SB 403 · 2025-2026 · Introduced in Senate
Additional Medicaid Funds and Requirements.
What It Actually Does
This bill cuts state agency positions and reduces Medicaid benefits while making some funding adjustments and adding administrative requirements.
The bill requires elimination of vacant state positions to achieve nearly $20 million in cuts, forces DHHS to cut positions for $32+ million in savings, discontinues Medicaid coverage for obesity medications, and reduces overall Medicaid funding by $34 million. While it does include some additional Medicaid appropriations, the net effect appears to be budget cuts rather than additional funding.
Why the name is misleading
The title 'Additional Medicaid Funds and Requirements' emphasizes funding increases while obscuring the significant position cuts, benefit reductions, and overall budget reductions that appear to be the bill's primary focus.
Status
In Senate committee
Sponsors
Stowaway Provisions
A bill titled 'Additional Medicaid Funds and Requirements' contains extensive provisions requiring elimination of thousands of state government positions and major changes to state capital infrastructure funding that are unrelated to Medicaid.
The bill's stated purpose: Medicaid funding adjustments, eligibility redetermination requirements, and related healthcare program administration
What was hidden inside: Part I requires elimination of vacant state agency positions to achieve $19.7 million in cuts (excluding SBI and State Highway Patrol); Part III reduces Future Building Reserves by $42.2 million and authorizes repurposing of unexpended bond proceeds for various capital projects; provisions for State Auditor to conduct SNAP/food assistance program audits
Sources
The Vote
4/30/2025 4:30 PM · Medicaid Work Requirements. Second Reading · Senate
Senate Vote · Passed 34–12
Passed 34-12
Party Breakdown
9/23/2025 5:41 PM · Additional Medicaid Funds and Requirements. Second Reading · House
House Vote · Passed 111–0
Passed 111-0
Party Breakdown