The chairman of a special Missouri House panel is outlining potential Medicaid changes that could expand coverage to lower-income adults while reducing it for children.
Jefferson City Republican Rep. Jay Barnes offered a detailed financial estimate Wednesday showing the potential changes could save about $42 million in revenues by the time the changes are fully implemented in 2021.
That figure assumes Missouri would spend more money to add adults living in poverty to its Medicaid rolls and subsidize private insurance policies through a federal online marketplace for adults earning slightly more than the poverty level.
It assumes savings to the state by eliminating Medicaid coverage for some children and blind adults. Barnes says they could get policies through the federally run health insurance exchange.