MO HB2457

Expands MO HealthNet eligibility beginning January 1, 2017 to adults ages 19-63 with income at or below 138% of the federal poverty level (133% plus 5% income disregard) who are not otherwise eligible for the program

Requires provider reimbursement rates for newly eligible individuals to be comparable to commercial payment levels with annual trend adjustments, determined by the Department of Social Services potentially through a contracted actuary

Establishes automatic discontinuation of expanded eligibility if the federal medical assistance percentage drops below 90% (as specified for 2020 and beyond) or below an amount determined necessary for state budget solvency, and the general assembly votes to end the expansion

Mandates the MO HealthNet oversight committee to research health-related savings and revenues from the expansion, determine the minimum viable federal matching rate, and evaluate feasibility of capped cost sharing, expanded coverage for state-financed services, and private health plan enrollment options

Requires the Department of Social Services to inform newly eligible participants that their benefits may be reduced or eliminated if federal funding decreases