The bill mandates that, starting July 1, 2025, no state agency in Kansas can 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 Medicaid waivers and state plan amendments. 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 after July 1, 2025. This ensures that any modifications to these services are subject to legislative oversight, thereby enhancing accountability and control over public assistance programs in the state.