H.R. 1598House119th Congress (2025-2027)In Committee

Ensuring Access to Medicaid Buy-in Programs Act

AI-Generated Summary

Updated November 24, 2025 at 2:24 AM UTC

The Ensuring Access to Medicaid Buy-in Programs Act changes the Social Security Act to eliminate the age limit that currently restricts Medicaid buy‑in eligibility for working adults with disabilities. By removing the "but less than 65" language, the bill allows adults of any age who have a disability and are working to qualify for Medicaid buy‑in programs. The change applies to states that already offer such programs and gives them until January 1, 2027 to comply with the new rules.

Key Provisions

Deletes the phrase "but less than 65" from the eligibility criteria for optional Medicaid buy‑in groups, allowing adults of any age with disabilities to qualify.
Amends the definition of eligible individuals in the Social Security Act by removing the same age restriction language.
States that already provide Medicaid buy‑in benefits to the affected groups are not considered out of compliance with the updated rules, provided they adjust by January 1, 2027.

Legislative Activity

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1 earlier action

HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

February 26, 2025

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HouseIntro Referral

Introduced in House

February 26, 2025

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

February 26, 2025

Bill Text

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Introduced in HouseIssued February 26, 2025

119th CONGRESS

1st Session

H. R. 1598

IN THE HOUSE OF REPRESENTATIVES

February 26, 2025

Mr. Ciscomani (for himself and Ms. Perez) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

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

Short title

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

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)(XV) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)(XV)) is amended by striking , but less than 65,.

(2)

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 the 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 either such subclause (as amended by subsection (a)(1)) or with section 1905(v)(1)(A) of the Social Security Act (42 U.S.C. 1396d(v)(1)(A)) (as amended by subsection (a)(2)) before January 1, 2027.