S 3690 United States Senate · 119th Congress

Ensuring Access to Medicaid Buy-in Programs Act of 2026

This bill removes age restrictions preventing working adults with disabilities from accessing Medicaid buy-in programs. It modifies the Social Security Act to eliminate the "less than 65" requirement, allowing individuals aged 16 and older who earn above Supplemental Security Income (SSI) limits but would otherwise qualify for SSI to enroll in Medicaid buy-in programs. The key change ensures states can provide Medicaid coverage to this group without age barriers, directly affecting working adults with disabilities who previously faced eligibility cutoffs at age 65. The bill also provides a transition period for states already offering similar programs, requiring no changes before January 1, 2028.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
President
Introduced Jan 27, 2026 Last action Jan 27, 2026
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Jan 27, 2026
Committee
Read twice and referred to the Committee on Finance.
upper
Jan 27, 2026
Introduced
Introduced in Senate
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Marsha Blackburn
Marsha Blackburn
RRepublican
TN
n/a