Amendment Two Archives

Missouri’s House Budget Committee chair outlines alternative to Medicaid expansion; Kirk Mathews is Acting Medicaid director

April 6, 2021 By Brian Hauswirth

Missouri’s House Budget Committee learned new details Tuesday in Jefferson City about a budget blueprint from the committee chair to direct dollars slated for Medicaid expansion for other programs, including MO HealthNet. That’s the state Medicaid program.

Missouri House Budget Committee Chairman Cody Smith (R-Carthage) speaks on the House floor in Jefferson City on April 1, 2021 (photo courtesy of Tim Bommel at House Communications)

House Democrats are expected to oppose the plan, saying Missouri voters approved Medicaid expansion in August.

Budget Committee Chairman Cody Smith (R-Carthage) and the House Appropriations director presented House Bill 21, which is an eight-page bill. It’s just over $1 billion, with $894 million of that coming from federal funds.

Funding includes $26 million for programs like respite care, adult day care and home-delivered meals. Chairman Smith testifies the funding also includes $88.2 million for funding long-term care services for care in nursing facilities.

“This is an appropriation, a rate increase, that again as you (the House Appropriations director) noted, it’s written as a one-time increase. I think it’s up for up for question as to whether or not this should be a general revenue increase, or perhaps an f-map increase,” Smith testifies.

He says this involves a one-time nursing facility rate increase of about $10 per day.

While Chairman Smith opposes Medicaid expansion, his plan would provide an additional $735 million to the MO HealthNet Division for transitional payments. House Appropriations Director Glenn Fitzgerald testifies this is a brand-new proposal.

“This is 735-and-a-half million (dollars) federal funds for transitional payments related to Medicaid reform,” Fitzgerald testifies.

Then-State Rep. Kirk Mathews (R-Eureka) speaks on the Missouri House floor in Jefferson City on April 7, 2016 (file photo courtesy of Tim Bommel at House Communications)

HB 21 also includes $18 million for k-12 public school transportation, and $2 million for adult high schools. It also includes $11.6 million for treatment for alcohol and drug abuse, and $2.2 million for youth community programs. It also provides about $1 million in additional funding for the State Public Defender System.

There was no testimony in support or in opposition to Smith’s bill on Tuesday. Chairman Smith tells the audience that he hopes for a mark-up on either Thursday or Monday. This is a short week in Jefferson City, due to the Easter break.

Medicaid is a federal and state program that assists with medical costs for residents with limited incomes. 53 percent of Missouri voters approved Medicaid expansion in August, although it failed in 105 of the state’s 114 counties. Rural House members from those districts have led the opposition to funding Medicaid expansion.

House Democrats and Amendment Two supporters say Missouri voters have spoken. They say Medicaid expansion will help the working poor by expanding the program for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level.

The House voted to give final approval last week to a $34.1 billion state operating budget, which does not contain funding for Medicaid expansion.

We also learned during Tuesday’s one-hour hearing that former State Rep. Kirk Mathews (R-Eureka) is serving as the interim director at Missouri Medicaid, with Director Todd Richardson out on leave.

Mathews has been MO HealthNet’s chief transformation officer. He was first elected to the Missouri House in 2014 and and served two terms, from 2015-2018.

What we’re watching this week in the Missouri Legislature: PDMP, budget, foster care and human cloning

April 5, 2021 By Brian Hauswirth

Legislation that would create a prescription drug monitoring program (PDMP) is expected to receive final approval from the Missouri Senate in Jefferson City on Tuesday.

Senate Majority Leader Caleb Rowden (R-Columbia) tells Missourinet that the PDMP issue should come up tomorrow. That’s when state lawmakers return to Jefferson City, following the Easter break.

State Rep. Robert Sauls (D-Independence) speaks on the Missouri House floor in Jefferson City on March 31, 2021 (photo courtesy of Tim Bommel at House Communications)

The Senate voted to give initial approval to PDMP last week, and it had bipartisan support. Senate President Pro Tem Dave Schatz (R-Sullivan), who voted for Senate Bill 63, tells Missourinet Sullivan affiliate KTUI that informed doctors make better decisions.

