Medicaid would cover more people if voters approve a matching constitutional amendment
What it does
The bill would tell the Health and Human Services Commission to provide medical assistance to every person who applies and for whom federal matching funds are available under the federal Patient Protection and Affordable Care Act. New eligibility determinations and recertifications would be handled on or after January 1, 2028. The commission would report to state leaders by December 1 each year on how many people gained coverage, on state and local health care costs, and on charity care and uncompensated care costs for hospitals. The bill would take effect January 1, 2028, but only if voters approve a related constitutional amendment about Medicaid expansion.
What it means for your community
The bill would replace the current limits on who can get Medicaid with one rule: if you apply and federal matching money is available for your situation, the state has to cover you. The annual report would put the cost picture in front of lawmakers, including how the change affects local health care and what hospitals give away as charity care. If voters reject the constitutional amendment, the bill would have no effect at all. Any part that needs a federal waiver could be delayed until the waiver is granted.
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