Navigating Medicaid Expansion in Missouri

This chapter explores the aftermath of a 2020 constitutional amendment that aimed to expand Medicaid in Missouri, allowing access for individuals earning up to 138% of the federal poverty level. Despite public support and a coalition of advocates, the state legislature's refusal to fund the expansion has resulted in legal challenges and an ongoing debate about healthcare access. The chapter highlights the broader implications of these developments, including the impact on rural hospitals, potential voter sentiments, and the fate of roughly 275,000 individuals affected by these decisions.