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2026 Special Session I

Budget Amendments - HB30 (Conference Report)

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Medicaid Reserve

Item 471 #1c

Item 471 #1c

First Year - FY2027 Second Year - FY2028
Central Appropriations
Central Appropriations FY2027 $350,000,000 FY2028 $0 GF

Language
Page 544, line 4, strike "$1,300,000" and insert "$351,300,000".

Page 546, after line 18, insert:

"K. Out of this appropriation, $350,000,000 the first year from the general fund is authorized to be provided to the Department of Medical Assistance Services (DMAS) if the general fund amounts in Item 291 of this act are insufficient to pay all Medicaid costs in either the first or second year due to higher than expected program costs. The Director, Department of Planning and Budget (DPB) shall have the authority to transfer this appropriation if the Director of DMAS can demonstrate that the general fund appropriation is insufficient to meet all obligations for the fiscal year. The Director of DPB shall notify the Chairs of the House Appropriations and Senate Finance and Appropriations Committee 10 days prior to any transfer of appropriation pursuant to these provisions. Any unexpended balance in this appropriation at the close of business on June 30, 2027, shall not revert to the general fund, but shall be carried forward and reappropriated."



Explanation

(This amendment provides $350.0 million GF the first year as a Medicaid reserve contingency for higher than expected costs in the program.)