MO HB890

Counties and independent cities may impose a local sales tax to fund MO HealthNet expansion, subject to voter approval at a state general, primary, or special election

Counties and independent cities may also levy an annual property tax on real and tangible personal property for MO HealthNet expansion funding, requiring majority voter approval

Sales tax revenue is deposited into a "MO HealthNet Expansion Fund" trust fund, with 1% retained by the state for collection costs; the tax expires after 7 years unless repealed earlier

Voters may repeal the sales tax through a ballot measure initiated by the governing body or by petition signed by 10% of registered voters who voted in the last gubernatorial election

Coverage is limited to individuals with income at or below 138% of the federal poverty level who have been county residents for at least 3 years; implementation requires a federal waiver authorizing county-level Medicaid participation