“49 states currently have a PDMP, and actually it just provides a layer of protection against drug and dependency and dangerous drug interactions,” Schatz tells KTUI.

A PDMP is an electronic database that collects data on controlled substance prescriptions within a state. Missouri is the only state in the nation without a PDMP.

Opponents of Senate Bill 63, including State Sen. Mike Moon (R-Ash Grove), worry about potential data breaches.

Pro Tem Schatz also says the state operating budget will get a lot of attention in his chamber during the next five weeks. The House has approved a $34.1 billion budget, that does not include funding for Medicaid expansion. The budget now heads to the Senate.

“The governor had made recommendations. The House has made their modifications to it and now it’s our turn to work through the things that we think are priorities in funding in this state,” says Schatz.

The state Constitution requires Missouri lawmakers to approve a balanced budget, by early May.

State Rep. Sara Walsh (R-Ashland) speaks on the Missouri House floor in Jefferson City on March 22, 2021 (photo courtesy of Tim Bommel at House Communications)

Across the Capitol Rotunda in the Missouri House, the Budget Committee meets Tuesday afternoon at 12:30 to hear testimony from Committee Chairman Cody Smith (R-Carthage) about his budget proposal to use Medicaid expansion funding for other programs.

Medicaid is formally known as MO HealthNet, and it’s a federal and state program that assists with medical costs for residents with limited incomes. 53 percent of Missouri voters approved Medicaid expansion in August, although it failed in 105 of the state’s 114 counties. Rural House members from those districts led the opposition to Medicaid expansion last week. Amendment Two supporters say the measure expands Medicaid for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level.

Chairman Smith says Medicaid expansion would help able bodied adults, many who choose not to work. He’s filed a bill to use the $1.9 billion to instead support seniors in nursing homes, to provide care for the developmentally disabled and to expand mental health programs. It would also increase k-12 school transportation funding. That proposal will be outlined on Tuesday.

Meantime, the Missouri House Emerging Issues Committee meets Tuesday evening at 5, to hear a foster care proposal from State Rep. Robert Sauls (D-Independence). House Bill 1335 would prevent children from being aged out of foster care during a pandemic.

“During uncertain and difficult times, our most vulnerable children shouldn’t have to worry about homelessness,” Representative Sauls tells Missourinet. “That’s why I sponsored HB 1335. I want to make sure that during a moment of crisis, the children of Missouri have the stability that they need.”

Foster care continues to be a bipartisan issue at the Missouri Capitol. It’s also a top priority for House Speaker Rob Vescovo (R-Arnold).

The human cloning issue will also come up this week in a House committee. The Children and Families Committee will hear testimony on Wednesday morning from State Rep. Sara Walsh (R-Ashland), which would prohibit public expenditure of public funds for research projects involving abortion services and human cloning.

Walsh’s proposal is House Bill 852.

Medicaid expansion not included in final Missouri House budget; heated floor debate involves scripture

April 1, 2021 By Brian Hauswirth

After a heated floor debate that included numerous biblical references, the Missouri House voted Thursday afternoon to give final approval to a $34.1 billion state operating budget. The House budget does not contain funding for Medicaid expansion.

House Budget Committee Chairman Cody Smith (R-Carthage) and State Rep. Brad Hudson (R-Cape Fair) have a discussion on the Missouri House floor on April 1, 2021 (photo courtesy of Tim Bommel at House Communications)

The operating budget now heads to the Missouri Senate, and Medicaid expansion supporters hope senators will include the funding. The state Constitution requires Missouri lawmakers to approve a balanced budget, by early May.

Medicaid is formally known as MO HealthNet, and it’s a federal and state program that assists with medical costs for residents with limited incomes. In August, 53 percent of Missouri voters approved Medicaid expansion, although it failed in 105 of the state’s 114 counties. Rural House members from those districts led the opposition to Medicaid expansion this week.

Amendment Two supporters say the measure expands Medicaid for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level.

