Bill > SB729

This bill mandates that the Bureau of Medical Services implement several new requirements for the Medicaid program to align with federal standards established by the One Big Beautiful Bill Act (OBBBA), a federal law signed on July 4, 2025. Key provisions include implementing a Medicaid work requirement by January 1, 2027, and prohibiting individuals residing in the U.S. illegally from using Medicaid benefits by October 1, 2026. The bill also requires more frequent verification of Medicaid eligibility (at least twice annually by January 1, 2027), prevents beneficiaries from enrolling in Medicaid in multiple states by January 1, 2027, and mandates the removal of deceased enrollees from Medicaid rolls at least quarterly by January 1, 2027. Furthermore, it aims to reduce the Medicaid error rate to three percent or below by January 1, 2028, and limits retroactive eligibility for certain groups, with specific timeframes for expansion enrollees, traditional Medicaid enrollees, and Children's Health Insurance Program enrollees by January 1, 2028. Additionally, by October 1, 2028, cost-sharing will be required for expansion adults, and certain taxes and payments, including managed care taxes, provider taxes, and directed payments, will be amended according to the OBBBA. Finally, all Medicaid waivers must be budget neutral.

Health and Social Services

http://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=729&year=2026&sessiontype=RS&btype=bill