HCS HJR 154 -- MO HEALTHNET (Chappell)

COMMITTEE OF ORIGIN: Standing Committee on Legislative Review

If approved by voters, this constitutional amendment would require the Department of Social Services, MO HealthNet Division to implement work requirements for applicable individuals, as defined in the bill.

Applicable individuals must demonstrate compliance with the work requirements for the month preceding the month during which the individual applies, and no applicable individual will remain enrolled in MO HealthNet unless compliance has been demonstrated. The bill specifies that those seeking an exemption from the work requirements must provide documentation for the exemption sought.

The Department is prohibited from seeking or implementing any additional optional exemptions provided for by federal law, unless a general statute law expressly authorizes the implementation of the exemption. Additionally, the Department is prohibited from accepting exemption designations, approvals, or determinations by a managed care organization.

Currently, the Department is required to take all actions necessary to maximize federal financial participation in funding medical assistance. This bill repeals that requirement.

Currently, no greater or additional burdens or restrictions on eligibility or enrollment standard, methodologies, or practices can be imposed on persons eligible for MO HealthNet services than on any other population eligible for medical assistance. This bill repeals that restriction.

This joint resolution is identical to SCS/SJR 43 (2025) and similar to SJR 76 (2024), SJR 4 (2023), HCS/HJR 117 (2022), SJR 60 (2020), and SJR 32 (2020).

SARAH HASKINS