Medicaid; create Medicaid Commission to administer program and abolish Division of Medicaid.

HB 234 creates the Mississippi Medicaid Commission to replace and abolish the current Division of Medicaid, transferring all its responsibilities, assets, and staff to the new body. The Commission will consist of seven members - four appointed by the Governor and three by the Lieutenant Governor - with strict rules to prevent conflicts of interest (e.g., no Medicaid providers or elected officials). It requires the Commission to appoint an Executive Director with specific Medicaid administration experience to manage daily operations. This bill directly affects Mississippi’s Medicaid program administration and its current Division of Medicaid employees.