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Missouri Legislature (healthcare bills) · April 23, 2026 · Primary source

MO HJR 154: Proposes a constitutional amendment relating to MO HealthNet work requirements

Score 35PRIMARYregulatoryState legislatureMO

Summary

Missouri House Joint Resolution 154 proposes a constitutional amendment that would authorize work requirements for Missouri HealthNet, the state's Medicaid program. The resolution has advanced through a Senate committee with a do-pass vote. If approved by voters, the amendment would constitutionally permit the legislature to impose work requirements as a condition of Medicaid eligibility.

What this may mean

The resolution has cleared a Senate committee vote but requires approval in a statewide referendum before taking effect; no Medicaid eligibility change is operative at this stage. If enacted, the amendment would authorize work requirements that could reduce Medicaid enrollment and affect managed care plan membership and revenue, as well as eligibility for behavioral health and SUD services covered through MO HealthNet.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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