House Republicans, led by House Budget Committee Chairman Cody Smith (R-Carthage) say Medicaid expansion would help able bodied adults, many who choose not to work. Smith has filed a bill to use the $1.9 billion to instead support seniors in nursing homes, to provide care for the developmentally disabled and to expand mental health programs.

State Rep. Doug Richey (R-Excelsior Springs), who serves on the House Budget Committee, supports Chairman Smith’s position. Richey says it’s important for state government to prioritize.

“What we are doing in this is we are prioritizing the most vulnerable among us,” Richey tells House colleagues.

State Rep. Michael Burton (D-Lakeshire) speaks about Medicaid expansion on the Missouri House floor on April 1, 2021 (photo courtesy of Tim Bommel at House Communications)

The Missouri House Health and Mental Health Policy Committee’s top Democrat is criticizing House Republicans for approving a budget that doesn’t include Medicaid expansion. She voted against the budget bill.

“In 2010 I became an activist and supported President (Barack) Obama’s Affordable Care Act, because it was the right thing to do and thank God that I did. Because it saved my life,” State Rep. LaDonna Appelbaum (D-St. Louis County) tells colleagues.

Appelbaum also talked about her experience with chemotherapy.

Thursday’s debate included numerous references to the Bible, with lawmakers in both parties invoking Jesus’ name and quoting scripture. State Rep. Michael Burton (D-Lakeshire) asked Republicans what Jesus would do about people in need without health care, and State Rep. Trish Gunby (D-Manchester) notes her United Methodist Church believes health care is a right.

But State Rep. Ben Baker (R-Neosho), a minister and former dean of students at Neosho’s Ozark Bible Institute, quoted the Apostle Paul to the Thessalonians on the floor.

“If you don’t work, you don’t eat,” Baker tells the House. He accuses House Democrats of hypocrisy, and State Rep. Nick Schroer (R-O’Fallon) agreed. Schroer says Democrats quote the Roman Catholic Church and other religions, when it’s something they agree with.

State Rep. Keri Ingle (D-Lee’s Summit), quoted Matthew Chapter 25 in a Thursday tweet.

“Then the king will say to those at his right hand, ‘Come, you that are blessed by my Father, inherit the kingdom prepared for you from the foundation of the world; for I was hungry and you gave me food, I was thirsty and you gave me something to drink.”

Governor Parson was asked about the House’s effort on Wednesday, during a live interview on Missourinet Sedalia affiliate KDRO (AM 1490).

“We’ll have to see how that goes in the Senate there. We did put the money in the budget for that,” Parson tells KDRO. “People did vote for it. Although I didn’t support it (Medicaid expansion) at the time but the reality of it is, the people of the state voted for it. I thought it was my obligation as governor to make sure we try to get it implemented. We’ll see though. The House voted against that … a little different maneuver I want to say, I guess. We’ll see what the Senate does and we’ll see how it comes out at the end of the day.”

Missouri lawmakers have left Jefferson City for their Easter break. They’ll return to the Capitol on Tuesday.

What we’re watching this week in Missouri Legislature: Medicaid expansion, budget, PDMP and proposal to reduce Missouri House’s size

March 29, 2021 By Brian Hauswirth

The state operating budget and prescription drug monitoring program (PDMP) legislation will likely take center stage in the Missouri Legislature in Jefferson City this week.

Missouri House Budget Committee Chairman Cody Smith, R-Carthage, testifies before a House committee in Jefferson City on February 24, 2021 (file photo courtesy of Tim Bommel at House Communications)

Governor Mike Parson (R) has proposed a $34.1 billion state operating budget. House Budget Committee Chairman Cody Smith (R-Carthage) tells Missourinet that he hopes to see the House give initial and final approval to the operating budget this week. The state Constitution requires Missouri lawmakers to approve a balanced budget, by early May.

Once the budget goes to the House floor this week, there will likely be a floor debate on the issue of Medicaid expansion.

