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

This bill modifies Massachusetts Medicaid rules to require elders and people with disabilities who earn above certain income limits to pay back a portion of their excess earnings to healthcare providers. Specifically, eligible individuals would have to pay an amount equal to their surplus income for six consecutive months, with some exceptions for those in specific waiver programs or the special income eligibility group. The law aims to ensure that those with higher incomes contribute more toward the cost of their community-based care services while maintaining access to necessary medical support.