What is the core principle of Section 1619(b)?

The core principle of Section 1619(b) is that if an individual loses their Supplemental Security Income (SSI) due to earning above the income threshold, they will still retain access to Medicaid coverage. This provision is crucial because it ensures that individuals can work and increase their earnings without the immediate risk of losing necessary medical coverage. The retention of Medicaid after SSI benefits are terminated due to work ensures that individuals do not have to choose between financial independence and healthcare access, which is particularly important for those with disabilities.

The other options do not accurately describe the protection offered under Section 1619(b). For instance, the idea that Medicaid would be lost if earnings increase too much is not aligned with the provisions of this section, as it specifically provides continued Medicaid access despite earning higher income levels. The applicability only to adults does not capture the full scope of Section 1619(b), as it affects individuals with disabilities regardless of age. Lastly, this section is not related to Medicare recipients; it specifically pertains to individuals who rely on SSI and Medicaid, making the distinction important.