Medicaid is formally known as MO HealthNet, and it’s a federal and state program that assists with medical costs for residents with limited incomes. 53 percent of Missouri voters approved Medicaid expansion in August, although it failed in 105 of the state’s 114 counties. Amendment Two expands Medicaid for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level.

Last week the House Budget Committee voted against funding Medicaid expansion. Chairman Smith issued a statement, which says the expansion would help able bodied adults, many who choose not to work. He’s filed a bill to use that money to support seniors in nursing homes, to provide care for the developmentally disabled and to expand mental health programs. Smith also wants to use some of the money for additional public defenders.

During his January State of the State Address, Governor Parson pledged to move forward with implementation of Medicaid expansion, because voters approved it.

House Minority Leader Crystal Quade (D-Springfield) and other House Democrats have called a Statehouse news conference for Monday afternoon at 1 to address the issue. Leader Quade and House Democrats say Missouri voters have spoken. She describes the Budget Committee’s decision as an irresponsible attempt by House Republicans to defund Missouri’s Medicaid program.

State Sen. Holly Rehder (R-Scott City) speaks on the Missouri Senate floor in Jefferson City on March 9, 2021 (file photo courtesy of Harrison Sweazea at Senate Communications)

Across the Capitol Rotunda in the Missouri Senate, PDMP should hit the Senate floor this week. State Sen. Holly Rehder (R-Scott City) has filed PDMP for the ninth straight year. Rehder filed it for the eight years she served in the House. She was elected to the Missouri Senate in November, and has filed Senate Bill 63.

Senator Rehder delivered a passionate speech on the Missouri House floor in May, revealing to colleagues that her late mother and late sister were both sexually assaulted multiple times and that they turned to prescription drugs for their pain.

“I look forward to having that (Senate floor debate) conversation, obviously this is something that (State) Senator Rehder is very passionate about. When she was in the House, I carried that legislation myself (and) tried to find a resolution for that,” Senate President Pro Tem Dave Schatz (R-Sullivan) told Missourinet last week.

A PDMP is an electronic database that collects data on controlled substance prescriptions within a state. Missouri is the only state in the nation without a PDMP.

Rehder and other supporters say Missouri’s medical professionals must have knowledge of what their patients are on, prior to prescribing more medication. Bill opponents such as State Sen. Mike Moon (R-Ash Grove) worry about potential data breaches involving your prescription information.

While both the Missouri House and Senate approved PDMP in 2020, they approved different versions of the bill.

Pro Tem Schatz says education reform bills will also likely be debated on the floor this week. He also expects some long nights between now and May.

“Not sure exactly the floor schedule, but would anticipate working longer hours from now till session ends,” Schatz tells Missourinet.

Another interesting issue that will be discussed in a Missouri House committee this week involves reducing the Missouri House’s size.

State Rep. Travis Fitzwater (R-Holts Summit) is proposing a constitutional amendment that would reduce the Missouri House from 163 to 136 members. Fitzwater will present his proposal Wednesday afternoon to the House Elections and Elected Officials Committee.

Fitzwater’s proposed House Joint Resolution 34 is similar to his 2019 proposal, which failed. Missouri currently has 197 lawmakers, although there is one House vacancy. Fitzwater says it’s the seventh-largest Legislature in the nation, and that Missouri has more state lawmakers than any of its bordering states.

Missourians ratified a constitutional amendment in 1966, which locked in the number of House seats at 163.

The Missouri House and Senate will both gavel-in Monday afternoon at 4 in Jefferson City.

Missouri Medicaid expansion implementation discussion to begin after State of State address

January 24, 2021 By Brian Hauswirth

The Missouri House Budget Committee is expected to hold its first meeting of 2021 this week in Jefferson City.

Missouri House Budget Committee Chair Cody Smith, R-Carthage, speaks at the Statehouse in Jefferson City on November 9, 2020 (file photo courtesy of Tim Bommel at House Communications)

House Majority Floor Leader Dean Plocher, R-Des Peres, has released a revised House schedule. A technical session has been added on Friday, which will allow the Budget Committee to meet that day.

