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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

7 provisions identified: 6 benefits, 0 costs, 1 mixed.

More Medicaid help to live at home

Beginning July 1, 2026, Medicaid funds home and community-based services (HCBS) so people can avoid or leave institutions. Services come through any CMS‑approved state plan or waiver and do not count against other limits in this act. The Division keeps HCBS costs at or below nursing facility costs it sets. Funding maintains 4,100 waiver slots with Rehabilitation Services and 3,000 slots with Mental Health for Independent Living and IDD waivers.

FY2027 Medicaid funding keeps care going

Beginning July 1, 2026, the law funds Mississippi Medicaid for FY2027. It provides $1,026,866,812 from the State General Fund, $657,534,322 from the Medical Care Fund, and $6,835,594,770 from special funds. It adds $43,230,003 from the Health Care Expendable Fund, with $9,000,000 for CHIP for children up to 209% of the federal poverty level and $34,230,003 for Medicaid matching. The Executive Director may shift money among those Health Care Expendable Fund lines. It also provides $100,000,000 from the Capital Expense Fund for Medicaid operations and allows up to $617,579.80 to pay named prior-year invoices.

Rides to dialysis for low-income patients

Beginning July 1, 2026, up to $2,750,000 funds nonemergency rides to dialysis. You qualify if you have end-stage renal disease and are 65 or older, or disabled under Social Security Act Section 1614(a)(3). Your income must be at or below 135% of the federal nonfarm poverty level. You must have been covered under the former PLADS category.

Stronger Medicaid reporting and quality checks

The law sets FY2027 performance targets, like 99.5% of clean claims paid in 30 days and a 2.97% admin share. It targets 668,825 Medicaid enrollees and 55,000 CHIP enrollees. It requires outcome baselines for MS‑CAN and for similar people not in MS‑CAN, and public presentation. For FY2028 budgeting, CHIP must be shown separate from Medical Services and each 1915(c) waiver listed as its own program, with ER visit counts and costs. Starting July 1, 2026, the agency must send monthly financial and statistical reports and regular cash‑flow projections to legislative offices.

Purchasing preference for Industries for the Blind

When bids tie on price, quality, and service, the Division of Medicaid picks Mississippi Industries for the Blind. The same preference applies when the agency buys without competitive bids.

Stronger fraud checks and keeping recoveries

Medicaid can keep and spend money it recovers from audits to pay audit costs and hire contract help. The Division keeps working with Human Services to carry out the Medicaid and Human Services Transparency and Fraud Prevention Act.

Staffing caps and hiring rules at Medicaid

For FY2027, Medicaid pay for Personal Services is capped at $62,068,921 (General $28,342,068; Special $33,726,853). The agency may fill 840 permanent and 82 time‑limited positions. Vacancy funds must be used to fill open jobs, not for raises or title changes. The Personnel Board must block salary actions that would exceed FY2027 pay limits or raise FY2028 needs, except essential hires. Agencies cannot replace lost federal or special salary funds with state general funds. All contractor pay must follow IRS Publication 15‑A reporting rules.

Sponsors & Cosponsors

Sponsor

  • Clay Deweese

    Republican • House

Cosponsors

  • Richard Bennett

    Republican • House

  • Sam Creekmore IV

    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

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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