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Ensuring Access to Medicaid Buy-in Programs Act of 2026
To amend title XIX of the Social Security Act to remove certain age restrictions on Medicaid eligibility for working adults with disabilities.
Summary
This bill amends Medicaid law to remove age restrictions on eligibility for Medicaid buy-in programs for working adults with disabilities. Specifically, it eliminates the age limit that previously restricted eligibility to individuals under 65 years old, allowing older working adults with disabilities to access Medicaid buy-in programs. The bill enables individuals age 16 and older who would otherwise qualify for Supplemental Security Income but have earnings exceeding the SSI income limit to remain eligible for Medicaid coverage. States that already provide Medicaid coverage to these populations are given until January 1, 2028 to comply with the changes established by this bill.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
Actions (2)
- Jan 27, 2026 Read twice and referred to the Committee on Finance. · senate
- Jan 27, 2026 Introduced in Senate
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE SENATE OF THE UNITED STATES
January 27, 2026
Mrs. Blackburn introduced the following bill; which was read twice and referred to the Committee on Finance
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 of 2026”.
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) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)) is amended—
(A) in subclause (XV)—
(i) by striking “, but less than 65,”; and
(ii) by inserting “, including at least the group described in section 1905(a)(xviii)” before the semicolon at the end; and
(B) in subclause (XVI), by inserting “including at least the group described in section 1905(a)(xii),” after “the State may establish,”.
(2) Individuals described.—Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended—
(A) in clause (xvi), by striking “or” at the end;
(B) in clause (xvii), by adding “or” after the comma at the end; and
(C) by adding after clause (xvii) the following new clause:
“(xviii) individuals who, but for earnings in excess of the limit established under subsection (q)(2)(B), would be considered to be receiving supplemental security income, and who are at least 16 years of age,”.
(3) 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 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 the amendments made by subsection (a) before January 1, 2028. <all>
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