Medicaid; expand eligibility to include individuals entitled to benefits under federal Patient Protection and Affordable Care Act.

SB 2389 would expand Mississippi Medicaid eligibility to include low-income adults who qualify under the federal Affordable Care Act (ACA), specifically those with incomes up to 138% of the federal poverty level who are currently excluded from Mississippi Medicaid. The bill amends state law to automatically include these individuals in Medicaid coverage and requires that they receive essential health benefits. This change would allow eligible adults to enroll directly in Medicaid instead of navigating the ACA marketplace. The bill died in committee in 2026 and did not become law.