HB 1686 Summary

• Repeals and replaces sections 208.990 and 208.991 to establish new MO HealthNet eligibility requirements effective January 1, 2014, requiring residents to be U.S. citizens or qualified aliens with valid Social Security numbers.

• Requires annual redetermination of all MO HealthNet participants' eligibility using electronic searches of federal, state, and commercial data sources to verify income, residency, citizenship, and identity.

• Establishes income eligibility standards for various covered groups, including families, pregnant women, children under 19, and CHIP-eligible children, using MAGI (modified adjusted gross income) equivalent standards.

• Effective January 1, 2015, expands coverage to non-pregnant adults ages 19-64 with household income at or below 138% of the federal poverty level, though they receive only an alternative minimum benefit package unless medically frail.

• Requires the Department of Social Services to establish a screening process with the Department of Mental Health and Department of Health and Senior Services to identify medically frail individuals who qualify for full coverage.