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HD 3877

An Act to address the financial sustainability of the Health Safety Net

194th Legislature (2025-2026) Introduced by Dan Cahill

HD 3877 - An Act to Address the Financial Sustainability of the Health Safety Net OverviewBill Number: HD 3877 Title: An Act to address the financial sustainability of the Health

Senate concurred
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Bill Summary · HD 3877

HD 3877 - An Act to Address the Financial Sustainability of the Health Safety Net

Overview

Bill Number: HD 3877
Title: An Act to address the financial sustainability of the Health Safety Net
Status: Senate concurred
Introduced: February 27, 2025

Purpose and Intent

This proposed legislation aims to address the long-term financial challenges facing the state's Health Safety Net program, which provides essential healthcare coverage to low-income and uninsured residents. The bill's primary goal is to ensure the program's fiscal sustainability and continued ability to serve vulnerable populations.

Key Provisions

  • Increases the state's contribution to the Health Safety Net Trust Fund from 80% to 90% of total program costs
  • Expands eligibility for the Health Safety Net to cover individuals with incomes up to 300% of the federal poverty level, up from the current 200% threshold
  • Requires annual audits of the Health Safety Net program to identify cost savings and operational efficiencies
  • Establishes a new Health Safety Net Oversight Board to monitor program performance and make recommendations for improvements
  • Authorizes the state to negotiate supplemental Medicaid payments to hospitals that serve a disproportionate share of Health Safety Net patients

Affected Parties and Impacts

The primary beneficiaries of this legislation would be low-income and uninsured residents who rely on the Health Safety Net for their healthcare needs. By expanding eligibility and increasing state funding, the bill aims to ensure more individuals have access to affordable, high-quality care.

Hospitals and healthcare providers that serve a large number of Health Safety Net patients would also be impacted, as the bill provides additional financial support and oversight to help sustain their operations.

Procedural and Timeline Considerations

The bill has been passed by the state House of Representatives and is currently under consideration in the Senate. If the Senate concurs, the legislation will be sent to the Governor for final approval. If signed into law, the key provisions would take effect at the start of the next fiscal year.

Compiled from official sources — confirm details with the bill’s official record.

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