Medicaid matters.
Summary
Amends the duties of the office of the secretary of family and social services (office) concerning home and community based services waivers (waiver). Sets forth requirements for conducting an audit of a provider of waiver services. Requires: (1) a waiver recipient to review the recipient's monthly statement and report errors or inconsistencies; and (2) the recipient's case manager to provide assistance to the recipient in reviewing the statements and reporting any errors. Establishes the home and community based services waiver waiting list assistance fund (fund) to provide individuals on a waiver waiting list with access to certain supports. Provides that when the office determines an individual is ineligible for Medicaid, the office shall provide the specific reason for determining the individual is ineligible. Requires the office to review certain bank accounts in determining an individual's Medicaid eligibility. Requires a provider of waiver services to provide a recipient and the recipient's care coordinator with certain billing statements. Provides that appropriations in the budget bill for Medicaid assistance that are budgeted for a waiver that remain unexpended and unencumbered at the close of the state fiscal year and that would otherwise lapse and be returned to the state general fund do not revert to the state general fund, but instead shall be deposited in the fund. Provides that, for the state fiscal year beginning July 1, 2026, and ending June 30, 2027, appropriations in the budget bill for Medicaid assistance in an amount sufficient to cover costs incurred by the office in carrying out specified duties that remain unexpended and unencumbered at the close of the state fiscal year and that would otherwise lapse and be returned to the state general fund do not revert to the state general fund, but instead shall remain available to the office to cover these costs.
Bill status
in committee
1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025
Last action Jan 13, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced House Bill (H)
→
House Bill (H)
·
4 edits
MODERATE
The bill was amended to add audit requirements for waiver service providers and clarify how unspent Medicaid waiver funds are handled. The changes expand the office's duties to include reviewing specific bank accounts for eligibility purposes and establish a temporary funding mechanism for fiscal year 2026-2027 to cover certain administrative costs.
Scope change
The bill's scope expanded to include new audit requirements for providers and additional eligibility review procedures, while also modifying how certain unspent funds are allocated for a specific fiscal year.
REQUIREMENT
Added requirements for the office of the secretary to review certain bank accounts when determining Medicaid eligibility.
Added audit requirements for providers of waiver services, including assistance from case managers to help recipients review billing statements.
Added specific statutory citations for the duties the office must carry out under the new funding provision.
FISCAL
Modified funding rules to allow unspent Medicaid assistance appropriations to remain available to the office for specific duties during fiscal year 2026-2027 instead of reverting to the general fund.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
5
Key actions
1
Committee
2
Jan 13, 2026
Committee
Recommitted to Committee on Ways and Means pursuant to House Rule 126.3
lower
Jan 13, 2026
Lower · Passed
Committee report: amend do pass, adopted
lower
1 primary · 3 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Ed Clere
IIndependent
Co
Becky Cash
RRepublican
Co
Lori Goss-Reaves
RRepublican
Co
Victoria Garcia Wilburn
DDemocratic
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