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.
   14  Be It Enacted by the Legislature of the State of Florida:
   16         Section 1. Section 409.9141, Florida Statutes, is created
   17  to read:
   18         409.9141Medicaid 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.