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SJR 108

SJR 108 - If approved by the voters, this constitutional amendment requires the Department of Social Services and the MO HealthNet Division to implement work requirements for certain individuals as a condition of participation in the MO HealthNet program. These individuals shall demonstrate compliance with work requirements for 3 consecutive months immediately preceding the month during which they apply and the Department and Division shall disenroll any individual who fails to comply with work requirements. The Department shall submit any necessary state plan amendments to implement this amendment to the Centers for Medicare and Medicaid Services no later than March 1, 2027. This constitutional amendment is similar to SJR 103 (2026), SCS/SJR 43 (2025), SJR 76 (2024), provisions of SJR 4 (2023) and HCS/HJR 117 (2022), SJR 60 (2020), and SJR 32 (2020). SARAH HASKINS

2026 Regular Session Introduced by Brad Hudson

SJR 108 modifies MO HealthNet work requirements, potentially restricting Medicaid eligibility by requiring beneficiaries to meet employment thresholds, affecting coverage access for low-income Missourians.

Second Read and Referred S Families, Seniors and Health Committee
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Bill Summary · SJR 108

Legislative bill overview

SJR 108 proposes modifications to work requirements for Missouri's Medicaid program (MO HealthNet). The bill is currently in early legislative stages, having just completed its first reading in the Senate and been referred to the Families, Seniors and Health Committee for examination.

Why is this important

Work requirements for Medicaid significantly affect eligibility for healthcare coverage among low-income Missourians. Changes to these requirements can expand or restrict access to medical services for vulnerable populations, directly impacting healthcare costs, enrollment rates, and the financial burden on individuals and families.

Potential points of contention

  • Scope of exemptions: Debate over who qualifies for work requirement exemptions (elderly, disabled, caregivers, students) and whether exemptions are adequate
  • Implementation burden: Questions about administrative costs and feasibility of tracking and verifying work hours versus anticipated savings
  • Healthcare access impact: Concern that stricter work requirements may cause eligible individuals to lose coverage due to documentation challenges or barriers to employment

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

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