Missouri Senate pares back plan to add Medicaid work requirements to constitution

By: Steph Quinn

Outlets: Missouri Independent

Published: April 29, 2026

Words: 1,166

Last Updated: 3 months ago

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A proposal to write Medicaid work requirements into the Missouri Constitution has been stripped down in a Senate committee to instead give lawmakers, the governor or the state’s social services department constitutional authority to impose them.

Starting Jan. 1, 2027, the One Big Beautiful Bill Act passed by Congress will require new eligibility checks on adults covered through Medicaid expansion — the Affordable Care Act provision that allowed states to offer coverage to more low-income …

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