Kansas bill would require legislative approval for Medicaid coverage expansions, drawing split testimony

Mar 11, 2025

House Bill 2,240 would bar state agencies from pursuing Medicaid coverage expansions or changes that increase state costs without explicit legislative approval, proponents said; opponents warned it could delay federal compliance and risk federal funds.

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House Bill 2,240 would prohibit Kansas state agencies from seeking or implementing a Medicaid state plan amendment, demonstration or waiver that expands coverage to additional classes of individuals or increases costs to the state unless the Legislature expressly consents, witnesses told the Committee on Government Efficiency.

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