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 eligibility criteria to enroll in Medicaid. Key definitions such as "employed," "disability," and "enrollee" are established, and the program will be administered by the Department of Health Care Finance (DHCF). Eligible individuals must be at least 16 years old, residents of the District, and provide evidence of both employment and disability. The bill outlines the application process, premium structures based on income, and annual recertification requirements for enrollees.

Additionally, the bill establishes the District Workers with Disabilities Premium Fund, which will collect premium revenue to help offset Medicaid expenditures and support 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 allows DHCF to impose liens for improperly paid benefits and provides enrollees the right to contest DHCF determinations through a fair hearing process. The Mayor is responsible for issuing rules to implement the bill's provisions, which will take effect once its fiscal impact is included in an approved budget and financial plan.