The expiration of the Public Health Emergency on May 11, 2023, marked the end of the federal Medicaid continuous coverage requirements, thus permitting states to resume regular eligibility redeterminations for those enrolled in Medicaid. Missouri began reviewing eligibility for all MO HealthNet beneficiaries on June 1, 2023, with all reviews to be completed over a 12-month period. This process will impact more than 1.5 million Missourians, almost a quarter of the state’s population, who may experience a loss or lapse of health coverage. Any loss or even brief gap in coverage threatens adverse consequences for the Missourians who are most at risk of poor health outcomes – specifically aged, disabled, and low-income families and children.