SB 2386 Mississippi Senate · 2025 Regular Session

Medicaid; make various amendments to the provisions of the program.

SB 2386 updates Mississippi's Medicaid program to align with federal requirements and improve beneficiary access. It extends foster care eligibility until age 26, allows annual medical redeterminations for children with chronic conditions (instead of yearly), and expands family planning eligibility to reproductive-age men. The bill modifies payment systems for hospitals (requiring 90% of Medicare rates for ambulatory surgery), eliminates prior waiver needs for dialysis/chemotherapy patients, and mandates coverage for certain medications (non-opioid pain management, nonstatin cardiovascular drugs). It also prohibits Medicaid coverage for gender transition procedures and updates billing rules for providers and hospitals.
Bill status vetoed 4 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
Senate Passage
Feb 2025
House Passage
Mar 2025
Vetoed
Apr 2025
Introduced Feb 11, 2025 Vetoed Apr 24, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

As Passed the upper Current version · 17 edits
MAJOR
This bill transforms Mississippi's Medicaid program by updating eligibility criteria, expanding coverage for specific populations, and modernizing reimbursement methods to align with federal requirements. The changes include extending foster care coverage to age 26, allowing men to access family planning services, and adjusting income thresholds for various eligibility categories. Additionally, the bill establishes new reimbursement rates for services like autism spectrum disorder care and chronic weight management medications.
Scope change
The bill significantly expands the scope of Medicaid coverage by adding new service categories, extending eligibility periods for certain populations, and modifying income thresholds to reflect current federal poverty guidelines.
ELIGIBILITY

Extended Medicaid eligibility for children in foster care from age 21 to age 26, aligning with federal requirements.

Added men of reproductive age to family planning program eligibility, previously restricted to women only.

Increased income thresholds for various eligibility categories to reflect updated federal poverty levels (e.g., pregnant women and infants now eligible at 194% of poverty level instead of 185%).

REQUIREMENT

Requires Division of Medicaid to submit a waiver to CMS by July 1, 2025, to allow less frequent medical redeterminations for children with chronic conditions.

Mandates reimbursement for autism spectrum disorder services based on a continuum of care model for early intervention treatment.

Requires reimbursement for FDA-approved medications for chronic weight management and nonstatin medications for cardiovascular risk reduction.

Requires Division to reimburse pediatricians for certain primary care services at 100% of Medicare rates.

Authorizes oral contraceptives to be prescribed in 12-month supply increments under family planning services.

Changed eyeglass replacement frequency from every 5 years to every 2 years for certain beneficiaries.

Establishes new section requiring hospitals to provide maternal mental health educational materials to new parents and women presenting with signs of maternal mental health disorders.

Requires healthcare providers offering postnatal care to screen patients for postpartum depression and provide appropriate referrals.

Reduced legislative notice period for proposed Medicaid rate changes from 30 days to 15 days with expedited option available.

Prohibits reimbursement for gender transition procedures for any person.

Requires Division to study feasibility of Medicare Upper Payment Limits program for physicians employed or contracted by hospitals.

Clarifies transition from Medicare Upper Payment Limits Program to Mississippi Hospital Access Program (MHAP) and requires maximizing federal funding for both programs.

FISCAL

Eliminated the option for rural hospitals to opt out of reimbursement using the Ambulatory Payment Classification (APC) methodology.

Extended repealer date for Border City University-affiliated pediatric teaching hospital reimbursement from July 1, 2028 to July 1, 2027.

Floor votes · Senate Feb 7, 2025 · House Mar 5, 2025

How they voted

482
Passed · 1 other
Total votes 51
Feb 7, 2025
D Democratic16
16 Yea
100% Yea
R Republican35
32 Yea 2 Nay 1
91% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
8
Committee
6
Amendments
2
Apr 24, 2025
Vetoed
Vetoed
executive
Apr 1, 2025
Lower · Passed
Conference Report Adopted
lower
Mar 31, 2025
Upper · Passed
Conference Report Filed
upper
Mar 5, 2025
Lower · Passed
Passed As Amended
lower
Mar 5, 2025
Lower · Passed
Amended
lower
Mar 3, 2025
Lower · Passed
Title Suff Do Pass As Amended
lower
Feb 14, 2025
Committee
Referred To Medicaid
lower
Feb 11, 2025
Introduced
Transmitted To House
upper
Feb 7, 2025
Upper · Passed
Passed As Amended
upper
Feb 7, 2025
Upper · Passed
Amended
upper
Jan 29, 2025
Upper · Passed
Title Suff Do Pass
upper
Jan 20, 2025
Committee
Referred To Medicaid
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.