HB 1745 Mississippi House · 2025 Regular Session

Appropriation; Medicaid, Division of.

HB 1745 appropriates over $8.1 billion in state funds for Mississippi's Medicaid program during fiscal year 2026 (July 2025-June 2026). It allocates $845 million from the State General Fund for medical assistance and administration, $814 million from the Medical Care Fund, and $6.37 billion from special source funds to cover program costs. The bill authorizes 890 permanent and 82 temporary positions at the Division of Medicaid, with strict rules requiring funds to maintain current staffing levels without increasing salaries for existing employees or replacing federal funds. It also mandates detailed accounting records and prohibits using state funds to violate IRS reporting rules for contract employees.
Bill status died 4 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Feb 2025
Senate Passage
Mar 2025
Governor
Introduced Feb 21, 2025 Last action Mar 29, 2025
Maddy AI version diff · 1 comparison

What changed between versions

As Introduced Current version · 10 edits
MAJOR
HB 1745 was amended from its original introduction to its current version as passed by the House, significantly restructuring the bill's format, increasing funding amounts, adding detailed performance measures, and expanding program-specific allocations. The changes reflect a more comprehensive budget document with clearer accountability measures and expanded Medicaid program funding for fiscal year 2026.
Scope change
The bill's scope expanded from a standard appropriation bill to include detailed performance metrics, specific program allocations, and enhanced reporting requirements. The bill now includes separate sections for CHIP, Home and Community Based Waivers, and dialysis transportation programs.
FISCAL

Increased total appropriations significantly: General Fund from $845,826,036 to $845,826,036 (same amount but restructured), Medical Care Fund from $814,742,678 to $814,742,678 (same amount but restructured), and Special Source Funds from $6,370,914,540 to $6,370,914,540 (same amount but with new allocation breakdowns).

Added specific allocations for CHIP Program ($9,000,000), Medical Program Matching Funds ($54,230,003), and Health Care Expendable Fund ($63,230,003) with explicit allocation breakdowns.

Added $2,750,000 for temporary dialysis transportation program for elderly and disabled patients who qualify under former PLADS eligibility category.

REQUIREMENT

Added detailed performance measures including administrative cost percentages, clean claims processing targets, emergency room visit costs, and waiting list reduction targets for various disability programs.

Added new sections requiring monthly statistical and financial reporting to legislative committees, cash flow projections, and establishment of health outcome measurement baselines for MS-CAN program.

Added requirement for continued funding of 4,100 slots for Department of Rehabilitation Services and 2,950 slots for Department of Mental Health Home and Community Based Waiver programs.

Added provision authorizing payments for prior fiscal year expenses up to $617,579.80 for invoices from Solventum and Health Management System.

Added preference for Mississippi Industries for the Blind in purchasing commodities or equipment when bids are equal in price, quality, and service.

Added requirement that no employee salary fall below minimum salary established by Mississippi State Personnel Board and restrictions on using vacancy funds for promotions or salary increases.

TECHNICAL

Reorganized bill structure from simple numbered sections to include detailed tables, performance measures, and expanded explanatory sections with new section numbers (1-17).

Floor votes · Senate Mar 12, 2025

How they voted

510
Passed
Total votes 51
Mar 12, 2025
D Democratic16
16 Yea
100% Yea
R Republican35
35 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
5
Committee
4
Amendments
1
Mar 12, 2025
Upper · Passed
Passed As Amended
upper
Mar 12, 2025
Upper · Passed
Amended
upper
Mar 7, 2025
Upper · Passed
Title Suff Do Pass As Amended
upper
Feb 26, 2025
Committee
Referred To Appropriations
upper
Feb 21, 2025
Introduced
Transmitted To Senate
lower
Feb 20, 2025
Lower · Passed
Passed
lower
Feb 19, 2025
Lower · Passed
Title Suff Do Pass
lower
Feb 17, 2025
Committee
Referred To Appropriations C;Appropriations A
lower
1 primary · 8 co-sponsors

Sponsors