The proposed legislation, General Assembly Raised Bill No. 327, aims to expand emergency Medicaid coverage in Connecticut, effective July 1, 2026. The bill defines "emergency medical condition" and "emergency Medicaid coverage," and mandates the Commissioner of Social Services to broaden the scope of emergency Medicaid to include various medical conditions. These conditions encompass high-risk pregnancies, diabetes-related emergencies, renal failure requiring dialysis, severe fractures, hypertensive emergencies, unstable seizure disorders, active cancer treatment, ventilator dependency, labor and delivery, and acute psychiatric treatment.

Additionally, the bill requires the Commissioner to establish an administrative system by July 1, 2027, allowing individuals to apply in advance for emergency Medicaid coverage for conditions treatable in outpatient settings. The Department of Social Services will provide a prominent link to the application process and a list of covered conditions on its website, as well as include this information in departmental forms and policy manuals. The bill does not propose any deletions from current law but introduces new provisions to enhance access to emergency medical care under Medicaid.