Removing age cap lets disabled workers keep Medicaid past 65

What it does

This bill removes the age cap (under 65) that currently restricts Medicaid buy-in programs for working adults with disabilities. It allows states to extend Medicaid coverage to disabled workers over 65 who are still employed, and gives states until January 1, 2027 to comply with the change without penalty.

Why we flagged it

The bill's sole operative mechanism is removing an age restriction from Medicaid buy-in eligibility, directly expanding coverage access for a specific vulnerable population (working disabled adults over 65).

What the text implies

• States retain discretion whether to adopt the expanded eligibility; the bill does not mandate coverage, only permits it and shields compliant states from penalty.
• The January 1, 2027 compliance deadline may create administrative burden for states that choose to expand, but provides a transition window.
• Interaction with Medicare eligibility at 65 is not addressed; the bill does not clarify coordination between Medicaid buy-in and Medicare enrollment requirements.

Section numbers refer to the bill text the analysis read — linked under Primary records below.

Who it affects

Disabled workers over 65 gain the option to remain on Medicaid while working, rather than losing coverage at the Medicare-eligible age. This expands access to a critical program for a vulnerable population and removes an arbitrary age barrier that penalizes continued employment.

Named in the bill

Social Security Act, Medicaid, Section 1902(a)(10)(A)(ii)(XV), Section 1905(v)(1)(A), working adults with disabilities

Where it stands

1 cosponsor: 1 Democrats.

• Feb 26, 2025 — Introduced · Congress.gov: “Introduced in House”
• Feb 26, 2025 — Referred to House Committee on Energy and Commerce · Congress.gov: “Referred to the House Committee on Energy and Commerce”

Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.

Money around this bill

3 lobbying clients named this bill on 3 disclosure filings across 2 quarters, Dec 2025 to Jun 2026. Those filings disclosed $3,062,469 in lobbying spend. A filing names 77 bills on average, so that figure is what each filing reported, not a share belonging to this bill.

More lobbying clients named this bill than 61% of bills with at least one filing.

Juan Ciscomani, the sponsor, reported $1,708,777 in PAC receipts in the 2026 cycle.

• America's Health Insurance Plans Inc (ahip) — $3,010,000 on 1 filing
• American Network of Community Options and Resources — $32,469 on 1 filing
• National Alliance on Mental Illness — $20,000 on 1 filing

Lobbying Disclosure Act filings through Jul 20, 2026. A filing shows who paid to lobby on a bill it names, not what changed.