HB 3382 Missouri House · 2026 Regular Session

Reestablishes the ticket to work health assurance program

HB 3382 reestablishes a state health assistance program for employed individuals with disabilities who meet specific income and asset criteria, directly affecting working people with disabilities who previously lost Medicaid coverage due to earnings. The bill allows medical assistance for those earning up to 250% of the federal poverty level (FPL), with premiums based on income brackets (4-6% of income), while excluding certain assets like medical savings accounts and retirement funds from eligibility calculations. Key provisions include requiring proof of Medicare/Social Security tax withholding for earned income, prioritizing employer-sponsored insurance when cost-effective, and mandating annual reports to the legislature on program participation. The program expires on August 28, 2032, and aligns with federal Ticket to Work Act requirements.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 23, 2026 Last action May 15, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
May 15, 2026
Committee
Referred: Emerging Issues(H)
lower
Feb 23, 2026
Introduced
Introduced and Read First Time (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of George Hruza
George Hruza
RRepublican
MO
89