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Bill

HB 3382

Reestablishes the ticket to work health assurance program

2026 Regular Session Introduced by George Hruza

HB 3382 reestablishes a Missouri health insurance program enabling disabled workers to earn income while keeping Medicaid/Medicare coverage without automatic benefit loss.

Referred: Emerging Issues(H)
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Bill Summary · HB 3382

Legislative bill overview

HB 3382 reestablishes Missouri's Ticket to Work Health Assurance Program, which provides health insurance coverage to individuals with disabilities who are working or attempting to work. The program allows beneficiaries to retain Medicaid or Medicare coverage while earning income without the usual work-related benefit reductions that typically occur under federal Social Security programs.

Why is this important

This program directly affects people with disabilities by removing a significant financial barrier to employment—the fear of losing health insurance when they start working. By maintaining coverage while earning wages, it encourages workforce participation among a population that faces substantial employment barriers, potentially reducing long-term government dependency while improving economic self-sufficiency and quality of life.

Potential points of contention

  • State funding responsibility: Reestablishing the program requires clarifying whether Missouri will fund coverage expansions or cost increases, which could have budget implications
  • Federal coordination: The program depends on federal Ticket to Work authority; state implementation details regarding eligibility thresholds and coverage parameters may need negotiation with federal agencies
  • Scope of coverage: Questions about what health services are covered, income limits for participation, and how the program coordinates with other assistance programs remain unclear from the bill summary

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

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