☰ Revisor of Missouri


Effective - 04 Sep 2020, see footnote    bottom

  IV Section 36(c).  MO HealthNet expansion — eligibility — state plan amendments — maximization of federal participation — limitation on burdens or restrictions. — 1.  Notwithstanding any provision of law to the contrary, beginning July 1, 2021, individuals nineteen years of age or older and under sixty-five years of age who qualify for MO HealthNet services under 42 U.S.C. Section 1396a(a)(10)(A)(i)(VIII) and as set forth in 42 C.F.R. 435.119, and who have income at or below one hundred thirty-three percent of the federal poverty level plus five percent of the applicable family size as determined under 42 U.S.C. Section 1396a(e)(14) and as set forth in 42 C.F.R. 435.603, shall be eligible for medical assistance under MO HealthNet and shall receive coverage for the health benefits service package.

  2.  For purposes of this section "health benefits service package" shall mean benefits covered by the MO HealthNet program as determined by the department of social services to meet the benchmark or benchmark-equivalent coverage requirement under 42 U.S.C. Section 1396a(k)(1) and any implementing regulations.

  3.  No later than March 1, 2021, the Department of Social Services and the MO HealthNet Division shall submit all state plan amendments necessary to implement this section to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services.

  4.  The Department of Social Services and the MO HealthNet Division shall take all actions necessary to maximize federal financial participation in funding medical assistance pursuant to this section.

  5.  No greater or additional burdens or restrictions on eligibility or enrollment standards, methodologies, or practices shall be imposed on persons eligible for MO HealthNet services pursuant to this section than on any other population eligible for medical assistance.

  6.  All references to federal or state statutes, regulations or rules in this section shall be to the version of those statutes, regulations or rules that existed on January 1, 2019.


(Adopted August 4, 2020)

(2021)  Section does not appropriate money and does not remove the General Assembly’s discretion in appropriating money to MO Healthnet, thus it does not violate Article III, Section 51 of the Missouri Constitution.  Doyle v. Tidball, No. SC99185 (Mo.banc, July 22, 2021).

---- end of effective  04 Sep 2020 ----

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