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Current as of January 01, 2026 | Updated by Findlaw Staff
(a) Program establishment.--There is established in the department a medical assistance purchase program for workers with disabilities, workers with medically improved disabilities and workers with job success. Appropriations to the department from all sources of funds for the program shall be used by the department to provide medical assistance to a worker with a disability, a worker with a medically improved disability or a worker with job success.
(b) Worker with a disability, worker with a medically improved disability or worker with job success responsibilities.--
(1) A worker with a disability or a worker with a medically improved disability seeking to purchase medical assistance benefits shall pay to the department or its designee 5% of the worker's monthly income in a manner to be determined by the department. Failure of a worker with a disability or a worker with a medically improved disability to make payments in accordance with this paragraph shall result in the termination of medical assistance coverage.
(2) A worker with job success seeking to purchase medical assistance benefits shall pay to the department or its designee 7.5% of the worker's monthly income in a manner to be determined by the department. Failure of a worker with job success to make payments in accordance with this paragraph shall result in the termination of medical assistance coverage.
(3) A worker with a disability, a worker with a medically improved disability or a worker with job success shall notify the department or its designee of any change in the worker's monthly income in a manner to be determined by the department.
(b.1) Payment.--A worker with job success who participates in medical assistance for workers with disabilities with income at or above $75,000 compounded by the cost-of-living increases granted by the Federal Government under the Social Security program annually since the year 2000 and who is seeking to purchase medical assistance benefits shall pay to the department or its designee 100% of the Commonwealth's average cost of the medical assistance for workers with disabilities program.
(b.2) Determination of eligibility.--Assets developed by a medical assistance for workers with disabilities enrollee who was made eligible under the job success category will not be counted in the determination of eligibility for the medical assistance for workers with disabilities program if the enrollee loses eligibility in the job success category.
(c) Provision of benefits.--Upon receipt of a worker's payment under subsection (b)(1), the department or its designee shall provide to the worker medical assistance benefits at the categorically needy level as defined by the department.
(d) Department responsibilities.--The department shall:
(1) Administer the medical assistance purchase program.
(2) Annually prepare and submit by November 30 of each year a report to the chair and minority chair of the Health and Human Services Committee of the Senate and the chair and minority chair of the Health Committee of the House of Representatives on the number of individuals purchasing medical benefits, the average amount paid for the benefits and any other information deemed necessary by the department. The annual report shall be made available for public inspection and posted on the department's publicly accessible Internet website.
Cite this article: FindLaw.com - Pennsylvania Statutes Title 35 P.S. Health and Safety § 5701.1503. Medical assistance benefits for workers with disabilities, workers with medically improved disabilities and workers with job success - last updated January 01, 2026 | https://codes.findlaw.com/pa/title-35-ps-health-and-safety/pa-st-sect-35-5701-1503/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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