Medicaid Expansion

Bailey Vassalli / KSMU

Healthcare for Missouri is a new group that wants to put Medicaid expansion on the 2020 ballot. 

When the US Supreme Court ruled on Obamacare, the justices kept most of the Affordable Care Act—but they left one part optional for each state to decide:   whether to expand Medicaid to include more people. Medicaid is the government health insurance program for the poor and disabled.

So far, Missouri’s Republican-led legislature has not expanded the program in the Show-Me State, even though the federal government would pay for the majority of the cost. 

Yaniv Ben-Arle / Flickr via Creative Commons



Missouri lawmakers have, for years, decided against the part of the Affordable Care Act that would expand Medicaid—the government health care program for low-income residents. So now, activists are trying to do it themselves—by collecting signatures to get the issue on the 2020 statewide ballot.  

Activists say they added nearly 400 more signatures to their total at a Springfield parade earlier this month.



Steve Fines / KSMU

Five years following the passage of the Affordable Care Act, roughly 300,000 Missourians still don’t have proper access to health care.

“In my current situation I do not qualify for Medicaid,” Loux said. “I don’t have any children in the home, I am a single female and I don’t qualify even with health issues.”

Springfield resident Shelly Loux for a time was homeless after losing her job due to health issues.

Scott Harvey / KSMU

As the debate to expand Medicaid in Missouri continues to make little progress, Gov. Jay Nixon says he’ll consider proposals to reform the system.

Speaking Wednesday at the Missouri Career Center in Springfield, Nixon outlined reforms based upon four principals, including a requirement that recipients must work.

As the state – and his reputation – seeks to move beyond Ferguson, Missouri Gov. Jay Nixon is rekindling his longstanding pitch in favor of expanding Medicaid.

And Nixon may be seeking to subtly link the expansion with Ferguson’s headline-grabbing racial and economic unrest, by emphasizing what the state has been giving up in federal money – and what he said has resulted in less help to those who need it.