MO HB2820

Establishes the "MO HealthNet Patient-centered Care Pilot Project" beginning July 1, 2017, transferring Medicaid participants to individual health savings accounts combined with high-deductible health insurance or faith-based health reimbursement plans

Requires 3-6 pilot project areas covering at least 10% of MO HealthNet participants (excluding aged, blind, and disabled) in the first two years, expanding to 20% in year three, with automatic statewide implementation beginning July 1, 2019 unless repealed

Participants receive prepaid EBT cards to pay for health services directly, must complete an annual examination within six months of enrollment, and may retain up to 25% of remaining card balances at year-end if compliant with requirements

Creates the MO HealthNet Health Savings Account Trust Fund and mandates provider reimbursement at 100% of Medicare rates for participating providers

Requires a health management and population analytics system to track health outcomes, with quarterly and annual reporting to the governor and general assembly on costs, participation, and feasibility of statewide expansion