Florida HB 1433: Medical Coverage Assistance Program for Working Individuals with Disabilities

Bill Text

HB 1433 2026

CODING: Words stricken are deletions; words underlined are additions.
hb1433-00
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S

A bill to be entitled 1
An act relating to medical coverage assistance program 2
for working individuals with disabilities; providing a 3
short title; creating s. 409.9141, F.S.; requiring the 4
Agency for Health Care Administration to implement and 5
administer a Medicaid buy-in program for specified 6
working individuals with disabilities under certain 7
circumstances; providing requirements for the program; 8
requiring the agency to seek by a specified date 9
federal approval through a Medicaid waiver or state 10
plan amendment to implement the program; requiring the 11
agency to implement and administer the program upon 12
receiving federal approval; providing an effective 13
date. 14
15
Be It Enacted by the Legislature of the State of Florida: 16
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Section 1. This act may be cited as the "Economic Self-18
Sufficiency for Working Individuals with Disabilities." 19
Section 2. Section 409.9141, Florida Statutes, is created 20
to read: 21
409.9141 Medicaid buy-in program for working individuals 22
with disabilities.— 23
(1)(a) Contingent upon federal approval through a Medicaid 24
waiver or a state plan amendment, the agency shall implement and 25

HB 1433 2026

CODING: Words stricken are deletions; words underlined are additions.
hb1433-00
Page 2 of 2
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S

administer a Medicaid buy-in program, authorized under the 26
Ticket to Work and Work Incentives Improvement Act of 1999, Pub. 27
L. No. 106-170, and the Balanced Budget Act of 1997, Pub. L. No. 28
105-33, for individuals with disabilities who are between 18 and 29
64 years of age who work and whose incomes exceed the maximum 30
income eligibility level for initial enrollment to obtain 31
coverage for medical assistance under the Medicaid program. The 32
agency shall determine the new income eligibility level for such 33
individuals. 34
(b) The Medicaid buy-in program under paragraph (a) must 35
provide full Medicaid benefits to eligible individuals and must 36
limit any premiums or cost sharing to a percentage, as 37
determined by the agency, of an eligible individual's income. 38
(2) By October 1, 2026, the agency shall seek federal 39
approval through a Medicaid waiver or a state plan amendment as 40
necessary to implement the Medicaid buy-in program under this 41
section. The agency shall implement and administer the Medicaid 42
buy-in program upon receiving federal approval. 43
Section 3. This act shall take effect upon becoming a law. 44