Ensuring Access to Medicaid Buy-in Programs Act of 2026

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 3690 Introduced in Senate (IS)]

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119th CONGRESS
  2d Session
                                S. 3690

  To amend title XIX of the Social Security Act to remove certain age 
     restrictions on Medicaid eligibility for working adults with 
                             disabilities.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            January 27, 2026

Mrs. Blackburn introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
  To amend title XIX of the Social Security Act to remove certain age 
     restrictions on Medicaid eligibility for working adults with 
                             disabilities.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Ensuring Access to Medicaid Buy-in 
Programs Act of 2026''.

SEC. 2. REMOVING CERTAIN AGE RESTRICTIONS ON MEDICAID ELIGIBILITY FOR 
              WORKING ADULTS WITH DISABILITIES.

    (a) Modification of Optional Buy-In Groups.--
            (1) In general.--Section 1902(a)(10)(A)(ii) of the Social 
        Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)) is amended--
                    (A) in subclause (XV)--
                            (i) by striking ``, but less than 65,''; 
                        and
                            (ii) by inserting ``, including at least 
                        the group described in section 1905(a)(xviii)'' 
                        before the semicolon at the end; and
                    (B) in subclause (XVI), by inserting ``including at 
                least the group described in section 1905(a)(xii),'' 
                after ``the State may establish,''.
            (2) Individuals described.--Section 1905(a) of the Social 
        Security Act (42 U.S.C. 1396d(a)) is amended--
                    (A) in clause (xvi), by striking ``or'' at the end;
                    (B) in clause (xvii), by adding ``or'' after the 
                comma at the end; and
                    (C) by adding after clause (xvii) the following new 
                clause:
                            ``(xviii) individuals who, but for earnings 
                        in excess of the limit established under 
                        subsection (q)(2)(B), would be considered to be 
                        receiving supplemental security income, and who 
                        are at least 16 years of age,''.
            (3) Definition modification.--Section 1905(v)(1)(A) of the 
        Social Security Act (42 U.S.C. 1396d(v)(1)(A)) is amended by 
        striking ``, but less than 65,''.
    (b) Application to Certain States.--A State that, as of the date of 
enactment of this Act, provides for making medical assistance available 
to individuals described in subclause (XV) or (XVI) of section 
1902(a)(10)(A)(ii) of the Social Security Act (42 U.S.C. 
1396a(a)(10)(A)(ii)) shall not be regarded as failing to comply with 
the requirements of the amendments made by subsection (a) before 
January 1, 2028.
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