Florida Senate - 2022                                    SB 1692
       By Senator Pizzo
       38-01781-22                                           20221692__
    1                        A bill to be entitled                      
    2         An act relating to a Medicaid buy-in program; creating
    3         s. 409.9141, F.S.; requiring the Agency for Health
    4         Care Administration to establish and implement a
    5         Medicaid buy-in program for certain individuals with
    6         disabilities; providing requirements for the program;
    7         requiring the agency to seek federal waiver approval
    8         or submit any state plan amendments necessary to
    9         implement the program by a specified date; requiring
   10         the agency to implement the program upon receiving
   11         federal approval; providing an effective date.
   13  Be It Enacted by the Legislature of the State of Florida:
   15         Section 1. Section 409.9141, Florida Statutes, is created
   16  to read:
   17         409.9141Medicaid buy-in program for individuals with
   18  disabilities.—
   19         (1)(a)The agency shall establish and, subject to federal
   20  approval through a waiver or state plan amendment, implement a
   21  Medicaid buy-in program, authorized under the federal Ticket to
   22  Work and Work Incentives Improvement Act of 1999, Pub. L. No.
   23  106-170, and the federal Balanced Budget Act of 1997, Pub. L.
   24  No. 105-33, for individuals with disabilities who are between 16
   25  and 64 years of age and whose incomes exceed the maximum income
   26  eligibility level for initial enrollment to obtain coverage for
   27  medical assistance under the Medicaid program.
   28         (b)The Medicaid buy-in program must provide full Medicaid
   29  benefits to eligible individuals and must limit any premiums or
   30  cost sharing to a certain percentage of an individual’s income,
   31  as determined by the agency.
   32         (2)By October 1, 2022, the agency shall seek federal
   33  waiver approval or submit any state plan amendments necessary to
   34  implement the Medicaid buy-in program under this section. The
   35  agency shall implement the program upon receiving federal
   36  approval.
   37         Section 2. This act shall take effect upon becoming a law.