Bill > SJR103

This joint resolution proposes a constitutional amendment to modify Missouri's Medicaid (MO HealthNet) program, specifically addressing eligibility for adults aged 19-64 with income at or below 133% of the federal poverty level. The resolution allows the state to submit necessary amendments to the federal government to implement expanded Medicaid coverage and requires state agencies to maximize federal financial participation. Notably, the amendment includes a provision that prevents imposing additional burdens on Medicaid recipients, but also allows the state legislature to potentially implement work and community engagement requirements for able-bodied adult recipients. The resolution mandates that all federal and state statute references be based on their January 1, 2019 versions. If approved by voters in the 2026 general election, the amendment would modify the state constitution to give the legislature more flexibility in administering Medicaid benefits, with a specific ballot question asking voters whether the Missouri Constitution should be amended to permit work and community engagement requirements for able-bodied adult Medicaid recipients.

Health and Social Services

https://www.senate.mo.gov/26info/BTS_Web/Bill.aspx?SessionType=R&BillID=229