HB1433 • 2026

Medical Coverage Assistance Program for Working Individuals with Disabilities

Healthcare

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Harris
Last action: 2026-03-13
Official status: House - Died in Health Care Facilities & Systems Subcommittee
Effective date: upon becom

Plain English Breakdown

The official source material does not specify detailed payment rules or cost-sharing percentages, only that premiums and cost sharing must be limited to a percentage of an eligible individual's income as determined by AHCA.

Medical Help for Working People with Disabilities

This bill creates a Medicaid buy-in program to help working individuals with disabilities who earn too much money to qualify for regular Medicaid coverage.

What This Bill Does

Requires the Agency for Health Care Administration (AHCA) to implement and administer a Medicaid buy-in program for working individuals with disabilities whose incomes exceed the usual eligibility limits.
Specifies that AHCA must seek federal approval through either a Medicaid waiver or state plan amendment by October 1, 2026, to start this program.
Requires AHCA to begin implementing and administering the Medicaid buy-in program once it receives federal approval.

Who It Names or Affects

Working individuals with disabilities between ages 18 and 64 who earn more than the usual limit for Medicaid but still need help paying for healthcare.
The Agency for Health Care Administration (AHCA) which will manage this program.

Terms To Know

Medicaid: A government health insurance program that helps people with low income pay for medical care.
Medicaid buy-in program: An option within Medicaid that allows certain working individuals to purchase coverage even if they earn too much money to qualify under regular Medicaid rules.

Limits and Unknowns

The bill requires federal approval before the program can start, which may not happen by the deadline set in the bill.
It is unclear how many people will be eligible for and benefit from this program once it starts.

Bill History

2026-03-13 House
• Died in Health Care Facilities & Systems Subcommittee
2026-01-15 House
• Referred to Health Care Facilities & Systems Subcommittee • Referred to Health Care Budget Subcommittee • Referred to Health & Human Services Committee • Now in Health Care Facilities & Systems Subcommittee
2026-01-13 House
• 1st Reading (Original Filed Version)
2026-01-09 House
• Filed

Official Summary Text

Medical Coverage Assistance Program for Working Individuals with Disabilities; Requires AHCA to implement & administer Medicaid buy-in program for specified working individuals with disabilities; provides requirements for program; requires agency to seek by specified date federal approval through Medicaid waiver or state plan amendment to implement program; requires agency to implement & administer program upon receiving federal approval.

Current Bill Text

Read the full stored bill text

HB 1433 2026

CODING: Words stricken are deletions; words underlined are additions.
hb1433-00
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 medical coverage assistance program 2
for working individuals with disabilities; providing a 3
short title; creating s. 409.9141, F.S.; requiring the 4
Agency for Health Care Administration to implement and 5
administer a Medicaid buy-in program for specified 6
working individuals with disabilities under certain 7
circumstances; providing requirements for the program; 8
requiring the agency to seek by a specified date 9
federal approval through a Medicaid waiver or state 10
plan amendment to implement the program; requiring the 11
agency to implement and administer the program upon 12
receiving federal approval; providing an effective 13
date. 14
15
Be It Enacted by the Legislature of the State of Florida: 16
17
Section 1. This act may be cited as the "Economic Self-18
Sufficiency for Working Individuals with Disabilities." 19
Section 2. Section 409.9141, Florida Statutes, is created 20
to read: 21
409.9141 Medicaid buy-in program for working individuals 22
with disabilities.— 23
(1)(a) Contingent upon federal approval through a Medicaid 24
waiver or a state plan amendment, the agency shall implement and 25

HB 1433 2026

CODING: Words stricken are deletions; words underlined are additions.
hb1433-00
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

administer a Medicaid buy-in program, authorized under the 26
Ticket to Work and Work Incentives Improvement Act of 1999, Pub. 27
L. No. 106-170, and the Balanced Budget Act of 1997, Pub. L. No. 28
105-33, for individuals with disabilities who are between 18 and 29
64 years of age who work and whose incomes exceed the maximum 30
income eligibility level for initial enrollment to obtain 31
coverage for medical assistance under the Medicaid program. The 32
agency shall determine the new income eligibility level for such 33
individuals. 34
(b) The Medicaid buy-in program under paragraph (a) must 35
provide full Medicaid benefits to eligible individuals and must 36
limit any premiums or cost sharing to a percentage, as 37
determined by the agency, of an eligible individual's income. 38
(2) By October 1, 2026, the agency shall seek federal 39
approval through a Medicaid waiver or a state plan amendment as 40
necessary to implement the Medicaid buy-in program under this 41
section. The agency shall implement and administer the Medicaid 42
buy-in program upon receiving federal approval. 43
Section 3. This act shall take effect upon becoming a law. 44