Medicaid; require Governor and Division of Medicaid to negotiate to obtain federal waiver to expand Medicaid coverage.

HB 256 requires Mississippi's Governor and Division of Medicaid to negotiate a federal waiver under Section 1115 of the Social Security Act to expand Medicaid coverage. If approved, it would cover low-income adults (19-64 years) with incomes up to 138% of the Federal Poverty Level (FPL), including childless adults and parents, transitioning them from traditional Medicaid to private health plans. Key provisions include requiring two private Qualified Health Plans (QHPs), capping cost-sharing at 2-5% of income, and creating a "Mississippi Healthy Living Account" for health savings contributions. The bill died in committee in 2026 and did not become law.