MO HB1351

Expands MO HealthNet eligibility effective January 1, 2016 to adults ages 19-64 with household income at or below 133% of the federal poverty level who are not pregnant, not enrolled in Medicare, and not otherwise eligible for mandatory Medicaid coverage

Creates an alternative minimum benefit package for newly eligible adults, except for "medically frail" individuals who would receive full MO HealthNet benefits under section 208.151

Defines "medically frail" as individuals with serious emotional disturbances, disabling mental disorders, substance use disorders with high risk for significant costs, serious/complex medical conditions, or physical/mental disabilities impairing daily living activities

Requires parents or caretaker relatives to have their dependent child enrolled in MO HealthNet, CHIP, or other minimum essential coverage before the adult can receive MO HealthNet benefits

Directs the department to provide premium subsidies for eligible individuals to enroll in employer-provided health plans when cost effective, and to establish screening processes with the departments of mental health and health/senior services to identify medically frail individuals