Proposes a constitutional amendment relating to MO HealthNet

This bill proposes a constitutional amendment to expand eligibility for Missouri's MO HealthNet program to adults aged 19 to 65 who have income at or below 133 percent of the federal poverty level. A key provision requires the state legislature to specifically name this new population in annual budget appropriations for them to receive coverage, meaning funding is not guaranteed unless explicitly included in the budget. The amendment also mandates that eligible individuals meet work and community engagement requirements, such as employment, education, or community service, with specific exemptions for those who are medically frail, pregnant, or primary caregivers. Additionally, the bill clarifies that the state retains the right to determine the funding amount for this population and sets rules regarding reimbursement to healthcare providers for services rendered to non-residents.