Ensuring Access to Medicaid Buy-in Programs Act of 2026

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 3690 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 3690 To amend title XIX of the Social Security Act to remove certain age restrictions on Medicaid eligibility for working adults with disabilities. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES January 27, 2026 Mrs. Blackburn introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ A BILL To amend title XIX of the Social Security Act to remove certain age restrictions on Medicaid eligibility for working adults with disabilities. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, 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