Text of section effective on April 01, 2025
Sec. 532.0353.  BUY-IN PROGRAMS FOR CERTAIN INDIVIDUALS WITH DISABILITIES.  (a)  The executive commissioner shall develop and implement:
(1)  a Medicaid buy-in program for individuals with disabilities as authorized by the Ticket to Work and Work Incentives Improvement Act of 1999 (Pub. L. No. 106-170) or the Balanced Budget Act of 1997 (Pub. L. No. 105-33); and
(2)  a Medicaid buy-in program for children with disabilities described by 42 U.S.C. Section 1396a(cc)(1) whose family incomes do not exceed 300 percent of the applicable federal poverty level, as authorized by the Deficit Reduction Act of 2005 (Pub. L. No. 109-171).
(b)  The executive commissioner shall adopt rules in accordance with federal law that provide for:
(1)  eligibility requirements for each program described by Subsection (a); and
(2)  requirements for program participants to pay premiums or cost-sharing payments, subject to Subsection (c).
(c)  Rules the executive commissioner adopts under Subsection (b) with respect to the program for children with disabilities described by Subsection (a)(2) must require a participant to pay monthly premiums according to a sliding scale that is based on family income, subject to the requirements of 42 U.S.C. Sections 1396o(i)(2) and (3).
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.