SB 2681 Mississippi Senate · 2025 Regular Session

Medicaid reimbursements and CON; revise provisions regarding facilities in DeSoto, Harrison and Madison Counties.

SB 2681 modifies Mississippi's Certificate of Need (CON) rules for specific healthcare facilities in three counties. It removes special restrictions preventing a psychiatric facility in DeSoto County from participating in Medicaid, ensuring it faces the same rules as other facilities. The bill also requires a new CON for additional beds at a Madison County facility serving developmentally disabled adults and revises CON terms for a Harrison County long-term care hospital to allow Medicaid participation as a "crossover provider." The bill passed the legislature in March 2025 but died on the calendar, meaning it did not become law.

Issues: ✓ Healthcare

Bill status died 4 of 5 stages cleared

Introduction

Feb 2025

Committee Review

Mar 2025

Senate Passage

Feb 2025

House Passage

Mar 2025

Governor

Introduced Feb 10, 2025 Last action Mar 27, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Committee Substitute → Current version · 1 edit

MINOR

The bill's title was updated from 'Committee Substitute' to 'As Passed the Senate', indicating the bill has been approved by the Senate and is now in its current form. This change reflects the legislative process progression rather than a substantive policy modification.

TECHNICAL

Updated the bill version designation from 'Committee Substitute' to 'As Passed the Senate' to reflect its current legislative status.

As Introduced → Committee Substitute · 13 edits

MAJOR

This bill amends Mississippi's Certificate of Need (CON) law to allow specific healthcare facilities to participate in Medicaid without restrictions, authorize new nursing and psychiatric facilities in designated counties, and create exemptions for disaster recovery and specialized care facilities. The changes expand access to Medicaid-funded care for patients in skilled nursing, psychiatric residential treatment, and long-term care facilities while maintaining oversight on bed counts and service eligibility.

Scope change

The bill expands the scope of facilities exempt from CON restrictions and adds new CON authorizations for specific counties and facility types, particularly for psychiatric residential treatment facilities, Alzheimer's care, and pediatric ventilator-dependent care.

ELIGIBILITY

Removed statewide prohibitions on CERTIFICATED facilities participating in Medicaid, allowing them to admit Medicaid patients without restriction.

SCOPE

Added CON authorization for a 40-bed psychiatric residential treatment facility in DeSoto County with full Medicaid participation rights.

Added CON authorization for a long-term care hospital in Harrison County to operate as a crossover provider with Medicaid participation.

Added CON authorization for a community living program for developmentally disabled adults in Madison County with 20-40 beds and full Medicaid participation.

Added CON authorization for a nonprofit skilled nursing facility in Yazoo County using the Green House model with 19 beds and full Medicaid participation.

Added CON authorization for pediatric ventilator-dependent care facility in counties with academic medical centers, allowing patients beyond age 21 with full Medicaid participation.

Added CON authorization for a 25-bed acute care hospital in Kemper County named John C. Stennis Memorial Hospital with full Medicaid participation.

REQUIREMENT

Added requirements for psychiatric residential treatment facilities to give priority to out-of-state Mississippi residents and limit Medicaid certification to specified bed counts.

Added requirements for facilities to maintain written agreements prohibiting Medicaid participation for certain specialized facilities, with enforcement through license revocation.

EXEMPTIONS

Added exemptions from CON requirements for facilities repairing or rebuilding damage from natural disasters occurring after April 15, 2014.

Added exemptions from CON requirements for state-owned mental health facilities and veterans homes.

DEFINITION

Added provisions allowing nursing facilities to designate beds for exclusive Alzheimer's disease care without CON restrictions.

TIMELINE

Changed effective date to July 1, 2025, with repeal on June 30, 2025, making this a temporary or transitional provision.

Floor votes · Senate Feb 7, 2025 · House Mar 6, 2025

How they voted

48–1

Passed · 2 other

Total votes 51

Feb 7, 2025

D Democratic16

16 Yea

100% Yea

R Republican35

32 Yea 1 Nay 2

91% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 6, 2025

Lower · Passed

Passed As Amended

lower

Mar 6, 2025

Lower · Passed

Amended

lower

Mar 4, 2025

Lower · Passed

Title Suff Do Pass As Amended

lower

Feb 14, 2025

Committee

Referred To Public Health and Human Services

lower

Feb 10, 2025

Introduced

Transmitted To House

upper

Feb 7, 2025

Upper · Passed

Passed

upper

Feb 4, 2025

Upper · Passed

Title Suff Do Pass Comm Sub

upper

Jan 20, 2025

Committee

Referred To Public Health and Welfare

upper

1 primary · 3 co-sponsors