SB 40: New Requirements for Medicaid Managed Care Contracts
March 13, 2026
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The Frame
will be required to adjust their contract terms and service availability standards, which directly impacts how and when Medicaid recipients can access care outside of standard business hours.
Potentially affected actors named in the source documents. Mention is not a position.
Medicaid managed care plans
These organizations must comply with new contract requirements mandated by the Agency for Health Care Administration.
Medicaid recipients
Recipients may experience changes in service availability or access standards based on the new contract requirements for managed care plans.
Agency for Health Care Administration
The agency is tasked with updating and enforcing new contract requirements for all Medicaid managed care plans.
Last recorded activity March 13, 2026.
Introduced.
Summary
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What does this bill change for Medicaid managed care plans?
How does this bill define 'outside of regular business hours'?
Why It Matters
will be required to adjust their contract terms and service availability standards, which directly impacts how and when Medicaid recipients can access care outside of standard business hours.
News Coverage
Lobbying Activity
60 Plus Association
2026
“Signed a coalition letter opposing any efforts to raise the corporate tax rate above the 21% level set in the 2017 Tax Cuts and Jobs Act (TCJA). Signed a coalition in support of the Family Business Legacy Act, H.R. 6329. This legislation creates parity in the tax code between the estate and gift taxes by allowing an estate tax deduction for contributions to 501(c)(4), (c)(5), and (c)(6) organizations. Signed a coalition letter urging opposition to proposals that would raise taxes on carried interest investment income.The letter is urging Congress to reject the misnamed Carried Interest Fairness Act, legislation recently reintroduced by Senators Tammy Baldwin, Elizabeth Warren, Bernie Sanders, and other progressive members of Congress. This legislation that would increase the tax rate on carried interest investment by 70%, from 23.8% to 40.8%. Signed a coalition letter in support of H.R.574 - ALIGN Act and highlight the 100% bonus depreciation provision's importance as the tax cut reauthorization efforts continue. Signed a coalition to support of repealing IRA's green new deal subsidies in reconciliation to pay for tax cuts. Signed a coalition letter regarding digital services taxes (DST) in an effort to stop Canadas imposition of a discriminatory digital services tax (DST) on U.S. firms and your efforts to include restrictions on the imposition of DSTs and other unfair digital policies in recently announced trade agreements-providing a model for future trade negotiations. Signed a coalition letter urging the President to index capital gains for inflation.”
BARNES & THORNBURG, LLP
on behalf of SUPERIOR AIR GROUND AMBULANCE SERVICE, INC.
ILLINOIS ASSOCIATION OF SCHOOL BOARDS
ILLINOIS HEALTH & HOSPITAL ASSOCIATION (FORMERLY ILLINOIS HOSPITAL ASSOCIATION)
HARO SOLUTIONS LLC
on behalf of COUNTY OF LOS ANGELES, CALIFORNIA
HALL, RENDER, KILLIAN, HEATH & LYMAN, P.C.
on behalf of LEE HEALTH SYSTEM
ADAPTIVE GOVERNMENT RELATIONS
on behalf of SEATTLE CHILDREN'S
STEPHANIE KENNAN
on behalf of OREGON DEPARTMENT OF HUMAN SERVICES
1607 STRATEGIES, LLC
on behalf of Stonington Global OBO TL Management
2025
“Issues related to Medicaid. H.R. 1, One Big Beautiful Bill Act, provisions related to nursing homes, Medicare provider tax and Medicare Advantage. S. 1105, No UPCODE Act, all provisions.”
SINGISER SOLUTIONS LLC
on behalf of PLANNED PARENTHOOD FEDERATION OF AMERICA
Voting Record
Favorable
Total
8
Yes
8
No
0
Present
0
Not Voting
0
Abstain
0
Sponsors
Show 1 more sponsor
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Standardization of After-Hours Care
The bill indicates a legislative move to standardize the definition of 'after-hours' care across all Medicaid managed care providers to ensure consistent access.
Connected Entities
Sources
openstates.org
Analysis Score
0–100- Significance60How much this matters to a regular citizen
- Controversy20Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz15Current news / social attention level
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