“individuals with disabilities who are between 18 and 64 years of age who work and whose incomes exceed the maximum income eligibility level” bill text, line 29 →
§ 3 Guarantees full Medicaid benefits with income-based premiums majors. 409.9141

AIThe program must provide full Medicaid benefits to every eligible individual, and any premium or cost-sharing charged can only be a percentage of that individual's income, a percentage the agency itself sets.

“must provide full Medicaid benefits to eligible individuals and must limit any premiums or cost sharing to a percentage” bill text, line 35 →
§ 4 Sets an October 1, 2026 deadline to seek federal approval majors. 409.9141

AIThe agency must seek federal approval, through a Medicaid waiver or state plan amendment, by October 1, 2026, and may only implement the buy-in program after that approval is received.

“By October 1, 2026, the agency shall seek federal approval through a Medicaid waiver or a state plan amendment” bill text, line 39 →
TIMELINE
3/13/2026
Died in Health Care Facilities & Systems Subcommittee
1/15/2026
Now in Health Care Facilities & Systems Subcommittee
1/15/2026
Referred to Health & Human Services Committee
1/15/2026
Referred to Health Care Budget Subcommittee
1/15/2026
Referred to Health Care Facilities & Systems Subcommittee
1/13/2026
1st Reading (Original Filed Version)
1/9/2026
Filed
1 EARLIER →
STATUTES IT CHANGES
s. 409.9141
+15 / −0
s. 409.9141
+192 / −0