The bill, Substitute Senate Bill No. 314, introduced as File No. 338, aims to expand emergency Medicaid coverage in accordance with federal law for the treatment of emergency medical conditions. The bill defines "emergency medical condition" as a medical condition that manifests with acute symptoms severe enough that without immediate medical attention, it could result in serious jeopardy to the patient's health, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part. The bill also defines "emergency Medicaid coverage" as Medicaid coverage for the treatment of an emergency medical condition.

The bill mandates the Commissioner of Social Services to include coverage for specific emergency medical conditions such as high-risk pregnancy, Type 1 diabetes in individuals under 21, diabetic emergencies, renal failure requiring dialysis, certain fractures, hypertensive emergencies, unstable seizure disorders, active cancer treatment, ventilator dependency, labor and delivery, and acute inpatient psychiatric hospitalization. Additionally, by July 1, 2025, the commissioner is required to establish an administrative system for pre-application for emergency Medicaid coverage for conditions that can be treated in outpatient settings. The bill also instructs the commissioner to provide a link to the application and a list of covered emergency medical conditions on the Department of Social Services website and include this information in department forms and policy manuals. The bill is effective upon passage and includes a fiscal note indicating potential significant costs to the Department of Social Services for system modifications and expanded services.