Summary

Removes age limits in two Medicaid pathways so working adults with disabilities can buy into Medicaid regardless of age. This opens eligibility to people who meet the disability‑related criteria even if they are 65 or older. Gives states that already offer a disability Medicaid buy‑in a grace period: they won’t be treated as out of compliance with the updated requirements until January 1, 2027. Other eligibility rules in those pathways remain in place unless changed elsewhere.

Key Points

• Strikes age limits from two Medicaid disability "buy‑in" eligibility pathways.
• Allows eligible adults with disabilities to buy into Medicaid regardless of being over age 65.
• Creates a grace period through January 1, 2027 for states already offering such coverage to transition to the amended rules.
• Other eligibility factors (work, disability status, financial rules) remain in place unless changed elsewhere.
• May increase coverage continuity and work incentives for older adults with disabilities.
• Requires states to update Medicaid state plans, eligibility systems, and communications within the grace period.
• No new appropriations; impact flows through existing Medicaid financing.

Categories & Tags