The civic record
Read. Follow. Verify.Missouri Constitutional Amendment Proposed to Authorize Medicaid Work Requirements
Last action · February 11, 2026: Hearing Conducted S Families, Seniors and Health CommitteeSponsor: Jill Carter
Track this bill to get notified when it advances a stage. One tap to stop, anytime.
What This Bill Would Do
A proposed constitutional amendment submitted to Missouri voters would permit the General Assembly to authorize work and community engagement requirements for certain adult participants. If approved at the November 2026 general election or a special election, the measure changes the state's Medicaid program rules by allowing lawmakers to mandate employment or community activities for eligibility.
The measure establishes a constitutional basis for adding mandatory employment or community service conditions to healthcare coverage for low-income adults enrolled in .
- MO HealthNet is Missouri's state-administered Medicaid program providing healthcare coverage to eligible low-income residents. context
- Work requirements for Medicaid have been a recurring subject of state legislation and federal policy debates across multiple years. context
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
MO HealthNet participants
Adult participants aged 19 to 64 could become subject to mandatory work and community engagement requirements to maintain medical assistance eligibility.
General Assembly
The legislature is granted the authority to enact laws requiring work and community engagement for MO HealthNet recipients.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What does Senate Joint Resolution 103 propose to change?
When will voters decide on this constitutional amendment?
What else do you want to know?
News Coverage
Check Your Understanding
1.According to the introduced version of 3379S.01I, what does the bill's text authorize regarding MO HealthNet services?
Follow the record
Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
4 actions- Feb 11, 2026SenateHearing Conducted S Families, Seniors and Health Committee
- Feb 5, 2026SenateFloorSecond Read and Referred S Families, Seniors and Health Committee
- Jan 7, 2026SenateIntroducedS First Read
- Dec 1, 2025SenatePrefiled
Version history
Only one version on file - nothing to compare yet. The text on record is the 3379S.01I - Introduced version. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Medicaid Eligibility Conditioning
The resolution seeks to introduce work and community engagement prerequisites into a demographic sector that previously had protections against additional eligibility burdens.
Connected Entities
Sources
www.senate.mo.gov
Analysis Score
0–100- Significance80How much this matters to a regular citizen
- Controversy75Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz50Current news / social attention level
Publisher tools