The One Big Beautiful Bill and Medicaid: Part Four – The Good News

This marks the final article of my 4-part series about OBBB Medicaid impacts. In this piece, I focus on ABLE (Achieving a Better Life Experience) accounts.
ABLE accounts allow individuals with disabilities to save money without losing Medicaid eligibility or other benefits. The “One Big Beautiful Bill” (OBBB) has made several significant enhancements. These enhancements include changes that:
- Expand eligibility
- Make key provisions permanent
- Strengthen savings incentives for people with disabilities
Thus, for those with disabilities or loved ones with disabilities, there is some good news regarding OBB Medicaid impacts.
Enhanced ABLE Savings Incentives
The OBBB, signed into law on July 4, 2025, immediately makes contributions to an ABLE account eligible for the Saver’s Credit. This change helps low- and moderate-income individuals save for the future. Also, starting in 2027, the Saver’s Credit becomes more generous for ABLE accounts. The maximum eligible contribution increases to $2,100, with a potential maximum tax credit of $1,050.
Permanent Provisions
Many ABLE provisions were previously scheduled to end at the close of 2025. However, instead, the OBBB makes several important provisions permanent. These include ABLE-to-Work: This feature allows eligible working individuals with disabilities to contribute additional funds to their ABLE account above the standard annual limit. The maximum contribution is either the federal poverty line for a single person or the individual’s annual compensation, whichever amount is smaller. Additionally, tax-free transfers from 529 college savings plans to ABLE accounts are now permanently permitted.
More good news: Expanded Eligibility
Effective January 1, 2026, the age limit for ABLE account eligibility will increase from 26 to 46. This is good news for a substantial number of individuals who incurred their disability between the ages of 26 and 46. They can now open an ABLE account with all the benefits.
Additional Benefits Protection in the OBB & ABLE Act
The enhancements I’ve touched on above build upon the foundation of the original ABLE Act of 2014, which created tax-advantaged savings and investment accounts for people with disabilities. In addition, the ABLE act provides protection for benefits: Up to $100,000 in an ABLE account does not count towards the asset limit for Supplemental Security Income (SSI), and the funds do not affect Medicaid eligibility.
Keep in mind that ABLE account funds can be used for a variety of “qualified disability expenses,” including housing, education, transportation, healthcare, and other essential living costs.
The best defense is a good offense. Plan proactively for Medicaid so that you’re not caught unprepared.
If you or a loved one has been diagnosed with a physical or cognitive impairment, review your (or your loved one’s) Medicaid eligibility status. Ensure your personal, financial, and legal documents are readily available.
For personalized guidance, call my office at (470) 235-7868 to discuss how estate and asset protection, long-term care planning, and crisis management strategies may need to shift going forward.
If you missed my previous posts about the One Big Beautiful Bill you can read them here:
Part 1: The One Big Beautiful Bill and Medicaid
Part 2: Prepare for the Harsh Realities of the One Big Beautiful Bill (OBBB)
Part 3: The OBBBA Makes Medicaid Planning More Important Than Ever
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