# 119-hr-1598: Ensuring Access to Medicaid Buy-in Programs Act

119-hr-1598, Ensuring Access to Medicaid Buy-in Programs Act, is a 119th Congress bill sponsored by Rep. Ciscomani, Juan [R-AZ-6] (R-AZ); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1598
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1598
- Congress: 119
- Title: Ensuring Access to Medicaid Buy-in Programs Act
- Status: introduced
- Introduced: 2025-02-26
- Sponsor: Rep. Ciscomani, Juan [R-AZ-6] (R-AZ)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Removes the upper age limit for Medicaid Buy-In eligibility.** This bill would let working adults with disabilities of any age, including those 65 and older, qualify for the optional Medicaid Buy-In groups and would give states a temporary compliance safe harbor through January 1, 2027. - Working adults with disabilities — Expands eligibility so people who work and have disabilities can enroll in Medicaid Buy-In regardless of age, including those 65 and older. - States — Would provide a temporary safe harbor for states that already cover these individuals as of enactment, shielding them from compliance issues until January 1, 2027.

## Cosponsors (1)

- Rep. Perez, Marie Gluesenkamp [D-WA-3] (D-WA), 2025-02-26T00:00:00.000Z

## Provisions PRIA read

- Allow Medicaid Buy-In past age 65: benefit, medium. This bill would remove the age cap for Medicaid Buy-In for working adults with disabilities. If enacted, people 65 and older who meet the Buy-In rules could qualify in states that offer it. You would still need to meet disability, work, and any state income or asset rules. The change would start on…
- State grace period for Buy-In changes: benefit, low. This bill would give states a temporary safe harbor to adjust to the Buy-In changes. If a state already covered these Buy-In groups on the enactment date, it would not be treated as out of compliance until January 1, 2027. This would help keep people’s coverage steady while systems are updated. The…

## Related bills

- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-8029: Pay Our Homeland Defenders Act
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-2902: SOAR Act of 2025

## Sources
- [119-hr-1598 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1598)

## Related
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-8029: Pay Our Homeland Defenders Act](https://policyrisk.com/legislation/119-hr-8029)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-2902: SOAR Act of 2025](https://policyrisk.com/legislation/119-hr-2902)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1598 (as of 2026-04-21).