The House and Senate have conducted interim committees the past without much changing in the state. Transformation of the existing program has become a focus of the committees. Expansion is not a primary goal at the moment, but if they can achieve cost neutrality (savings in one part of the program to fund the expansion) their interest will increase in expanding medicaid eligibility. However at the present time, this is unlikely to occur in Missouri. In addition given the uncertainty in the Patient Protection and Affordable Care Act and what will happen at a national level, it is unlikely that any large changes will be made at the state level.
Missouri eligibility for persons 22-64 (non disabled or blind) is 20% of poverty. As discussed in the Advocacy section of the website, MOCEP is currently working to institute MMERP which will simultaneously improve care while cutting costs.