Bill > H4383

This bill establishes the South Carolina Medicaid Protection and Expansion Act, which creates a Medicaid Stability Fund to help offset potential federal funding reductions, fully expands Medicaid eligibility under the Affordable Care Act (ACA), and mandates comprehensive health impact assessments. The Medicaid Stability Fund can receive revenue from state appropriations, budget surpluses, reallocated funds, and private or public donations, and will be administered by the Department of Health and Human Services. The bill requires Medicaid expansion to cover individuals earning up to 138% of the federal poverty level, accessing a 90% federal match rate for new enrollees. Additionally, the department must partner with hospitals, federally qualified health centers, universities, and the South Carolina Hospital Association to conduct biannual impact assessments examining coverage gaps, uncompensated care costs, regional health outcomes, economic impacts, and workforce needs. These assessments must be reported to the General Assembly every two years starting July 1, 2026. The bill will take effect upon the Governor's approval and includes a provision ensuring that if any part of the act is found unconstitutional, the remaining portions will remain valid.

Budget and Finance

https://www.scstatehouse.gov/billsearch.php?billnumbers=4383&session=126&summary=B