Florida Senate - 2024 SB 212



By Senator Gruters





22-00340-24 2024212__
1 A bill to be entitled
2 An act relating to the Medicaid buy-in program for
3 individuals with disabilities; creating s. 409.9141,
4 F.S.; requiring the Agency for Health Care
5 Administration to establish and implement a Medicaid
6 buy-in program for specified individuals with
7 disabilities under certain circumstances; specifying
8 requirements for the program; requiring the agency to
9 seek federal waiver approval or submit any necessary
10 state plan amendments by a specified date; requiring
11 the agency to implement the program upon receiving
12 federal approval; providing an effective date.
13
14 Be It Enacted by the Legislature of the State of Florida:
15
16 Section 1. Section 409.9141, Florida Statutes, is created
17 to read:
18 409.9141 Medicaid buy-in program for individuals with
19 disabilities.—
20 (1)(a) The agency shall establish and, subject to federal
21 approval through a Medicaid waiver or state plan amendment,
22 implement a Medicaid buy-in program, authorized under the Ticket
23 to Work and Work Incentives Improvement Act of 1999, Pub. L. No.
24 106-170, and the Balanced Budget Act of 1997, Pub. L. No. 105
25 33, for individuals with disabilities who are 18 to 64 years of
26 age and whose incomes exceed the maximum income eligibility
27 level for initial enrollment to obtain coverage for medical
28 assistance under the Medicaid program.
29 (b) The Medicaid buy-in program must provide full Medicaid
30 benefits to eligible individuals and limit any premiums or cost
31 sharing to a certain percentage of an individual’s income, as
32 determined by the agency.
33 (2) By October 1, 2024, the agency shall seek federal
34 waiver approval or submit any state plan amendments necessary to
35 implement the Medicaid buy-in program under this section. The
36 agency shall implement the program upon receiving federal
37 approval.
38 Section 2. This act shall take effect upon becoming a law.