Missouri’s current operating budget is about $38 billion, which includes two supplemental budgets with federal money.

Governor Mike Parson (R) will deliver his State of the State Address on Wednesday afternoon at 3 in Jefferson City, before a joint session of the Legislature. The governor will outline his 2021 legislative priorities at that time, and will also unveil his proposed budget blueprint.

The implementation of Medicaid expansion is expected to be a key issue this session.

“We will wait until after the state of the state (speech) to discuss new budget items like medex (Medicaid expansion). We need to see what the department (state Department of Social Services) proposes and spend a little time unpacking it,” House Budget Committee Chairman Cody Smith, R-Carthage, tells Missourinet.

Medicaid is formally called MO HealthNet. It’s a federal and state program that assists with medical costs for residents with limited incomes.

About 53 percent of Missouri voters approved Medicaid expansion in August. Amendment Two expands Medicaid for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level. Medicaid expansion supporters say the measure will provide healthcare to Missourians who earn less than $18,000 annually.

House Minority Leader Crystal Quade, D-Springfield, speaks on the Missouri House floor on January 6, 2021 (file photo courtesy of Tim Bommel at House Communications)

Medicaid expansion implementation is a top 2021 priority for House Minority Leader Crystal Quade, D-Springfield, and other House Democrats. She notes Medicaid expansion will extend health care coverage to more than 200,000 Missourians.

“As we head into our second year of the (COVID) pandemic, we must take the lessons learned so far about what works and what doesn’t and translate it into action,” Leader Quade said on January 6, opening day for the Legislature. “We must work together to ensure Missourians can get vaccinated as quickly as possible. And the need to expand health care access as commanded by voters has never been more critical.”

The Missouri Chamber of Commerce and Industry and many labor unions endorsed Amendment Two. The Chamber frequently quoted a study from the Missouri Foundation for Health, which says Medicaid expansion will create more than 16,000 new jobs annually during its first five years. The Chamber says many of those jobs will be in rural Missouri.

However, Medicaid expansion failed in 105 of the state’s 114 counties. All 105 counties that voted against it are in rural Missouri, which is a GOP stronghold.

House Budget Committee Chairman Smith warned before the August election that Amendment Two was projected to cost $200 million in state general revenue, and $1.8 billion in federal funding each year.

While GOP Governor Parson campaigned against Medicaid expansion, he has told Capitol reporters several times that Medicaid expansion will be implemented because that was the will of the voters.

Outgoing Missouri State Rep. Deb Lavender reflects on her six years in Jefferson City (AUDIO)

December 9, 2020 By Brian Hauswirth

A veteran Democrat on the Missouri House Budget Committee will be leaving Jefferson City at the end of the month, after losing a Senate race to State Sen. Andrew Koenig, R-Manchester.

State Rep. Deb Lavender, D-Kirkwood, speaks on the Missouri House floor in Jefferson City on May 15, 2020 (file photo courtesy of Tim Bommel at House Communications)

State Rep. Deb Lavender, D-Kirkwood, was elected to the House in 2014 and served three terms. She’s most proud that Missourians approved Medicaid expansion in August.

“I guess what I can say I’m proud about is my individual district (the 90th in St. Louis County) passed that by 70 percent,” Lavender says. “So I think my six years of educating my district why Medicaid expansion is important, I think that’s the first thing for the state of Missouri that I think is the best thing that’s happened in a long time.”

Medicaid is a federal and state program that assists with medical costs for residents with limited incomes. 53 percent of Missouri voters approved Amendment Two, which will provide healthcare to Missourians who earn less than $18,000 annually.

Lavender is hopeful that some of the rural hospitals that have closed in recent years will re-open, now that Missouri voters have approved Medicaid expansion. She says the issue is important statewide.

“We’ve closed ten hospitals over the last decade and especially in our day of the COVID virus right now, people are traveling to St. Louis for their medical care,” says Lavender.

Amendment Two expands Medicaid for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level.

The implementation of Medicaid expansion will take place in 2021. House Budget Committee Chairman Cody Smith, R-Carthage, has said it’s projected to cost $200 million in state general revenue and $1.8 billion in federal funding each year.

