Medicaid Amendments

Replaced a fixed sunset date for Medicaid expansion with a conditional sunset that occurs if the federal financial participation rate drops below 90%.

Requires the Department of Health to create and submit a proposal for cost containment measures within 60 days if the federal funding rate is projected to drop below 90%.

Updated reporting requirements to include specific calculations for the state's net cost of the Medicaid waiver expansion and recommendations for using remaining funds if the program sunsets.

Defines 'discrete programs' as those costing less than $50 million annually, which the state must terminate if they cause the federal funding rate to drop.

Clarified eligibility thresholds and certification periods for the health coverage improvement program, including a requirement for an executive director's determination before seeking certain waivers.

Added new definitions for 'Expansion FMAP' and 'Discrete program' to Section 26B-3-210 to support the new funding triggers.

Added a new Section 26B-3-207 establishing a 'Targeted Adult Medicaid Program' to provide coverage for chronically homeless individuals and others involved in the justice system or needing substance use/mental health treatment.

Reorganized the bill's sections, moving the definition of the health coverage improvement program to Section 26B-3-207 and renaming the Medicaid expansion section to Section 26B-3-210.

Changed the sunset trigger for Medicaid expansion in Section 26B-3-210 from a 90% effective FMAP rate reduction to a reduction below 85%.

Adjusted the effective date for the sales and use tax changes in Section 59-12-103 from May 6, 2026, to July 1, 2026.

Updated the definition of 'Medicaid waiver expansion' in Section 26B-3-210 to explicitly include the new 'Targeted Adult Medicaid Program'.