Bill > HB3382

This bill reestablishes the Ticket to Work Health Assurance Program, a state initiative designed to help individuals with disabilities maintain health insurance while they work, in accordance with the federal Ticket to Work and Work Incentives Improvement Act of 1999 (TWWIIA). The program allows individuals who are employed and meet specific disability criteria, including those with medically improved disabilities, to receive medical assistance if their income does not exceed certain thresholds, with provisions for earned income and asset limits that are generally aligned with existing MO HealthNet eligibility for disabled individuals, but with exceptions for medical savings accounts, independent living accounts, and retirement accounts. The bill also outlines a tiered premium structure for participants whose income exceeds the federal poverty level and requires recipients to report changes in income or household size promptly. Furthermore, it mandates that if an employer offers health insurance, the state may cover the employee's portion of the premium and related costs, with the state's medical assistance then serving as a secondary or supplemental policy. The program's expiration date is extended from August 28, 2025, to August 28, 2032.

https://house.mo.gov/Bill.aspx?bill=HB3382&year=2026&code=R