SB 2477 Mississippi Senate · 2026 Regular Session

Rural Health Transformation Fund monies; require certain recipients of to be subject to competitive bidding process.

SB 2477 requires competitive bidding for vendors providing goods, services, or technology to the state using funds from Mississippi's Rural Health Transformation Program (federal Public Law 119-21). It mandates that direct state vendors must compete through formal bidding, excluding emergency purchases or exceptions. The bill prioritizes subgrantees in "super rural" zip codes (per CMS), counties with health shortages, high maternal mortality, low income, or lacking hospitals. Additionally, agencies must submit quarterly reports on program spending to the legislature.
Bill status vetoed 4 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
Senate Passage
Mar 2026
House Passage
Mar 2026
Vetoed
Apr 2026
Introduced Feb 13, 2026 Vetoed Apr 2, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

As Passed the upper Current version · 7 edits
MODERATE
The bill was rewritten to shift focus from a general competitive bidding mandate to specific priority rules for the Rural Health Transformation Program. The new version prioritizes funding for rural areas, direct patient assistance, and providers who haven't recently received capital grants, while also establishing strict rules and patient privacy protections for a new state health information exchange system.
Scope change
The bill's scope expanded significantly to include detailed requirements for a state health information exchange system, including data interoperability, security protocols, and patient opt-out procedures, which were not present in the previous version.
ELIGIBILITY

Added priority criteria requiring that grant funds go to applicants located in super-rural zip codes, specific underserved counties, the Delta Public Health Region, and areas outside metropolitan statistical areas.

FISCAL

Added a priority rule ensuring medical equipment grants go to providers who have not received direct state or federal capital funding in the past three years.

REQUIREMENT

Added comprehensive requirements for a state health information exchange, including real-time data sharing, interoperability standards, security protocols, and a mechanism for patients to opt out of data participation.

Added a preference for selecting vendors with prior experience providing real-time bidirectional admission and discharge data to Mississippi healthcare providers.

Removed the requirement that vendors for general goods and services under the Rural Health Transformation Program must undergo a competitive bidding process, replacing it with the new priority-based selection criteria.

ENFORCEMENT

Added an exemption for records transmitted to or from the health information exchange from the Mississippi Public Records Act, while simultaneously requiring all other Rural Health Transformation contracts to be governed by that Act.

TIMELINE

Modified the effective date provision to remove the repeal clause that was present in the previous version.

Floor votes · Senate Feb 11, 2026 · House Mar 10, 2026

How they voted

511
Passed
Total votes 52
Feb 11, 2026
D Democratic18
18 Yea
100% Yea
R Republican34
33 Yea 1 Nay
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
17
Key actions
7
Committee
4
Amendments
2
Apr 2, 2026
Vetoed
Vetoed
executive
Mar 23, 2026
Upper · Passed
Concurred in Amend From House
upper
Mar 10, 2026
Lower · Passed
Passed As Amended
lower
Mar 10, 2026
Lower · Passed
Amended
lower
Mar 3, 2026
Lower · Passed
Title Suff Do Pass As Amended
lower
Feb 16, 2026
Committee
Referred To Public Health and Human Services;Accountability, Efficiency, Transparency
lower
Feb 13, 2026
Introduced
Transmitted To House
upper
Feb 11, 2026
Upper · Passed
Passed As Amended
upper
Feb 11, 2026
Upper · Passed
Amended
upper
Feb 3, 2026
Upper · Passed
Title Suff Do Pass As Amended
upper
Jan 19, 2026
Committee
Referred To Public Health and Welfare
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Hob Bryan
Hob Bryan
DDemocratic
MS
7