This bill establishes a requirement for legislative approval before any state agency in Kansas can seek or implement a Medicaid state plan, state plan amendment, state demonstration, or waiver that would expand coverage or increase costs to the state. Specifically, starting July 1, 2025, no such actions can be taken without express consent from the legislature through an act. The bill clarifies that this requirement does not apply to any state plan amendments or waiver programs that are already in effect prior to this date.

Additionally, the bill defines "state agency" in accordance with existing law (K.S.A. 75-3701). The act will take effect upon its publication in the statute book, ensuring that the new requirements are formally recognized and enforced.