HB 567 2024 CODING: Words stricken are deletions; words underlined are additions. hb0567-00 Page 1 of 2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S A bill to be entitled 1 An act relating to Medicaid expansion through a 2 Medicaid buy-in program; creating s. 409.9141, F.S.; 3 requiring the Agency for Health Care Administration to 4 establish and implement a Medicaid buy -in program for 5 specified individuals with disabilities under certain 6 circumstances; providing requirements for the program; 7 requiring the agency to seek by a specified date 8 federal waiver approval or submit any state plan 9 amendments necessary to implement the program; 10 requiring the agency to implement the program upon 11 receiving federal approval; providing an effective 12 date. 13 14 Be It Enacted by the Legislature of the State of Florida: 15 16 Section 1. Section 409.9141, Florida Statutes, is created 17 to read: 18 409.9141 Medicaid buy -in program for individuals with 19 disabilities.— 20 (1)(a) The agency shall establish and, subject to federal 21 approval through a waiver or state plan amendment, implement a 22 Medicaid buy-in program, authorized under the Ticket to Work and 23 Work Incentives Improvement Act of 1999, Pub. L. No. 106 -170, 24 and the Balanced Budget Act of 1997, Pub. L. No. 105 -33, for 25 HB 567 2024 CODING: Words stricken are deletions; words underlined are additions. hb0567-00 Page 2 of 2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S individuals with disabilities who are between 18 and 64 years of 26 age and whose incomes exce ed 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 must limit any premiums o r 31 cost sharing to a certain percentage of an individual's income, 32 as 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. 39