HB 39 -- Medical Assistance for Employed Persons with
Disabilities

Sponsor:  Portwood

This bill requires the Department of Social Services to determine
the eligibility of an employed disabled person requesting medical
assistance whose family gross income is less than 250% of the
federal poverty level.  The bill:

(1)  Requires that an individual meet the definition of a
disabled person under the federal Supplemental Security Income
Program or of an employed individual with a medically improved
disability under the federal Ticket to Work and Work Incentives
Improvement Act of 1999;

(2)  Requires an individual who has a net income that does not
exceed the limit for permanent and totally disabled individuals
to receive non-spenddown Missouri Medicaid benefits;

(3)  Requires any participant whose gross income exceeds 100% of
the federal poverty level to pay a premium for participation in
this program;

(4)  Requires an individual to participate in an
employer-sponsored health insurance plan if the department
determines that it is more cost effective;

(5)  Exempts any income earned through certified extended
employment at a sheltered workshop for the purposes of
determining eligibility; and

(6)  Exempts deposits of up to $5,000 per year into a medical
savings and/or an independent living account from the asset
limits for eligibility.

The provisions of the bill will expire three years from the
effective date.

The bill contains an emergency clause.

Missouri House of Representatives
94th General Assembly, 1st Regular Session
Last Updated July 25, 2007 at 11:17 am