Section 1

Requires the Department of Health and Human Services (DHHS), Division of Health Benefits (Division), no later than 90 days after the act becomes law, to submit the necessary documentation to the Centers for Medicare and Medicaid Services (CMS) for approval to remove the unearned income limit and resource limit from the Health Coverage for Workers With Disabilities Medicaid eligibility category requirements. Requires the DHHS Secretary to notify the Revisor of Statutes of the effective date approved by CMS for the removal, if approved.

Section 2

Amends GS 108A-66.1, concerning the Medicaid buy-in for workers with disabilities under the Health Coverage for Workers with Disabilities Act (HCWD), as follows. Amends the eligibility requirements by removing the income limitation. Instead, provides that in determining an individual's countable income for purposes of HCWD, DHHS may not consider income that is disregarded under the State Medical Assistance Plan's financial methodology, including the $65 disregard, impairment-related work expenses, student earned-income exclusions, and other SSI program work incentive income disregards. Makes technical changes. 

Effective on the date approved by CMS for the removal of the unearned income limit and resource limitations for Health Coverage for Workers with Disabilities program eligibility, as required above. 

Section 3

Appropriates $165,000 in recurring funds for each year of the 2025-27 biennium from the General Fund to the Division for a match for the $301,000 in recurring federal funds which are appropriated to the Division during those years. Effective July 1, 2025.