The Missouri Chamber of Commerce, Lavender and other supporters say Medicaid expansion will create more than 16,000 new jobs annually during its first five years, while increasing personal income by $1.1 billion annually.

Another issue Representative Lavender has tried to raise awareness about is fund balances. She is the ranking Democrat on the Missouri House Appropriations Subcommittee on health and social services.

Lavender says Missouri currently has more than 450 individual bank accounts, with $6.8 billion in the bank. She’s disappointed that more hasn’t been done in Jefferson City with the fund balances.

“What I have figured out is that there’s no one person accountable for fund balances,” Lavender says. “But in some cases, I think it’s a place where we have learned to hide money.”

Lavender questions whether all of that money is needed. She says if it’s not needed, it should be spent appropriately. She also supports decreasing some professional license fees.

Lavender says her future is still to be determined. She notes she has always practiced as a physical therapist during her time in Legislature, and has kept her physical therapy practice during the last 18 months of campaigning.

She’s also still interested in state government and in the fund balances. She emphasizes that she has enjoyed serving on the House Budget Committee, and in the Legislature.

Click here to listen to Brian Hauswirth’s full interview with State Rep. Deb Lavender, D-Kirkwood, which was recorded on December 7, 2020:

Missouri’s state treasurer is warning against Medicaid expansion; both sides cite different numbers

July 26, 2020 By Brian Hauswirth

Missouri’s state treasurer and the House Budget Committee chairman will travel across the state on Monday, urging Missourians to vote against Medicaid expansion on the August ballot.

Missouri State Treasurer Scott Fitzpatrick speaks at a CARES Act funding working group on May 21, 2020 in Jefferson City (file photo courtesy of Tim Bommel at House Communications)

Medicaid, which is formally known as MO HealthNet, is a federal and state program that assists with medical costs for residents with limited incomes.

House Budget Committee Chairman Cody Smith, R-Carthage, tells Missourinet that Medicaid’s current budget is almost $12 billion for fiscal year 2021. The state’s current operating budget is about $35.2 billion.

Smith and State Treasurer Scott Fitzpatrick (R) will visit Joplin, Springfield, Kansas City, Creve Coeur, Cape Girardeau and Jefferson City on Monday. They’ll brief Capitol reporters immediately following the governor’s 3 pm press conference at the Statehouse.

Missourians will cast ballots on Amendment Two, the Medicaid expansion proposal, on August 4. If approved by voters, Medicaid would be expanded for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level, as set forth in the Affordable Care Act.

Medicaid expansion supporters say the measure would provide healthcare to Missourians who earn less than $18,000 annually.

Chairman Smith says the August Medicaid expansion ballot measure is projected to cost $200 million in state general revenue, and $1.8 billion in federal funding each year. He also says it will raise Missouri’s Medicaid rolls from 950,000 to more than 1.2 million participants.

Smith also says COVID-19 has had a major impact on Missouri’s economy.

“More than $1 billion has been cut from the state’s general revenue budget in recent months,” Smith says, in a statement. “Just this month, services requiring state support have been drastically reduced, including elementary school funding, college scholarships, and support services for those in need. Amendment Two will be a knockout blow to the state budget as more services will be cut or eliminated to pay for the healthcare of able-bodied adults.”

Supporters of Medicaid expansion disagree, saying the measure will create thousands of new jobs, many of them in rural communities.

The Missouri Chamber of Commerce and Industry and many unions have endorsed Amendment Two. The Chamber has quoted a study from the Missouri Foundation for Health, which says Medicaid expansion will create more than 16,000 new jobs annually during its first five years, while increasing personal income by $1.1 billion annually.

The Foundation for Health says most of the new positions would be outside of St. Louis and Kansas City, and that 90 percent of those jobs will pay more than $15 an hour.

Medicaid expansion supporters also say that Amendment Two will help keep rural hospitals open.

