Medicaid; expand eligibility under federal Affordable Care Act.

HB 409 would expand Mississippi's Medicaid program to cover low-income adults under age 65 who are not pregnant, not enrolled in Medicare, and have household income at or below 133% of the federal poverty level (approximately $19,000 annually for an individual). This would directly affect working-age adults who currently do not qualify for Medicaid under Mississippi's existing eligibility rules. The bill amends Section 43-13-115 of Mississippi law to add this new coverage category, aligning with federal Affordable Care Act provisions. It would provide health insurance for approximately 100,000 additional Mississippi residents who previously fell into a coverage gap.