JEFFERSON CITY – It could cost the state an additional $67 million next year to ensure Missouri complies with new federal work requirements for Medicaid recipients under rules brought forth this summer by President Donald Trump’s “Big, Beautiful Bill.”

According to budget documents the Missouri Department of Social Services sent to the governor's office this month, the tax cut law signed by Trump on July 4 will require a massive rewrite of state computer programs to account for new Medicaid health insurance work requirements, as well as eligibility changes and reimbursement rates for food assistance and other programs.

Timothy McBride, a professor in the school of public health at Washington University, called that a heavy price to pay to ensure a small percentage of Medicaid recipient

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