New Hampshire
 New Jersey
 New Mexico
 New York
 N. Carolina
 N. Dakota
 Rhode Island
 S. Carolina
 S. Dakota
 West Virginia

Comprehensive Person-Centered State Work Incentive Initiatives:

A Resource Center for Developing & Implementing Medicaid Buy In Programs
Related Employment Initiatives for Persons with Disabilities


I. Overview of a State’s Comprehensive Person-Centered Employment Initiatives


II. What’s New and Persons to Contact

What's New
The Texas Health and Human Services Commission has been directed in legislation enacted in 2003 (HB 3484) to identify, recommend and develop policy options to improve access to health coverage and services necessary to support increased employment of persons with disabilities in Texas. Specifically, HB 3484 requires the Commission, with input from a workgroup, to examine options for health care coverage for people with disabilities who are employed and develop a proposal for a Medicaid Buy-In program for Texas.

Download a copy of of the text of the legislation (.doc)

Direct link to the legislation:


Persons to Contact
Texas Medicaid Infrastructure Grant (MIG) project contact:
Kimberly McPherson
Policy Analyst
Health and Human Services Commission
4900 N. Lamar 4th Floor
Austin, TS 78751


III. Program Development - Past and Present

  • Executive Branch Leadership, Cross Disability Coalition Leadership and Interagency Working Groups
  • Initial Planning, Information Gathering and Program and Fiscal Estimates


IV. State Legislation - Adopted and Pending


V. Current State Policies and Program Descriptions

  • State Policies: State Plans, Regulations and Waiver Requests to Federal Agencies - Pending and Adopted Programs
  • Ensuring Informed Choice and Person - Centered Programs: Benefits Counseling, Work Force Investment Act Implementation and Related Educational Services
  • Descriptions for Consumers and Staff Training Activities


VI. Program Data and Impact

  • Medicaid Buy-In Data
  • Consumer Surveys and Evaluation Studies


VII. Comprehensive Employment Initiatives


Center for the Study and Advancement of Disability Policy and Center for Health Services Research and Policy at George Washington University

Supported by a grant from the Robert Wood Johnson Foundation with additional support provided by NIDRR of the US Department of Education through the RRTC on Workforce Investment and Employment Policy at the Law, Health Policy and Disability Center at the University of Iowa. (#H133B980042) 

Website created and maintained by the Law, Health Policy and Disability Center at the University of Iowa College of Law. The opinions and analyses set out in the articles on this website are those of the authors and do not necessarily reflect the positions of the Robert Wood Johnson Foundation, the US Department of Education, George Washington University or the University of Iowa.