Ensuring Access to Medicaid Buy-in Programs Act of 2026
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
This bill changes Medicaid eligibility rules to allow adults with disabilities, aged 65 and older, to participate in Medicaid buy-in programs. It removes the age restriction of being under 65 for eligibility, and expands the definition of individuals eligible for these programs to include those receiving Supplemental Security Income (SSI) who would otherwise qualify based on earnings. States that already offer assistance to this group before January 1, 2028, will not be penalized for not complying with the new rules immediately.
Key provisions
- Removes the age restriction of under 65 for Medicaid buy-in eligibility.
- Expands eligibility to include individuals receiving SSI.
- Modifies the definition of ‘working adults with disabilities’ within Medicaid regulations.
- Allows individuals who would qualify for SSI but are limited by earnings to participate.
- Provides a transition period for states to comply with the changes.
Who is affected
- Individuals with disabilities
- Medicaid recipients
- Individuals receiving Supplemental Security Income (SSI)
- State Medicaid programs
Notable changes
- Changes the age limit for Medicaid buy-in eligibility.
- Expands the definition of eligible individuals.
- Creates a compliance period for states.
Bill text
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Sponsors
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1 on record
Primary sponsor
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