The bill, identified as Substitute Senate Bill No. 314 with File No. 338, aims to expand emergency Medicaid coverage in accordance with federal law for the treatment of emergency medical conditions. An "emergency medical condition" is defined 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 specifies a list of conditions that must be covered under the expanded emergency Medicaid coverage, including high-risk pregnancy, Type 1 diabetes in individuals under 21, diabetic emergencies, renal failure requiring ongoing dialysis, certain fractures, hypertensive emergencies, unstable seizure disorders, active cancer treatment, ventilator dependency, labor and delivery, and acute inpatient psychiatric hospitalization.

Additionally, the bill mandates the Commissioner of Social Services to establish, by July 1, 2025, an administrative system for individuals to apply in advance for emergency Medicaid coverage for conditions that can be treated in outpatient settings. This system is to be made accessible through a prominent link on the Department of Social Services' website, which will also list the covered emergency medical conditions. Information about advance applications and the list of covered conditions will also be included in department forms and policy manuals. The bill's fiscal note indicates that there will be costs associated with the administrative system and expanded services, with at least $250,000 anticipated for system modifications. The bill is effective upon passage, and the legislative commissioners have made a minor language change for accuracy in Subsection (b)(6).