MO HB1065

Establishes the "Show-Me Healthy Babies Program" as a separate children's health insurance program (CHIP) under Title XXI of the federal Social Security Act for low-income unborn children.

Eligibility requires mother to be ineligible for Medicaid and lack affordable employer-subsidized health care coverage, with family income not exceeding 300% of federal poverty level (or lower if set by legislature); unborn children count toward family size for income calculations.

Coverage includes all prenatal care and pregnancy-related services that benefit the unborn child and promote healthy labor, delivery, and birth, but need not cover services solely for the pregnant mother unrelated to pregnancy health.

Provides no waiting period for enrollment, allows presumptive eligibility procedures, and continues coverage for the child up to one year after birth; provides pregnancy-related and postpartum coverage for the mother through the 60th day after pregnancy ends.

Department must submit state plan amendment or seek federal waivers within 60 days and submit annual reports to state leadership analyzing cost savings and benefits; program is not an entitlement and depends on federal allotments and state appropriations.