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MississippiHB 19122026 Regular SessionHouseWALLET

Appropriation; Medicaid, Division of.

Sponsored By: Clay Deweese (Republican)

Signed by Governor

Appropriations CAppropriations AAppropriations

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Bill Overview

Analyzed Economic Effects

6 provisions identified: 3 benefits, 2 costs, 1 mixed.

Billions keep Mississippi Medicaid funded

For FY2027, the law provides $1.03 billion from the State General Fund, $657.5 million from the Medical Care Fund, and $6.84 billion in special funds for Medicaid care and administration. It also provides $43.2 million from the Health Care Expendable Fund: $9 million for CHIP for children in families with income up to 209% of the poverty level, and $34.2 million for medical matching funds. The Division's Executive Director can shift money between those two uses. The law also allocates $100 million from the Capital Expense Fund for agency operating costs and lets the Division retain and spend prior-period recoveries, including for related contract costs. These funds support services and operations but do not themselves change household eligibility or benefit amounts.

Dialysis rides for eligible patients

From July 1, 2026, through June 30, 2027, the law provides up to $2.75 million for nonemergency rides to necessary dialysis care. The temporary program serves people with end-stage renal disease who are at least 65 or meet the stated federal disability rule. Their income must be no more than 135% of the nonfarm poverty level, and their eligibility must have been covered under the former Poverty Level Aged and Disabled category. The law does not set an amount for each patient.

Medicaid home-care slots and cost limits

The law states that funding should stay at or above FY2026 levels to provide 4,100 home- and community-based service slots through Rehabilitation Services and 3,000 through Mental Health. The Medicaid Division can use approved state plan or waiver services to help people avoid institutional care or move back to community settings. Those services do not count against limits imposed by this act. Per-person home and community care costs cannot exceed the Division's measure of nursing facility costs.

Blind vendor gets equal-bid preference

The Medicaid Division must prefer Mississippi Industries for the Blind when competing bids for goods or equipment match in price, quality, and service. A similar preference applies to purchases made without competitive bids. This changes state purchasing, not household benefits.

More reporting on Medicaid programs

The Division must send monthly financial reports and cash-flow projections to legislative review bodies, covering Medicaid, CHIP, dialysis transportation, home-care waivers, and administrative funds. It must track service measures such as claim processing, application timeliness, preventive care, enrollment, and waiver waitlists. The FY2027 results must accompany the FY2028 budget request, which must list CHIP and each Medicaid home-care waiver separately. The law also requires quality baselines for four managed-care measures and continued fraud-prevention work with the Department of Human Services.

Limits on Medicaid agency staffing costs

For FY2027, the law caps Medicaid agency personal-services spending at $62.1 million and authorizes 840 permanent and 82 time-limited positions. The cap includes $2.4 million in vacancy funds, which can fill authorized openings but cannot raise current employees' salaries. The law also restricts moving these funds to other uses or replacing withdrawn federal or special salary funds with general funds. Some staffing or salary increases need written state approval and proof of added funds.

Sponsors & Cosponsors

Sponsor

  • Clay Deweese

    Republican • House

Cosponsors

  • Richard Bennett

    Republican • House

  • Samuel Creekmore IV

    Republican • House

  • Becky Currie

    Republican • House

  • Missy McGee

    Republican • House

  • Carl L. Mickens

    Democratic • House

  • John Read

    Republican • House

  • Omeria Scott

    Democratic • House

  • Jerry R. Turner

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 337 • No: 2

House vote • 3/29/2026

Conference Report Adopted

Yes: 116 • No: 2 • Other: 1

Senate vote • 3/29/2026

Conference Report Adopted

Yes: 50 • No: 0

Senate vote • 3/12/2026

Passed As Amended

Yes: 51 • No: 0

House vote • 2/19/2026

Passed

Yes: 120 • No: 0

Actions Timeline

  1. Approved by Governor

    4/6/2026legislature

  2. Enrolled Bill Signed

    4/1/2026Senate

  3. Enrolled Bill Signed

    4/1/2026House

  4. Unanimous Consent Granted

    3/29/2026Senate

  5. Conference Report Adopted

    3/29/2026Senate

  6. Unanimous Consent Granted

    3/29/2026House

  7. Conference Report Adopted

    3/29/2026House

  8. Conference Report Filed

    3/27/2026Senate

  9. Conference Report Filed

    3/27/2026House

  10. Conferees Named Hopson,Blackwell,Wiggins

    3/19/2026Senate

  11. Conferees Named Deweese,Cockerham,McGee

    3/19/2026House

  12. Decline to Concur/Invite Conf

    3/18/2026House

  13. Returned For Concurrence

    3/13/2026Senate

  14. Passed As Amended

    3/12/2026Senate

  15. Amended

    3/12/2026Senate

  16. Title Suff Do Pass As Amended

    3/12/2026Senate

  17. Referred To Appropriations

    2/27/2026Senate

  18. Transmitted To Senate

    2/20/2026House

  19. Passed

    2/19/2026House

  20. Title Suff Do Pass

    2/18/2026House

  21. DR - TSDP: AP To A2

    2/18/2026House

  22. DR - TSDP: A2 To AP

    2/17/2026House

  23. Referred To Appropriations C;Appropriations A

    2/16/2026House

Bill Text

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