Bill > SB451

This bill requires the Hawaii Department of Human Services to establish a Medicaid buy-in program specifically designed for workers with disabilities. Under this program, individuals with disabilities can access Medicaid coverage by paying sliding-scale monthly premiums ranging from $20 to $250, based on their income. To qualify, an applicant must have a net countable income above 250% of the federal poverty level, be considered disabled under federal guidelines, and have limited non-exempt resources. Importantly, the bill allows individuals to qualify for the program without being restricted by their ability to engage in substantial gainful activity, and it exempts disability income and certain retirement resources from income calculations. The program will only be implemented if federal financial participation is available, and the department is authorized to develop contracts for premium collection and must adopt rules governing program administration, including procedures for discontinuing coverage due to non-payment of premiums. The bill is set to take effect on December 31, 2050, providing a long-term framework for expanding Medicaid access for workers with disabilities in Hawaii.

Budget and Finance, Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=451&year=2026