AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency.
What it does: On the version voted Apr 14, 2026: Adds federally set community engagement requirements and cost-sharing to Medicaid, requires eligibility checks every six months, extends current managed care contracts through 2028, bars coverage of weight-loss drugs, and limits Medicaid benefits to those the legislature authorizes or federal law requires. (AI-written summary of the bill; the official record shows the exact version voted)
Question before the chamber: Adopt House Floor Amendment 16
Amends the bill to let the Medicaid secretary exempt people facing short-term hardship from community engagement requirements, drops the provision continuing them if federal ones end, and requires seeking a hardship waiver for counties with 8.5% or higher unemployment. (AI-written)
The tally
Yes 25 · No 25 · Not voting 50
Bar: green = yes, brown = no, striped = not voting.
| Party | Yes | No | Not voting |
|---|---|---|---|
| Democrats | 20 | 0 | 0 |
| Republicans | 5 | 25 | 50 |
Most Democrats voted yes; most Republicans voted no. 5 members voted against their party’s majority.
Voted against their party’s majority
- Chris FugateR84Yes
- Deanna GordonR81Yes
- Michael MeredithR19Yes
- Timmy TruettR89Yes
- Vanessa GrosslR88Yes
The full roll (100)
Yes 25
- Adam MooreD45
- Adrielle CamuelD93
- Al GentryD46
- Anne DonworthD76
- Ashley LafertyD95
- Beverly Chester-BurtonD44
- Chad AullD79
- Chris FugateR84
- Daniel GrossbergD30
- Deanna GordonR81
- Erika HancockD57
- George BrownD77
- Joshua WatkinsD42
- Lindsey BurkeD75
- Lisa WillnerD35
- Mary Lou MarzianD41
- Matt LehmanD67
- Michael MeredithR19
- Nima KulkarniD40
- Pamela StevensonD43
- Rachel RoarxD38
- Sarah StalkerD34
- Timmy TruettR89
- Tina BojanowskiD32
- Vanessa GrosslR88
No 25
- David MeadeR80
- David OsborneR59
- Derek LewisR90
- James TiptonR53
- Jason NemesR33
- Jim GoochR12
- Josh BrayR71
- Josh CallowayR10
- Ken FlemingR48
- Ken UpchurchR52
- Kim KingR55
- Mark HartR78
- Myron DossettR9
- Nancy TateR27
- Patrick FlanneryR96
- Robert DuvallR17
- Ryan BivensR24
- Savannah MaddoxR61
- Scott SharpR100
- Shane BakerR85
- Steve BratcherR25
- Steven RudyR1
- Suzanne MilesR7
- Tony HamptonR62
- Wade WilliamsR4
Not voting 50
- Aaron ThompsonR98
- Adam BowlingR87
- Amy NeighborsR21
- Bill WesleyR91
- Bobby McCoolR97
- Candy MassaroniR50
- Chris FreelandR6
- Chris LewisR29
- D.J. JohnsonR13
- Dan FisterR56
- Daniel ElliottR54
- David HaleR74
- Emily CallawayR37
- Felicia RabournR47
- J.T. PayneR11
- Jared BaumanR28
- Jason PetrieR16
- Jennifer DeckerR58
- John BlantonR92
- John HodgsonR36
- Josh BranscumR83
- Kevin JacksonR20
- Kim BantaR63
- Kim HollowayR2
- Kim MoserR64
- Marianne ProctorR60
- Mary Beth ImesR5
- Matt KochR72
- Matt LockettR39
- Mike ClinesR68
- Mitch WhitakerR94
- Nick WilsonR82
- Peyton GriffeeR26
- Randy BridgesR3
- Rebecca RaymerR15
- Richard WhiteR99
- Ryan DotsonR73
- Samara HeavrinR18
- Sarge PollockR51
- Scott LewisR14
- Shawn McPhersonR22
- Stephanie DietzR65
- Steve RileyR23
- Steven DoanR69
- Susan WittenR31
- T.J. RobertsR66
- Thomas HuffR49
- Tom SmithR86
- Walker ThomasR8
- William LawrenceR70
“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.