Missouri Expanded Medicaid Eligibility Determined by Legislative Appropriations and Work Requirements Amendment (2022)
| Missouri Expanded Medicaid Eligibility Determined by Legislative Appropriations and Work Requirements Amendment (2022) | |
|---|---|
 | |
| Election date November 8, 2022 | |
| Topic Healthcare | |
| Status Not on the ballot | |
| Type Constitutional amendment | Origin State legislature |
The Missouri Expanded Medicaid Eligibility Determined by Legislative Appropriations and Work Requirements Amendment was not on the ballot in Missouri as a legislatively referred constitutional amendment on November 8, 2022.[1]
This amendment would have stated that Medicaid coverage would be expanded to the population of adults between the ages of 19 and 65 whose income is 133% of the federal poverty level or below if the legislature appropriates funds specifically to pay for coverage of the expanded population. It would have established that if the legislature did not specifically appropriate funds in a given year for the expanded population, those persons would not be eligible for Medicaid coverage. The amendment would also have established work and community engagement requirements for Medicaid coverage eligibility for the expanded population.[2]
The Affordable Care Act (2010) allowed the expansion of state Medicaid programs to individuals with income at or below 133% plus an additional 5% income disregard, which effectively set the maximum at 138%. Missouri voters approved an initiative in 2020 that expanded Medicaid coverage in the state. In 2021, the legislature voted to not fund Medicaid expansion. Governor Mike Parson (R) withdrew its request to expand Medicaid in the state from the federal Centers for Medicare and Medicaid Services citing the lack of funding. On July 22, 2021, the Missouri Supreme Court unanimously ruled that the 2020 initiative was constitutional and that the state was bound by it to include the expanded population in Medicaid coverage.[2]
Text of the measure
Constitutional changes
- See also: Article IV, Missouri Constitution
The measure would have amended section 36(c) of Article IV of the state constitution and add new sections 36(d), 36(e), and 36(f). The full text of the amendment is available here.
Path to the ballot
- See also: Amending the Missouri Constitution
To put a legislatively referred constitutional amendment before voters, a simple majority vote is required in both the Missouri State Senate and the Missouri House of Representatives.
On February 24, 2022, the state House approved the amendment by a vote of 96-41, with 20 absent.[1] This measure did not receive a vote in the state Senate before the legislative session adjourned.
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See also
External links
Footnotes
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State of Missouri Jefferson City (capital) |
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