Medicaid; seek federal waiver for plan to allow Medicaid coverage for persons described in the federal Affordable Care Act.

HB 1597 proposes a Medicaid waiver to create "Healthy Mississippi Works" (HMW), targeting low-income adults aged 19-64 with income at or below 138% of the federal poverty level. To qualify, individuals must work at least 80 hours monthly, be full-time students, or participate in workforce training - excluding those offered employer insurance or non-citizens. The plan requires all enrollees to receive services through managed care organizations, pay copayments for nonemergency ER visits (waived with pre-visit nurse hotline contact), and includes work-support services like job training. The bill died in committee in February 2025 and never became law.