The proposed bill, titled the "Economic Self-Sufficiency for Working Individuals with Disabilities Act," aims to establish a Medicaid buy-in program for working individuals with disabilities, contingent upon federal approval. It creates a new section, 409.9141, in the Florida Statutes, which mandates the Agency for Health Care Administration to implement and administer this program for individuals aged 18 to 64 whose incomes exceed the current Medicaid eligibility limits. The agency is tasked with determining the new income eligibility level and ensuring that the program provides full Medicaid benefits while limiting any premium or cost-sharing to a percentage of the individual's income.

Additionally, the bill requires the agency to seek federal approval for the Medicaid buy-in program through a Medicaid waiver or state plan amendment by October 1, 2026. Upon receiving the necessary federal approval, the agency will be responsible for the implementation and administration of the program. The act is set to take effect upon becoming law.