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MississippiHB 32026 Regular SessionHouseWALLET

CON; revise certain provisions of.

Sponsored By: Samuel Creekmore IV (Republican)

Signed by Governor

Public Health and Human ServicesState AffairsPublic Health and Welfare

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Bill Overview

Analyzed Economic Effects

9 provisions identified: 7 benefits, 0 costs, 2 mixed.

More community beds for disabled adults

Beginning July 1, 2026, the state must approve 20 additional community living beds for adults with developmental disabilities. The beds go to the same Madison County nonprofit that already has authorization for up to 20 beds.

More Medicaid treatment beds in DeSoto

The DeSoto County facility’s 40-bed psychiatric residential treatment authorization is no longer limited to 15 Medicaid-certified beds or 15 Medicaid patients per day. This may allow more Medicaid-covered treatment, but it does not guarantee admission.

Specialized nursing care for children

The law requires approval for a nonprofit skilled nursing facility with up to 60 beds for ventilator-dependent or otherwise medically dependent children. It must be in a county with an academic medical center and children’s hospital. The facility may keep qualifying patients past age 21 under state health board rules, and this provision does not restrict Medicaid participation.

Medicaid limits at nursing homes

The law authorizes certain nursing facility construction, relocation, or bed projects, including facilities in Leake County and Belmont. Some certificates are limited to 60 beds and require facilities to exclude Medicaid participation and patients; those written agreements bind later owners. Katrina-related certificates allow no more than 50 Medicaid-certified beds in Hancock County and 49 in Harrison County, with limits on Medicaid payments and patient counts. Violations can lead to certificate or license action after due process.

More psychiatric beds, with Medicaid limits

The law authorizes psychiatric residential treatment beds in Warren and Simpson Counties, within a statewide limit of 334 beds. Warren County may receive up to 60 beds, but no more than 30 can be certified for Medicaid. A Simpson County facility must prioritize 16 converted beds for Mississippi residents then receiving treatment out of state.

Green House nursing beds in Yazoo County

The state may approve up to 19 nursing facility beds for a nonprofit Green House-model facility in Yazoo City. The usual projected-need rule and formal hearing process do not apply, and this provision does not restrict Medicaid participation.

Medicare-Medicaid access at Harrison hospital

Since July 1, 2023, the 80-bed long-term care hospital in Harrison County may take part in Medicaid as a crossover provider. This exception covers people with both Medicare and Medicaid, and the agreement also binds later owners.

More local nursing beds, including Alzheimer’s care

The law’s nursing-bed provisions directed certificates to counties with identified needs and to facilities serving only people with Alzheimer’s disease. County-based certificates were limited to 60 beds each. Alzheimer’s certificates were also capped at 20 beds each, with limits of 60 beds per planning district and 120 statewide per fiscal year; the state was to set care standards with other agencies.

Fewer approval hurdles for health providers

The law raises the cost threshold for major medical equipment to more than $3 million, up from more than $1.5 million. Qualifying independent clinical laboratories are excluded from that definition. The law also removes an unidentified health service from the certificate list and gives the University of Mississippi Medical Center exemptions for certain existing or previously approved operations and qualifying academic facilities in a defined Jackson area. The academic exemption requires a finding that the facility or equipment serves a meaningful academic purpose; physical relocations are not covered by the existing-operations exemption.

Sponsors & Cosponsors

Sponsor

  • Samuel Creekmore IV

    Republican • House

Cosponsors

  • Kevin Felsher

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 168 • No: 0

Senate vote • 1/28/2026

Passed

Yes: 50 • No: 0

House vote • 1/21/2026

Passed As Amended

Yes: 118 • No: 0

Actions Timeline

  1. Approved by Governor

    2/4/2026legislature

  2. Enrolled Bill Signed

    1/29/2026Senate

  3. Enrolled Bill Signed

    1/28/2026House

  4. Returned For Enrolling

    1/28/2026Senate

  5. Immediate Release

    1/28/2026Senate

  6. Passed

    1/28/2026Senate

  7. Title Suff Do Pass

    1/27/2026Senate

  8. Referred To Public Health and Welfare

    1/22/2026Senate

  9. Transmitted To Senate

    1/21/2026House

  10. Immediate Release

    1/21/2026House

  11. Passed As Amended

    1/21/2026House

  12. Amended

    1/21/2026House

  13. Committee Substitute Adopted

    1/21/2026House

  14. Title Suff Do Pass Comm Sub

    1/20/2026House

  15. DR - TSDPCS: SA To PH

    1/14/2026House

  16. DR - TSDP: PH To SA

    1/7/2026House

  17. Referred To Public Health and Human Services;State Affairs

    1/7/2026House

Bill Text

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