SB 739 Summary

• Establishes the MO HealthNet Redesign Initiative (MRI) comprising 19 sections to comprehensively restructure Missouri's Medicaid program with new eligibility standards and delivery models.

• Creates "Show-Me Healthy Babies Program" as a separate children's health insurance program covering unborn children from conception through age one, funded under Title XXI federal authority.

• Implements managed care expansion statewide by July 1, 2015, with capitated health plans including cost-sharing, pay-for-performance provider rates, high-deductible options, and incentive programs for participants and providers.

• Establishes Coordinated Care Organizations (CCOs) beginning July 1, 2018, using shared savings/risk models with global payment methodologies for fee-for-service participants, excluding nursing facility and developmental disability populations.

• Creates permanent Joint Committee on MO HealthNet with ten legislative and stakeholder members to monitor program efficacy, budget forecasts, and enrollment trends, with authority to hire an executive director for audits and investigations.