The "Ensuring Access to Medicaid Buy-in Programs Act" aims to expand Medicaid eligibility for working adults with disabilities by eliminating specific age restrictions. It achieves this by amending sections 1902(a)(10)(A)(ii)(XV) and 1905(v)(1)(A) of the Social Security Act, which currently limit eligibility for certain optional Medicaid buy-in groups to individuals under 65 years of age. By striking the phrase ", but less than 65," from these provisions, the bill ensures that working adults with disabilities aged 65 and older can also qualify for these Medicaid programs. States that already provide medical assistance to these groups will have until January 1, 2027 , to comply with these updated requirements, providing a transition period for implementation.