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
HB 61 2023
1 A bill to be entitled
2 An act relating to Medicaid expansion through a
3 Medicaid buy-in program; creating s. 409.9141, F.S.;
4 requiring the Agency for Health Care Administration to
5 establish and implement a Medicaid buy-in program for
6 specified individuals with disabilities under certain
7 circumstances; providing requirements for the program;
8 requiring the agency to seek by a specified date
9 federal waiver approval or submit any state plan
10 amendments necessary to implement the program;
11 requiring the agency to implement 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
17 Section 1. Section 409.9141, Florida Statutes, is created
18 to read:
19 409.9141 Medicaid buy-in program for individuals with
20 disabilities.—
21 (1)(a) The agency shall establish and, subject to federal
22 approval through a waiver or state plan amendment, implement a
23 Medicaid buy-in program, authorized under the Ticket to Work and
24 Work Incentives Improvement Act of 1999, Pub. L. No. 106 -170,
25 and the Balanced Budget Act of 1997, Pub. L. No. 105-33, for
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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
HB 61 2023
26 individuals with disabilities who are between 18 and 64 years of
27 age and whose incomes exceed the maximum income eligibility
28 level for initial enrollment to obtain coverage for medical
29 assistance under the Medicaid program.
30 (b) The Medicaid buy-in program must provide full Medicaid
31 benefits to eligible individuals and must limit any premiums or
32 cost sharing to a certain percentage of an individual's income,
33 as determined by the agency.
34 (2) By October 1, 2023, the agency shall seek federal
35 waiver approval or submit any state plan amendments necessary to
36 implement the Medicaid buy-in program under this section. The
37 agency shall implement the program upon receiving federal
38 approval.
39 Section 2. This act shall take effect upon becoming a law.
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