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HB 1146

Medicaid; bring forward section that provides for assessments on certain healthcare facilities to provide funding for the program.

2025 Regular Session Introduced by Missy McGee

Mississippi bill proposes healthcare facility assessments to fund Medicaid, shifting program costs from state budget to healthcare providers.

Died In Committee
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Bill Summary · HB 1146

Legislative bill overview

HB 1146 proposes to implement assessments (fees) on certain healthcare facilities in Mississippi to generate dedicated funding for the state's Medicaid program. The bill would create a mechanism where hospitals and possibly other healthcare providers contribute financially to support Medicaid operations through these facility-based assessments rather than relying solely on general state revenue.

Why is this important

Medicaid funding is a persistent budget challenge for states, and Mississippi faces significant Medicaid expenses. This bill represents an attempt to stabilize Medicaid financing by shifting some funding responsibility to healthcare facilities that directly benefit from serving Medicaid patients, potentially reducing pressure on the general state budget while maintaining program solvency.

Potential points of contention

  • Provider burden: Healthcare facilities would bear additional costs, which they may pass to patients, insurers, or staff through reduced wages or services
  • Regressive impact: Assessment costs could ultimately burden low-income patients and families who depend on these facilities for care
  • Federal compliance: Such assessments must comply with federal Medicaid law and CMS regulations, and improper design could trigger federal penalties or loss of matching funds
  • Competitive disadvantage: Facilities subject to assessments might face operational challenges compared to exempt providers, distorting market competition

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

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