Senate Bill 2867 Summary

• Expands Medicaid eligibility for children in foster care to age 26 (up from 21) and includes men of reproductive age in family planning services at 194% of federal poverty level.

• Increases income thresholds for pregnant women and children: pregnant women and infants to 194% of federal poverty level, children ages 1-6 to 143%, and children ages 6-19 to 133% of federal poverty level.

• Authorizes Division of Medicaid to submit waiver by July 1, 2025, for less frequent medical redeterminations for eligible children with long-term chronic conditions.

• Expands covered services including autism spectrum disorder services, preparticipation physical evaluations, FDA-approved chronic weight management medications, nonstatin cardiovascular medications, nonopioid pain medications, eyeglasses every 2 years (instead of 5), 12-month oral contraceptive supplies, and reimbursement for sleep apnea devices.

• Establishes Medicaid Advisory Committee and Beneficiary Advisory Committee, eliminates requirement to seek CMS waivers for end-stage renal disease/cancer/transplant patients, prohibits coverage of gender transition procedures for any person, and requires maternal mental health screening and education for postpartum women.