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This bill would let more working adults with disabilities qualify for Medicaid buy-in programs by removing the current age limit that stops eligibility at age 65. In simple terms, it would open these Medicaid options to older workers with disabilities, so they would not lose access just because they turned 65. The bill also gives states time to adjust, so states that already offer these programs would not be treated as out of compliance right away.
- It changes federal Medicaid rules to remove the words that limit these buy-in programs to people under age 65.
- It applies to both parts of the Medicaid law that cover working adults with disabilities and related eligibility rules.
- States that already provide these coverage options will have until January 1, 2027, before they must fully meet the new rules.
Official Summaries
Ensuring Access to Medicaid Buy-in Programs Act
This bill removes certain age limitations for the Medicaid buy-in program for disabled, working individuals.
Current law allows disabled, working individuals ages 16 to 64 whose income exceeds applicable income limits to buy into Medicaid at the option of the state. The bill allows those age 65 or over to also buy into Medicaid.
Current Full Text
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1598 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 1598
To amend title XIX of the Social Security Act to remove certain age
restrictions on Medicaid eligibility for working adults with
disabilities.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 26, 2025
Mr. Ciscomani (for himself and Ms. Perez) introduced the following
bill; which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to remove certain age
restrictions on Medicaid eligibility for working adults with
disabilities.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Ensuring Access to Medicaid Buy-in
Programs Act''.
SEC. 2. REMOVING CERTAIN AGE RESTRICTIONS ON MEDICAID ELIGIBILITY FOR
WORKING ADULTS WITH DISABILITIES.
(a) Modification of Optional Buy-In Groups.--
(1) In general.--Section 1902(a)(10)(A)(ii)(XV) of the
Social Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)(XV)) is
amended by striking ``, but less than 65,''.
(2) Definition modification.--Section 1905(v)(1)(A) of the
Social Security Act (42 U.S.C. 1396d(v)(1)(A)) is amended by
striking ``, but less than 65,''.
(b) Application to Certain States.--A State that, as of the date of
the enactment of this Act, provides for making medical assistance
available to individuals described in subclause (XV) or (XVI) of
section 1902(a)(10)(A)(ii) of the Social Security Act (42 U.S.C.
1396a(a)(10)(A)(ii)) shall not be regarded as failing to comply with
the requirements of either such subclause (as amended by subsection
(a)(1)) or with section 1905(v)(1)(A) of the Social Security Act (42
U.S.C. 1396d(v)(1)(A)) (as amended by subsection (a)(2)) before January
1, 2027.
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