Bill > SB20

This bill establishes a new Medicaid program specifically designed to support employed individuals with disabilities in Oregon. The Department of Human Services will administer a medical assistance program for people with disabilities who are working and qualify under federal Medicaid guidelines (specifically 42 U.S.C. 1396a(a)(10)(A)(ii)(XVI)). Notably, the department cannot consider an individual's income or resources when determining program eligibility, though they may establish an age limit if required by federal law. The department can, however, consider income when setting premiums or cost-sharing requirements to manage program funding. The bill requires the department to coordinate the program with any employer-sponsored health insurance and seek federal approval to exclude earnings accumulated in a separate account from future medical assistance eligibility determinations. The program must be operational by July 1, 2027, and the bill includes an emergency clause, meaning it will take effect immediately upon passage. The goal is to provide medical support for people with disabilities who are employed, thereby encouraging workforce participation without risking loss of critical medical coverage.

Budget and Finance, Education

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB20