HJR 154 proposes a constitutional amendment requiring work requirements for Missouri's MO HealthNet program (state Medicaid) for certain adults. It would affect individuals aged 19-65 who qualify under federal Medicaid rules (income at or below 133% of the federal poverty level), are not pregnant, disabled, or enrolled in other federal health programs. The bill mandates documentary proof of work compliance at application and monthly to maintain coverage, prohibits self-attestation, and requires state plan changes to implement this by 2027. It does not change income eligibility thresholds but adds a new administrative requirement for this specific group.
HB 3059 requires health insurance plans in Missouri to cover prescription drugs for advanced, metastatic cancer and related symptoms (like treatment side effects) without first demanding that patients try and fail other drugs. It directly affects cancer patients enrolled in health benefit plans, including MO HealthNet (Missouri's Medicaid program), by removing barriers to accessing necessary medications. The bill specifies coverage must apply to FDA-approved drugs that align with evidence-based medical guidelines and best practices for treating advanced cancer. This change ensures patients aren't forced to undergo ineffective treatments or provide proof of prior failures before receiving covered care.
HB 3106, titled the "End Organ Harvesting Act of 2026," would prohibit Missouri health benefit plans (including MO HealthNet and Medicaid managed care) from covering organ transplants or post-transplant care under two specific circumstances: (1) if the transplant occurs in China, or (2) if the organ was procured through sale or donation originating in China. This bill directly affects health insurers and plans operating in Missouri by restricting coverage for these transplant scenarios. The key provision is a blanket coverage ban for transplants tied to China, as defined in the bill's text. The bill was introduced in the Missouri House on January 27, 2026, and is pending further action.
HB 2874 creates rules for air ambulance membership plans, which are non-insurance programs that let people pay for air ambulance services in advance. It directly affects Missouri residents enrolled in MO HealthNet (Missouri's Medicaid program), as these individuals cannot purchase or renew such memberships. Key provisions require membership organizations to: (1) stop selling to MO HealthNet enrollees, (2) offer a partial refund or transfer if someone joins Medicaid during their membership, and (3) clearly state in all marketing and applications that the plan is not insurance and Medicaid beneficiaries are ineligible. The bill also mandates specific disclosures about Medicaid ineligibility and prohibits marketing to Medicaid members. Violations can be reported to the state Attorney General for enforcement.
HB 2971 requires Missouri's MO HealthNet division to create a public dashboard for individuals with intellectual or developmental disabilities (or their caregivers) to track application, review, and waiver status. It mandates a filterable provider directory for durable medical equipment, plain-language communications about waitlists, and quarterly guidance for case management entities. The bill also establishes a reporting system for incorrect waitlist information, with escalating penalties for repeated errors by service providers. These changes directly affect people seeking disability services through MO HealthNet and their families.
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Medicaid
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People with Disabilities
HB 2706 directs Missouri's Department of Social Services to request a USDA waiver enabling the state to modify its SNAP program. The waiver would prioritize purchases of healthy, whole foods like fresh produce, lean proteins, dairy, whole grains, and legumes while discouraging highly processed foods and those high in added sugar. It also requires exploring strategies to incentivize SNAP participants to buy Missouri-grown fruits, vegetables, and dairy through existing state programs. This bill affects Missouri SNAP recipients and aims to reshape food purchasing within the federal program, pending USDA approval.
HB 2011 is a funding bill that allocates $420,419 to the Department of Social Services' (DSS) Office of the Director for administrative costs and $2.1 million for grant management during the 2026-2027 fiscal year. It specifically funds a new Medicaid application platform ($1.4 million) and health data system modernization ($1.5 million) to improve efficiency in processing assistance applications and support data sharing across state health agencies. These allocations come from Missouri’s General Revenue Fund and DSS-specific accounts, directly supporting DSS operations affecting Medicaid recipients and child welfare services. The bill does not create new policies but authorizes existing funding mechanisms for operational technology upgrades.
This constitutional amendment would expand Missouri's MO HealthNet Medicaid program to cover adults aged 19-64 with incomes at or below 133% of the federal poverty level, directly affecting low-income working adults who previously may not have qualified. It requires the state to submit necessary federal plan amendments by March 2021 and mandates that eligibility rules for this group cannot be more restrictive than for other Medicaid recipients, though it explicitly allows future implementation of work or community engagement requirements for able-bodied adults. The amendment must be approved by voters in the 2026 election to take effect. It does not change current coverage but establishes new eligibility parameters and options for the state.
SB 1178 requires Missouri hospitals participating in the federal 340B Drug Pricing Program to submit annual financial reports by April 1st. These reports detail drug acquisition costs, payments received, savings from the program, and how savings are used for charity care or community benefits. Hospitals must also report patient demographics and financial assistance policies, with data categorized by payer type (e.g., Medicaid, uninsured). The state health department will publish aggregated reports by November 15th and impose $1,000 daily penalties for late submissions. This bill increases transparency around how 340B program savings support low-income patient care in Missouri.
HB 1949 creates new provisions to improve access to maternal health care by allowing state health officials and licensed physicians to issue standing orders for services like prenatal vitamins and doula recommendations without requiring individual patient authorization each time. These standing orders must be posted online, expire after one year unless renewed, and terminate if the issuing professional leaves their position. The bill also provides legal immunity from criminal, disciplinary, or civil liability for professionals issuing orders in compliance with the law. This directly affects Missouri's Medicaid program (MO HealthNet) and eligible patients seeking maternal health services.
