Bill > SB451

This bill requires the Hawaii Department of Human Services to establish a Medicaid buy-in program specifically designed for workers with disabilities, allowing individuals with disabilities to access Medicaid coverage while working and earning income above traditional Medicaid eligibility limits. To qualify, an individual must have a net countable income greater than 250% of the federal poverty level, be considered disabled under specific federal guidelines, and have limited non-exempt resources. The program will feature sliding-scale premiums ranging from $20 to $250 per month, based on the individual's countable income, with annual potential adjustments. Importantly, the bill allows for the exemption of disability income and certain retirement resources when calculating eligibility. The department is authorized to develop contracts for premium collection and must establish rules for program administration, including procedures for discontinuing coverage due to non-payment. The program will only be implemented if federal financial participation is available, and it is set to take effect on December 31, 2050, providing a long-term strategy for supporting working individuals with disabilities in maintaining health coverage.

Budget and Finance, Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=451&year=2025