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MMissouri Independent
·10 November 2026

Missouri among 3 states declining hardship exceptions to Medicaid work requirements - Missouri Independent

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Summary

Missouri is one of three states declining to adopt optional hardship exceptions to Medicaid work requirements that take effect nationwide January 1, including exemptions for high unemployment areas and medical hardships. The state plans to rely only on mandatory federal exemptions for medically frail individuals and caregivers, which experts say may not adequately protect people with disabilities and those affected by economic disruptions.

Key Points

After a Tyson Foods meatpacking plant closed in Nebraska in January, eliminating about 3,000 jobs, the state [secured a temporary reprieve](https://nebraskaexaminer.com/2026/07/17/dawson-county-gets-temporary-waiver-from-medicaid-work-rules-following-tyson-plant-closure/) from new Medicaid work requirements for residents of the surrounding county. Nebraska began enforcing work requirements in May,…

This article was originally published by Missouri Independent.

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