The Judith Heumann Memorial Workers with Disabilities Amendment Act of 2026 seeks to amend the District of Columbia Public Assistance Act of 1982 by creating the District Workers with Disabilities Program. This program will enable employed individuals with disabilities who meet specific criteria to enroll in Medicaid, with administration by the Department of Health Care Finance (DHCF) starting no earlier than October 1, 2027. Eligibility requirements include being at least 16 years old, a District resident, employed, and having a disability, while not being enrolled in certain other programs or residing in specific institutions. The bill outlines the application process, premium structures based on income, and ensures coverage for medically necessary services.

Additionally, the bill establishes the District Workers with Disabilities Premium Fund, which will collect premium revenue to offset Medicaid expenditures related to the program and cover administrative costs. Importantly, unspent funds at the end of a fiscal year will remain available for future use rather than reverting to the General Fund. The bill also mandates that providers seek payment from liable third parties before billing DHCF and requires updates to the District of Columbia Access System (DCAS) for premium collection. The provisions will take effect once the fiscal impact is included in an approved budget, with the Chief Financial Officer responsible for certification, and will become effective following the Mayor's approval and a 30-day congressional review period.