HI HB2487

Creates a Medicaid buy-in program for workers with disabilities in Hawaii, adopting the federal option under Section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act.

Eligibility requires individuals to have net countable income greater than 250% of the federal poverty level, be disabled under Social Security Act definitions, and meet resource limits under Title XVI methodology.

Establishes sliding-scale monthly premiums ranging from $20 minimum to $250 maximum, based on countable income, with annual adjustments reported to the legislature.

Exempts disability income (including federal, state, and private disability benefits) from countable income calculations and excludes retirement arrangements from resource limits.

Implementation is contingent on availability of federal financial participation under Title XIX of the Social Security Act, and beneficiaries may lose eligibility for nonpayment of premiums exceeding two months.