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Does Missouri require you to have health insurance? Missouri defers to the federal Affordable Care Act (ACA), which no longer requires U.S. citizens to have health insurance coverage.
You can get ACA plans in Missouri on the Marketplace website. The federal government regulates the Marketplace website and lets you shop for health plans from private insurance companies. If you buy a plan on the Marketplace, the government may help pay for it through an advance premium tax credit.
As of January 1, 2014, most U.S. citizens and legal residents are required by law to have qualifying health care coverage or pay an annual tax penalty for every month they go without insurance.
The fee for not having health insurance (sometimes called the "Shared Responsibility Payment" or "mandate?) ended in 2018. This means you no longer pay a tax penalty for not having health coverage.
Which states have an Individual Mandate? California. D.C. Massachusetts. New Jersey. Rhode Island. Vermont (but there's currently no financial penalty attached to the mandate)
The MO HealthNet Division (MHD) may pay for the non-emergency care in another state that does not border Missouri, but the out-of- state provider(s) must be enrolled with MHD, and the care must be approved first.