Senate Substitute for HB 2240 by Committee on Government Efficiency - Requiring legislative approval prior to any state agency seeking or implementing a public assistance program waiver or other authorization from the federal government that expands eligibility for any public assistance program, increases cost to the state or makes certain changes in services for persons with intellectual or developmental disabilities and authorizing the legislative coordinating council to act on agency requests when the legislature is not in session.

HB 2240 requires Kansas state agencies to obtain legislative approval before seeking or implementing any Medicaid waiver or program change that would expand coverage to new individuals or increase state costs. This applies specifically to federal waivers under Section 1115 or 1915 of the Social Security Act, affecting programs like Medicaid. The law takes effect July 1, 2025, and mandates that agencies must get an explicit legislative act approving such changes before moving forward. It does not apply to waivers already in place before that date.