Labor & Employment (People with Disabilities)

HB 3382 reestablishes a state health assistance program for employed individuals with disabilities who meet specific income and asset criteria, directly affecting working people with disabilities who previously lost Medicaid coverage due to earnings. The bill allows medical assistance for those earning up to 250% of the federal poverty level (FPL), with premiums based on income brackets (4-6% of income), while excluding certain assets like medical savings accounts and retirement funds from eligibility calculations. Key provisions include requiring proof of Medicare/Social Security tax withholding for earned income, prioritizing employer-sponsored insurance when cost-effective, and mandating annual reports to the legislature on program participation. The program expires on August 28, 2032, and aligns with federal Ticket to Work Act requirements.

HJR 193 proposes adding a constitutional amendment to Missouri's Constitution that prohibits the state or any state agency from discriminating against individuals based on physical or mental disability. This amendment would require voter approval in 2026 (or a special election) before taking effect. If adopted, it would give the Missouri legislature the authority to create laws enforcing this anti-discrimination protection. The amendment directly affects all state government actions and programs, ensuring they cannot deny services or benefits due to disability. This is a constitutional change, not a regular law, so it would require voter approval rather than a legislative vote.