MO HB809

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 "medically frail" individuals 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 medical/social cost risk, serious/complex medical conditions, or disabilities impairing daily living activities

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

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