The bill mandates that, starting July 1, 2025, no state agency in Kansas may seek or implement any public assistance program waiver or authorization from the federal government that expands eligibility or increases costs without explicit legislative approval. This includes various types of waivers related to Medicaid and other public assistance programs. Additionally, the bill allows the legislative coordinating council to approve such waivers when the legislature is not in session. The provisions do not affect any existing state plan amendments or waiver programs already in place before the specified date.

Furthermore, the bill stipulates that any changes to funding structures, day services, or targeted case management services for individuals with intellectual or developmental disabilities also require legislative consent and approval. This ensures that any modifications to these services are subject to oversight and approval by the legislature, thereby enhancing accountability in the management of public assistance programs.