Medicaid work requirements
A 2026 constitutional amendment referred by the legislature would establish work requirements for adults ages 19-64 to qualify for Medicaid coverage in Missouri, following earlier voter expansion of eligibility.
Should Missouri require work or community engagement for most adults to remain eligible for Medicaid?
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Sources
Ballotpedia — https://ballotpedia.org/Missouri_2026_ballot_measures
Missouri Medicaid Work Requirement Amendment (2026) | LRCA | Public health insurance | Establish work requirements for adults ages 19-64 to qualify for Medicaid coverage
Positions on this issue · liberal → conservative
- Expand Medicaid further with no work requirements and easier enrollment
- Keep expanded Medicaid without adding work requirements
- Add modest voluntary employment supports but no mandates
- Impose work requirements for adults 19-64 with limited hardship exemptions
- Strict work requirements plus time limits and reduced eligibility overall