MS HB103

Directs the Governor and Division of Medicaid to negotiate with the Centers for Medicare and Medicaid Services (CMS) for a Section 1115 waiver to expand Medicaid coverage to adults earning up to 138% of Federal Poverty Level through private qualified health plans.

Establishes the Mississippi Healthy Living Account requiring enrollees earning 50-138% of Federal Poverty Level to make quarterly contributions to health savings accounts, with cost-sharing capped at 2% of income (50-100% FPL) or 5% of income (100-138% FPL).

Requires enrollees to choose between at least two silver-level marketplace qualified health plans, with automatic plan assignment if no choice is made; states that plans must include at least one Federally Qualified Health Center.

Specifies the waiver plan automatically ends if federal contribution rates fall below 90%; allows the state to transition certain existing Medicaid recipients to the new private insurance market through a "Fast-Track" enrollment process.

Amends Mississippi Code Section 43-13-115 to add eligibility category (29) for individuals covered under the Section 1115 waiver, effective July 1, 2024.