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Bill

HB 2355

Creates provisions relating to a MO HealthNet waiver for nutrition services

2026 Regular Session Introduced by Stephanie Boykin and 7 co-sponsors

HB 2355 authorizes Missouri to pursue a Medicaid waiver expanding or modifying nutrition services coverage under MO HealthNet for low-income residents.

Placed on Informal Calendar
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Bill Summary · HB 2355

Legislative bill overview

HB 2355 establishes provisions for Missouri to obtain a Medicaid waiver that would allow the state to expand or modify nutrition services covered under MO HealthNet (Missouri's Medicaid program). The bill creates the framework for the state to seek federal approval for alternative nutrition service delivery or coverage models that differ from standard Medicaid requirements.

Why is this important

Nutrition services waivers can significantly affect low-income Missourians' access to dietary support, medical nutrition therapy, and food-as-medicine interventions. This legislation could expand preventive health benefits or reduce costs depending on how the waiver is structured, potentially impacting healthcare outcomes for vulnerable populations relying on MO HealthNet.

Potential points of contention

  • Scope ambiguity: The bill doesn't specify which nutrition services would be included, expanded, or restricted, leaving implementation details unclear and subject to administrative discretion
  • Cost implications: Unclear whether the waiver seeks to expand services (increasing state costs) or limit them (reducing benefits), creating uncertainty about fiscal impact
  • Federal approval uncertainty: Medicaid waivers require CMS approval and may face rejection, potentially resulting in wasted state resources on development without implementation

Compiled from official sources — confirm details with the bill’s official record.

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