JEFFERSON CITY, Mo. (AP) – The number of state workers enrolled in Missouri’s Medicaid health care program for the poor has declined sharply since the state tightened eligibility more than five years ago. Figures show there were 476 state employees on Medicaid last November, the most recent month for which the Department of Social Services had statistics. That was down more than 60 percent from a Medicaid enrollment of 1,221 state employees in February 2005. A law that took effect later that year lowered the amount of money adults can earn and still qualify for Medicaid. Missouri’s total Medicaid rolls fell from a high of nearly 1 million in 2005 to about 800,000 a couple years after the cuts. That has since risen to nearly 900,000 as the economy has worsened.