Florida SB 1408: Department of Financial Services

Bill Text

1408 
Medical Coverage Assistance Program for Working Individuals with Disabilities 
2026-01-08T03:30:28Z 
Citing this act as the "Economic Self-Sufficiency for Working Individuals with Disabilities Act"; contingent upon federal approval, requiring the Agency for Health Care Administration to implement and administer a Medicaid buy-in program for specified individuals with disabilities under certain circumstances; requiring the agency to determine the income eligibility level for the program; specifying requirements for the program; requiring the agency to seek federal approval through a Medicaid waiver or state plan amendment by a specified date, etc. 
Original Filed Version 
2026 
S 
GB 
General Bill 
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 Florida Senate - 2026 SB 1408 

 By Senator Smith 

 17-00452-26 20261408__ 
 1 A bill to be entitled 
 2 An act relating to medical coverage assistance program 
 3 for working individuals with disabilities; providing a 
 4 short title; creating s. 409.9141, F.S.; contingent 
 5 upon federal approval, requiring the Agency for Health 
 6 Care Administration to implement and administer a 
 7 Medicaid buy-in program for specified individuals with 
 8 disabilities under certain circumstances; requiring 
 9 the agency to determine the income eligibility level 
 10 for the program; specifying requirements for the 
 11 program; requiring the agency to seek federal approval 
 12 through a Medicaid waiver or state plan amendment by a 
 13 specified date; requiring the agency to implement and 
 14 administer the program upon receiving federal 
 15 approval; providing an effective date. 
 16 
 17 Be It Enacted by the Legislature of the State of Florida: 
 18 
 19 Section 1. This act may be cited as the “Economic Self 
 20 Sufficiency for Working Individuals with Disabilities Act.” 
 21 Section 2. Section 409.9141, Florida Statutes, is created 
 22 to read: 
 23 409.9141 Medicaid buy-in program for individuals with 
 24 disabilities.— 
 25 (1)(a) Contingent upon federal approval through a Medicaid 
 26 waiver or state plan amendment, the agency shall implement and 
 27 administer a Medicaid buy-in program, authorized under the 
 28 Ticket to Work and Work Incentives Improvement Act of 1999, Pub. 
 29 L. No. 106-170, and the Balanced Budget Act of 1997, Pub. L. No. 
 30 105-33, for individuals with disabilities between 18 and 64 
 31 years of age who work and whose incomes exceed the maximum 
 32 income eligibility level for initial enrollment to obtain 
 33 coverage for medical assistance under the Medicaid program. The 
 34 agency shall determine the new income eligibility level for such 
 35 individuals. 
 36 (b) The Medicaid buy-in program under paragraph (a) must 
 37 provide full Medicaid benefits to eligible individuals and limit 
 38 any premium or cost sharing to a percentage of an individual’s 
 39 income, as determined by the agency. 
 40 (2) By October 1, 2026, the agency shall seek federal 
 41 approval through a Medicaid waiver or state plan amendment as 
 42 necessary to implement the Medicaid buy-in program under this 
 43 section. The agency shall implement and administer the Medicaid 
 44 buy-in program upon receiving federal approval. 
 45 Section 3. This act shall take effect upon becoming a law.