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. 12 13 Be It Enacted by the Legislature of the State of Florida: 14 15 Section 1. Section 409.9141, Florida Statutes, is created 16 to read: 17 409.9141 Medicaid 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.