MO HB989

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, as authorized under the Affordable Care Act

Requires eligible adults to receive an alternative minimum benefits package rather than full MO HealthNet coverage, unless classified as "medically frail" (individuals with serious mental disorders, substance use disorders, complex medical conditions, or disabilities affecting daily living)

Conditions parent/caretaker relative eligibility on the dependent child being enrolled in MO HealthNet, CHIP, or other minimum essential coverage

Mandates the Department of Social Services establish screening processes with mental health and senior services departments to identify medically frail individuals, and provide premium subsidies for eligible individuals to enroll in employer-provided health plans

Submits the act to voters for approval via referendum at the November 2016 general election or a special election called by the governor