An Act to support equal access to community care for elders and persons with disabilities

This bill amends Massachusetts Medicaid rules to require certain elders and people with disabilities to pay back a portion of their income that exceeds specific limits. Under the new provision, eligible individuals would owe providers an amount equal to their excess monthly income for six consecutive months, with exceptions for those in home or community-based waiver programs and the special income eligibility group. The change directly affects recipients whose earnings are above the standard exemption thresholds but who still qualify for Medicaid coverage. By introducing this repayment requirement, the legislation aims to adjust how costs are shared between the state and those with higher incomes within the program.