H.R. 1598: Ensuring Access to Medicaid Buy-in Programs Act

This bill, known as the **Ensuring Access to Medicaid Buy-in Programs Act**, aims to amend the Social Security Act to make changes regarding Medicaid eligibility for working adults with disabilities. Here are the key points of the bill:

Purpose of the Bill

The main goal is to remove certain age restrictions that currently limit Medicaid eligibility for working adults with disabilities. Specifically, the bill seeks to amend existing laws to ensure that adults with disabilities can access Medicaid coverage without being restricted by age, particularly the previous limit that restricted access to those “under 65 years old.”

Specific Changes Proposed

• Removal of Age Limit: The bill proposes eliminating phrases in the law that state adults must be “less than 65” to qualify for certain Medicaid buy-in programs. By removing these phrases, the bill allows individuals over 65 who continue to work to still qualify for Medicaid buy-in programs.
• State Compliance: The bill clarifies that states providing medical assistance under specific conditions (including the newly amended ones) prior to January 1, 2027, will not be penalized for failing to meet the requirements of the amendments. This provides a transition period for states to adjust to the changes without immediate repercussions.

Implications of the Bill

If enacted, the bill could enhance access to healthcare for working adults with disabilities by allowing a broader age range to qualify for Medicaid support while still being employed. This could support individuals who might otherwise face financial difficulties due to healthcare costs. It signals a shift towards inclusivity for older disabled individuals who may wish to continue working without losing necessary medical assistance.

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