Missouri Medicaid Work Requirement Amendment (2026)
| Missouri Medicaid Work Requirement Amendment | |
|---|---|
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| Election date |
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| Topic Public health insurance |
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| Status Proposed |
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| Type Legislatively referred constitutional amendment |
Origin |
The Missouri Medicaid Work Requirement Amendment (2026) may be on the ballot in Missouri as a legislatively referred constitutional amendment on November 3, 2026.
The constitutional amendment would establish work requirements for adults ages 19-64 to qualify for Medicaid coverage.[1]
Text of measure
Full text
The full text of the measure can be read here.
Path to the ballot
A simple majority vote is required during one legislative session for the Missouri General Assembly to place a constitutional amendment on the ballot. That amounts to a minimum of 82 votes in the Missouri House of Representatives and 18 votes in the Missouri State Senate, assuming no vacancies. Amendments do not require the governor's signature to be referred to the ballot.
House Joint Resolution 7
The following is a timeline of the amendment:[1]
- January 5, 2026: The measure, House Joint Resolution 154, was introduced by Rep. Darin Chappell (R) in the House.
- February 19, 2026: The House approved the measure in a vote of 99-48, with 11 members not voting. Ninety-nine (99) Republicans voted yes; 48 Democrats voted no; four Democrats and seven Republicans did not vote.
| Votes Required to Pass: 82 | |||
| Yes | No | NV | |
|---|---|---|---|
| Total | 99 | 48 | 11 |
| Total % | 62.7 | 30.4 | 7.0 |
| Democratic (D) | 0 | 48 | 4 |
| Republican (R) | 99 | 0 | 7 |
External links
See also
View other measures certified for the 2026 ballot across the U.S. and in Missouri.
Explore Missouri's ballot measure history, including constitutional amendments.
Understand how measures are placed on the ballot and the rules that apply.
Footnotes
- ↑ 1.0 1.1 [https://house.mo.gov/Bill.aspx?bill=HJR154&year=2026&code=RNew Mexico Legislature, "HJR 154 Text," accessed February 23, 2026]
