# 119-s-3690: Ensuring Access to Medicaid Buy-in Programs Act of 2026

119-s-3690, Ensuring Access to Medicaid Buy-in Programs Act of 2026, is a 119th Congress bill sponsored by Sen. Blackburn, Marsha [R-TN] (R-TN); status introduced; PRIA reads it as touching household money (as of 2026-08-05).

- Canonical: https://policyrisk.com/legislation/119-s-3690
- As of: 2026-08-05
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3690
- Congress: 119
- Title: Ensuring Access to Medicaid Buy-in Programs Act of 2026
- Status: introduced
- Introduced: 2026-01-27
- Sponsor: Sen. Blackburn, Marsha [R-TN] (R-TN)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-05

## Summary

**Expands Medicaid buy-in eligibility for working people with disabilities.** The bill would remove age limits and let people who would qualify for Supplemental Security Income but earn too much buy into Medicaid, including those as young as 16.

## Provisions PRIA read

- More Medicaid buy-in access for disabled workers: benefit, medium. If enacted, this would add a Medicaid buy-in group for people who would get SSI but earn too much. It would apply to people age 16 and older. It would remove the explicit "under 65" age limit for the buy-in groups. It would also make clear that a state's optional buy-in can include the group descri…
- State transition for buy-in coverage: benefit, low. If enacted, states that already make these buy-in groups available would not be treated as out of compliance. That protection would last until January 1, 2028. The pause begins upon enactment.

## Related bills

- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-3597: National Quantum Initiative Reauthorization Act of 2026
- 119-s-2142: GOLDEN DOME Act of 2025
- 119-s-2438: Transformation to Competitive Integrated Employment Act
- 119-s-4952: Protecting American Taxpayers Act
- 119-s-1748: Kids Online Safety Act

## Sources
- [119-s-3690 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3690)

## Related
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-3597: National Quantum Initiative Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3597)
- [119-s-2142: GOLDEN DOME Act of 2025](https://policyrisk.com/legislation/119-s-2142)
- [119-s-2438: Transformation to Competitive Integrated Employment Act](https://policyrisk.com/legislation/119-s-2438)
- [119-s-4952: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4952)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3690 (as of 2026-08-05).