MO HB153

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

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

Defines "medically frail" as individuals with disabling mental disorders, chronic substance use disorders, serious medical conditions, physical/intellectual/developmental disabilities affecting daily living, or Social Security disability determinations

Requires the Department of Social Services to discontinue expanded eligibility if the federal medical assistance percentage drops below 90% (or a lower amount determined by the MO HealthNet oversight committee) and the general assembly votes to discontinue

Directs the MO HealthNet oversight committee to research health-related savings from expansion and evaluate feasibility of capped cost sharing tied to healthy behaviors, expanding Medicaid for state-financed services, and enrolling expansion population in private health plans