This bill proposes the addition of a new section, 9-5-34, to the Code of West Virginia, establishing mandatory requirements for the Medicaid program. The Bureau for Medical Services is tasked with implementing these requirements and must seek necessary authority from the Centers for Medicare and Medicaid. Key provisions include the implementation of a Medicaid work requirement by January 1, 2027, the prohibition of Medicaid benefits for individuals living in the U.S. illegally by October 1, 2026, and the verification of Medicaid eligibility at least twice a year. Other requirements include quarterly removal of deceased enrollees from Medicaid rolls, limiting retroactive eligibility, and introducing cost-sharing for expansion adults by specified deadlines.

Additionally, the bill mandates that certain taxes and payments related to managed care, provider taxes, and directed payments be amended in accordance with the One Big Beautiful Bill Act. It also stipulates that all Medicaid waivers must be budget neutral. The overall aim of the bill is to align West Virginia's Medicaid program with federal requirements as outlined in the One Big Beautiful Bill Act, which was signed into law on July 4, 2025.

Statutes affected:
Introduced Version: 9-5-34