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WV HB3518

WV HB3518
Relating to the Medicaid Waiver expansion program


summary

Introduced
03/28/2025
In Committee
Crossed Over
Passed
Dead
04/12/2025

Introduced Session

2025 Regular Session

Bill Summary

The purpose of this bill is to disenroll and eliminate state coverage in a certain Medicaid waiver expansion program if the federal medical assistance for the expansion program is reduced.

AI Summary

This bill modifies West Virginia's medical services trust fund law to address potential changes in federal Medicaid funding under the Affordable Care Act (ACA). Specifically, the bill adds a new provision that would automatically disenroll individuals who gained Medicaid coverage through the ACA's Medicaid expansion if the federal government reduces the medical assistance percentage (FMAP) that helps fund this expansion. If the federal medical assistance percentage for newly eligible individuals is modified in a way that reduces federal funding, the state's Department of Human Services would be required to terminate coverage for these individuals. The disenrollment process would involve sending written notifications to affected Medicaid beneficiaries, managed care plans, and healthcare providers, with coverage to cease as soon as federal regulations permit. This provision is designed to protect the state from potential financial burden by linking Medicaid expansion coverage to its original federal funding levels, essentially creating an automatic trigger for coverage elimination if federal support is reduced.

Sponsors (8)

Last Action

On 1st reading, House Calendar (on 04/01/2025)

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