All Roll Calls
Yes: 156 • No: 10
Sponsored By: Bo Biteman (Republican)
Signed by Governor
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4 provisions identified: 0 benefits, 3 costs, 1 mixed.
This law limits public welfare help to U.S. citizens, U.S. nationals, or certain lawfully present noncitizens under federal rules. For SNAP and the POWER program, only people who meet the federal “qualified alien” test can qualify. For Medicaid, eligibility is limited to aliens who meet both federal “eligible” and “qualified alien” rules. At application and recertification, agencies must verify status through SAVE or acceptable documents. If they cannot verify, Family Services reports SNAP/POWER cases to USDA and Health reports Medicaid cases to HHS. The departments must also report unlawfully present persons they identify to law enforcement, including Homeland Security.
Medicaid enrollment now uses tighter verification. The Department of Health cannot rely on self‑attestation for income above $0, residency, identity, or citizenship/immigration status unless federal law requires it. Starting January 1, 2027, retroactive coverage for first‑time applicants is capped to two months before the month a completed application is filed. If status cannot be verified from data, applicants get one reasonable‑opportunity period to submit documents; coverage can be provisional, but failure ends or denies eligibility and there is no second chance. The department must check address changes and death records every month and start redeterminations when moves are flagged. It must add a citizenship/eligible‑alien attestation to presumptive eligibility forms and cannot approve presumptive coverage without it. Medicaid data must be sent to national multi‑state enrollment databases by October 1, 2029, and public reports due by August 31 each year must show flags, removals, and fiscal effects.
SNAP households face tighter timelines and work‑rule limits. The state cannot apply for or use broad federal work‑requirement waivers without a new state law, and it may grant exemptions only for family caregivers defined by federal law. Households with an able‑bodied adult without dependents or judged unstable get certification periods no longer than four months; those likely to become ineligible soon get one or two months; other non‑elderly, non‑disabled households get up to six months. If someone in the household is ineligible under federal alien rules, the state counts that person’s full income and resources when setting your SNAP benefit.
Beginning April 1, 2027, hospitals that accept Medicaid must ask on admission forms whether a patient is a U.S. citizen, lawfully present, not lawfully present, or declines to answer. Hospitals must tell patients their answer will not affect care. Starting with the year ending 2027, hospitals must send deidentified yearly counts of admissions and ER visits by reported status within 30 days after year end. By April 1, 2028, the Department of Health must issue an annual statewide report that adds costs of uncompensated care and effects on hospitals and shows presumptive eligibility outcomes. The department will set standard wording and report formats by rule.
Bo Biteman
Republican • Senate
Lynn Hutchings
Republican • Senate
All Roll Calls
Yes: 156 • No: 10
Senate vote • 3/6/2026
S Concur:Passed 27-2-2-0-0
Yes: 27 • No: 2
House vote • 3/5/2026
H 3rd Reading:Passed 55-6-1-0-0
Yes: 55 • No: 6
House vote • 3/2/2026
H10 - Labor:Recommend Amend and Do Pass 9-0-0-0-0
Yes: 9 • No: 0
Senate vote • 2/24/2026
S 3rd Reading:Passed 29-2-0-0-0
Yes: 29 • No: 2
Senate vote • 2/16/2026
S02 - Appropriations:Recommend Do Pass 5-0-0-0-0
Yes: 5 • No: 0
Senate vote • 2/12/2026
S Introduced and Referred to S02 - Appropriations 31-0-0-0-0
Yes: 31 • No: 0
Governor Signed SEA No. 0068
Assigned Chapter Number 106
S Received for Concurrence
S Concur:Passed 27-2-2-0-0
Assigned Number SEA No. 0068
S President Signed SEA No. 0068
H Speaker Signed SEA No. 0068
H 3rd Reading:Passed 55-6-1-0-0
H 2nd Reading:Passed
H COW:Passed
H10 - Labor:Recommend Amend and Do Pass 9-0-0-0-0
H Placed on General File
H Received for Introduction
H Introduced and Referred to H10 - Labor
S 3rd Reading:Passed 29-2-0-0-0
S 2nd Reading:Passed
S COW:Passed
S02 - Appropriations:Recommend Do Pass 5-0-0-0-0
S Placed on General File
S Introduced and Referred to S02 - Appropriations 31-0-0-0-0
S Received for Introduction
Bill Number Assigned
Engrossed
Enrolled
Introduced
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