January 27, 2026
Mrs. Blackburn introduced the following bill; which was read twice and referred to the Committee on Finance
To amend title XIX of the Social Security Act to remove certain age restrictions on Medicaid eligibility for working adults with disabilities.
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.