The Judith Heumann Memorial Workers with Disabilities Act of 2025 establishes the District Workers with Disabilities Program, allowing individuals with disabilities in the District of Columbia to enroll in Medicaid while earning above current eligibility limits through a Medicaid Buy-In program. This initiative enables participants to maintain essential healthcare access by paying modest monthly premiums, with specific eligibility criteria based on age (16-64), residency, and employment status. The Department of Health Care Finance (DHCF) will manage the program, including determining eligibility and setting premiums according to income levels relative to the Federal Poverty Level. The bill also introduces independence accounts for participants to save for self-sufficiency expenses without affecting their eligibility and includes a hardship claim process for those facing financial difficulties.

The legislation details a premium payment structure based on income levels, with individuals earning between 200% and 250% of the federal poverty level paying $40 per month, and those between 250% and 300% paying $55 per month. For higher income brackets, premiums will range from 4% to 7.5% of net countable monthly income, with annual adjustments for inflation. The bill mandates written notifications for eligibility determinations and denials, outlines recipient responsibilities, and includes provisions for fraud prevention and the recovery of improperly paid benefits. The DHCF is tasked with implementing the act, which will take effect after approval by the Mayor and a congressional review period.