HB 1148 Mississippi House · 2025 Regular Session

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

HB 1148 would have amended Mississippi's Medicaid program to expand coverage for specific groups and update administrative processes. Key changes included extending Medicaid eligibility for foster youth until age 26 (both for those aging out in Mississippi and those who aged out in other states), expanding family planning access to include men of reproductive age, and allowing 12-month supplies of oral contraceptives. The bill also removed certain waiver services for kidney disease, cancer, and transplant patients, updated hospital and nursing facility payment systems, and required Medicaid to maximize federal funding for existing hospital programs. However, the bill died in committee on March 4, 2025, and did not become law.
Bill status died 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
House Passage
Jan 2025
Senate Passage
Governor
Introduced Jan 24, 2025 Last action Mar 4, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

As Introduced Committee Substitute · 10 edits
MAJOR
This bill amends Mississippi's Medicaid program to expand eligibility for men of reproductive age and children aging out of foster care, while removing coverage for certain high-cost dialysis and cancer patients. It also updates payment methodologies for hospitals and nursing facilities, clarifies the transition from Medicare Upper Payment Limits to the Mississippi Hospital Access Program, and establishes new requirements for managed care organizations and rate change notifications.
Scope change
The bill significantly broadens Medicaid eligibility to include men of reproductive age and extends coverage for children in foster care until age 26, while simultaneously narrowing coverage by removing services for end-stage renal disease patients on dialysis, cancer patients on chemotherapy, and organ transplant recipients on antirejection drugs.
ELIGIBILITY

Men of reproductive age are now eligible for Medicaid family planning services if their family income does not exceed 185-194% of the federal poverty level.

Children in state custody who are in foster care on their 18th birthday remain eligible for Medicaid until their 26th birthday, and children who aged out of foster care while on Medicaid in other states also qualify until age 26.

Coverage was deleted for end-stage renal disease patients on dialysis, cancer patients on chemotherapy, and organ transplant recipients on antirejection drugs.

Oral contraceptives may now be prescribed and dispensed in twelve-month supply increments under family planning services.

Legislative intent to encourage the use of Alpha Hydroxyprogesterone Caproate to prevent recurrent preterm births was deleted.

FISCAL

The Division of Medicaid must maximize total federal funding for the Mississippi Hospital Access Program (MHAP), UPL, and other supplemental payment programs for state fiscal year 2025 and cannot change calculation methodologies from those approved for FY 2025.

Rural hospitals with 50 or fewer licensed beds are no longer given the option to opt out of APC reimbursement methodology for outpatient services; they must use APC methodology or receive cost-based reimbursement.

REQUIREMENT

Managed care organizations must provide perinatal risk management services to eligible populations or contract with the State Department of Health for those services.

The Division of Medicaid must expedite notice to Medicaid Committee chairmen when proposing rate changes, with specific objection and review timelines established.

TIMELINE

The repealer date for border city university-affiliated pediatric teaching hospital reimbursement was extended from July 1, 2024, to July 1, 2027.

Floor votes · House Jan 23, 2025

How they voted

1094
Passed · 6 other
Total votes 119
Jan 23, 2025
D Democratic39
38 Yea 1
97% Yea
I Independent2
2 Yea
100% Yea
R Republican78
69 Yea 4 Nay 5
88% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
7
Key actions
2
Committee
3
Feb 17, 2025
Committee
Referred To Medicaid
upper
Jan 24, 2025
Introduced
Transmitted To Senate
lower
Jan 23, 2025
Lower · Passed
Passed
lower
Jan 22, 2025
Lower · Passed
Title Suff Do Pass Comm Sub
lower
Jan 20, 2025
Committee
Referred To Medicaid
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Missy McGee
Missy McGee
RRepublican
MS
102