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

Men of reproductive age are now explicitly eligible for family planning services under Medicaid, with eligibility determined by family income not exceeding 185-194% of the federal poverty level.

Children in foster care eligibility was extended from age 21 to age 26, aligning with federal law requirements.

The requirement for the Division to apply to CMS for waivers to provide services for certain individuals (ESRD patients on dialysis, cancer patients on chemotherapy, organ transplant recipients) was eliminated.

The provision requiring reimbursement for outpatient hospital services at Border City University-affiliated pediatric teaching hospitals was deleted, as it was already repealed by operation of law in 2024.

Workers with potentially severe disabilities (ages 16-65 with impairments expected to cause blindness or disability) may purchase Medicaid coverage on a demonstration project basis.

Ambulatory Surgical Care (ASC) reimbursement was changed from 90% to 85% of the Medicare ASC Payment System rate effective July 1 of each year.

Rural hospitals with 50 or fewer licensed beds can now elect not to be reimbursed using the APC methodology for outpatient services, instead receiving 101% of the Medicare rate for two years.

Home leave payment limits for nursing facilities were reduced from 42 days to 21 days per year, and for intermediate care facilities from 63 days to 31 days per year.

The quarterly hospital assessment may now exceed the prior quarter by more than $3,750,000 if the increase is to maximize federal funds available for hospital reimbursement.

The Division may implement a quality or value-based component to the nursing facility payment system.

Effective July 1, 2027, the Division may reimburse ambulance transportation service providers that provide assessment, triage, or treatment for eligible Medicaid beneficiaries.

The notice period for proposed rate changes was reduced from 30 days to 15 days, with provisions for expedited notice.

The Division is authorized to contract with the State Department of Health to provide perinatal high-risk management/infant services for eligible beneficiaries who cannot receive such services under other programs.