SC H4383

Creates a "Medicaid Stability Fund" in the State Treasury to offset reductions in federal Medicaid funding, with revenue from state appropriations, budget surpluses, reallocated funds, and gifts/grants

Directs the Department of Health and Human Services to fully expand Medicaid eligibility under the Affordable Care Act to individuals earning up to 138% of the federal poverty level

Allows South Carolina to access the enhanced federal matching rate of 90% for newly eligible Medicaid enrollees

Requires the department to develop an enrollment plan and fiscal impact report within 90 days, with submission to the General Assembly and Governor within 120 days

Mandates biannual impact assessments conducted with hospitals, FQHCs, universities, and the SC Hospital Association evaluating coverage gaps, uncompensated care costs, regional health outcomes, and economic impacts, with reports due every two years starting July 1, 2026