A new report says Missouri's Medicaid costs could rise by 6.6 percent over 10 years if the state fully implements the federal health care law.
But the report also says almost half of that increase will occur even if Missouri does not expand Medicaid eligibility for adults.
The report by the Kaiser Family Foundation and Urban Institute says Missouri can expect to spend an additional $1.2 billion from 2013 to 2022 as more people join the Medicaid rolls because of the federal health care law.
Richard Freese sits in the waiting room of Family Care Health Centers in St. Louis. Freese is self-employed, servicing and selling industrial machines. But he says if he wound up hospitalized, he’d have no income – and no way to pay his bills.
In the wake of the Supreme Court’s ruling upholding the federal health law, Missouri Governor Jay Nixon is not taking a clear stance on whether he thinks the state should take part in a voluntary expansion of its Medicaid program. The health law originally required states to raise Medicaid eligibility to about 130 percent of the federal poverty level. But the Supreme Court ruling now leaves that decision up to states. Speaking to reporters in Kansas City Monday, Nixon said he hopes to work with providers, businesses, and lawmakers to figure out what’s best for Missouri.
After last week's Supreme Court decision upholding most of the Affordable Care Act, President Obama declared victory. But there was one major gray cloud -- or silver lining, depending on your point of view -- leaving open the question of Missouri's participation in the expansion of Medicaid envisioned by the federal health care law.
As part yesterday's Supreme Court decision on Obama's health care law, the justices ruled the federal government can't revoke states' Medicaid funding for failing to comply with the law's required Medicaid expansion. And as Véronique LaCapra reports, that could leave some Missourians without access to health insurance.
Top Missouri Republicans say they have no intention of expanding Medicaid eligibility as a result of the Supreme Court's ruling on the federal health care law.
The high court struck down a provision Thursday that threatened states with the loss of existing federal Medicaid dollars if they refuse to expand coverage to adults earning up to 133 percent of the federal poverty level. That ruling essentially makes the expansion optional for states.
House Majority Leader Tim Jones says the Republican-led Legislature will not consider the expansion.