No. HB 1433
Filed under Healthcare.
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.
Plain English Summary
AI-GENERATEDContingent 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.
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.
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.
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.
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.