The bill establishes a new Medicaid buy-in program for working individuals with disabilities, contingent upon federal approval. It is titled the "Economic Self-Sufficiency for Working Individuals with Disabilities" and creates a new section in the Florida Statutes, specifically section 409.9141. The program is designed for individuals aged 18 to 64 whose incomes exceed the current maximum eligibility level for Medicaid coverage. The Agency for Health Care Administration is tasked with determining the new income eligibility level and ensuring that the program provides full Medicaid benefits while limiting premiums or cost-sharing to a percentage of the individual's income.

Additionally, the bill mandates that the agency seek federal approval for the program through a Medicaid waiver or state plan amendment by October 1, 2025. Upon receiving this approval, the agency is required to implement and administer the Medicaid buy-in program. This initiative aims to enhance access to medical coverage for working individuals with disabilities, thereby promoting economic self-sufficiency.