Senate Bill 2823 Summary

• Extends Medicaid eligibility for foster care children until age 26 (previously 21), including those who aged out while on Medicaid in other states.

• Authorizes Division of Medicaid to apply for federal waivers for family planning services and less frequent medical redeterminations for children with long-term chronic conditions.

• Establishes new reimbursement requirements: pediatricians at 100% Medicare rates, ambulatory surgical centers at 100% Medicare rates, and ambulance providers for transport to alternative destinations with specified reimbursement.

• Caps hospital supplemental payment decreases at 5% year-over-year unless hospital closed or changed services/patient volume, and directs division to develop alternative payment distribution models with Mississippi Hospital Association.

• Adds adult day care facility licensing requirement effective July 1, 2025, with two service levels (basic and enhanced), and requires Medicaid reimbursement for such centers beginning the same date.