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Committee introduces RS0797 proposing legislative approval for Medicaid plan changes and waivers

2174574 · January 30, 2025
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Summary

The Committee on Government Efficiency introduced RS0797, which would require legislative approval before state agencies could seek or implement Medicaid state-plan amendments, demonstrations or waivers under Sections 1115 or 1915 of the Social Security Act. The bill was introduced with no objections.

The committee introduced RS0797, described in the record as "an act concerning public assistance relating to medical assistance requiring approval by an act of the legislature prior to any state agency seeking or implementing a Medicaid state plan, state plan amendment, state demonstration, or waiver under section 1115 or 1915 of the Federal Social Security Act that expands coverage or increases costs to the State." The chair announced the bill introduced after no objections were raised.

The transcript records introduction only; the committee did not take a vote on RS0797 nor did it record hearings, fiscal notes, or stakeholder testimony related to the bill during the meeting.

If advanced, the bill would change the process by which the state pursues federal Medicaid authorities; further legislative and administrative work would be required to clarify the bill’s scope and implementation timeline.