MO HB474

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 benefit package" with reduced coverage for most newly eligible adults, while individuals classified as "medically frail" (those with serious mental disorders, substance use disorders, complex medical conditions, or significant disabilities) receive full MO HealthNet benefits

Requires the Department of Social Services to establish a screening process with the departments of mental health and health and senior services to identify medically frail individuals

Restricts MO HealthNet coverage for parents and caretaker relatives living with a dependent child unless that child is also enrolled in MO HealthNet, CHIP, or other minimum essential coverage

Authorizes the department to provide premium subsidies for eligible individuals to enroll in employer-provided health plans when cost-effective