The bill establishes a 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, 409.9141, which outlines the program's requirements. The program is designed for individuals aged 18 to 64 who work and have incomes exceeding the current eligibility limits 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 economic self-sufficiency for individuals with disabilities by allowing them to maintain access to necessary medical assistance while working.