In 2018, states were permitted to seek federal approval to use work requirements as a condition for Medicaid coverage.
Eight states have received approval for work requirements for Medicaid coverage, but have suspended enforcement due to the COVID-19 pandemic or have delayed implementation pending a Supreme Court ruling regarding Arkansas’s Medicaid work requirements, which were deemed unlawful in 2019. Seven states are pending decisions on their petitions for work requirements, but the Centers for Medicare and Medicaid Services (CMS) announced in February 2021 that it has preliminarily deemed such requirements invalid, and is expected to reject these proposals and withdraw existing approvals.
SB 224 proposes adding work or community engagement requirements for Medicaid recipients in Missouri. Exempt populations would include the elderly, pregnant women, caretakers of children younger than 6, people with disabilities, and those exempt from work requirements from other public assistance programs such as TANF or SNAP.