The Missouri Hospital Association (MHA) says ten rural Missouri hospitals have closed since 2014. Five of the ten ten closings happened in the southeast Missouri district of U.S. Rep. Jason Smith, R-Salem.

The Missouri Farm Bureau, the state’s largest general farm organization, is opposed to Amendment Two. Farm Bureau President Blake Hurst says it could cripple the state budget by imposing massive new healthcare costs on Missouri taxpayers.

37 states have expanded Medicaid.

Medicaid expansion is top priority for Missouri Democratic Party’s new acting chair (AUDIO)

July 8, 2020 By Brian Hauswirth

The Missouri Democratic Party’s new acting chair is focusing on the August Medicaid expansion ballot measure and the November elections.

Former State Rep. Clem Smith, D-Velda Village Hills, speaks on the Missouri House floor in Jefferson City on May 18, 2018 (photo courtesy of Tim Bommel at House Communications)

Former State Rep. Clem Smith, D-Velda Village Hills, was elected to the Missouri House in 2010. He served eight years in the House, from 2011-2018, before being forced out by term limits. Smith became acting chair of the party on Thursday.

He says access to health care is critical. He’s pushing for Amendment Two, which will be on your August 4th ballot.

“We believe the state has an appetite for it (Medicaid expansion),” Smith says. “I think the governor saw that too. We saw some jockeying of dates for that ballot initiative being moved to August.”

Medicaid, which is officially known as MO HealthNet, is a federal and state program that assists with medical costs for residents who have limited incomes.

Medicaid expansion supporters, including the Missouri Chamber of Commerce and Industry, say it will create more than 16,000 new jobs annually during its first five years. Supporters also predict it will increase personal income by $1.1 billion annually.

House Speaker Elijah Haahr, R-Springfield, opposes Medicaid expansion, saying it would take dollars out of the classroom. He notes it requires a ten percent match, for the 90 percent draw down. House Budget Committee Chairman Cody Smith, R-Carthage, says Medicaid expansion will blow a hole in the state operating budget.

As for Clem Smith, he’s confident that Missourians will approve Medicaid expansion at the ballot box next month. He says some GOP lawmakers who oppose Medicaid expansion also supported right-to-work, which Missourians rejected during a 2018 referendum.

“We saw that with the right-to-work that went through (signed into law by then-Governor Eric Greitens in 2017),” says Smith. “The people came and spoke and said we don’t want that, after members of the Legislature voted for it.”

67 percent of Missourians voted against right-to-work, at the August 2018 referendum.

Smith is also focusing on the November elections. He’s hopeful former Vice President Joe Biden (D) will carry Missouri this fall. The last Democratic presidential nominee to carry Missouri was Bill Clinton, who won here in both 1992 and 1996.

Smith is also focusing on the gubernatorial race and the statewide races. State Auditor Nicole Galloway, the presumptive Democratic gubernatorial nominee, is currently the only Democratic statewide officeholder. Smith also wants to see Democrats pick up seats in the Missouri Senate and Missouri House.

Republicans currently have supermajorities in both chambers. They control the Senate 23-8, with three vacancies. The GOP controls the House 113-48, with two vacancies.

Smith is also encouraging residents to fill out the U.S. Census, which takes place every ten years. He tells Missourinet the census is a nonpartisan issue.

“That’s very important because that determines the federal dollars that are coming into our state, how they’re allocated,” Smith says.

Each year, billions of dollars in federal funding goes to hospitals, fire departments and schools based on census data. The Census results also determine the number of seats each state will have in the U.S. House of Representatives.

Missouri now has eight House seats, and has lost two since 1980. That happened in 1981 and again in 2011, when the districts of then U.S. Reps. Wendell Bailey, R-Willow Springs, and Russ Carnahan, D-St. Louis, disappeared.

Smith replaces former Missouri Democratic Party Chair Jean Peters Baker, who is the Jackson County Prosecutor.

Click here to listen to the full interview between Missourinet’s Brian Hauswirth and Missouri Democratic Party acting chair Clem Smith, D-Velda Village Hills. It was recorded on July 6, 2020:

Missouri lawmakers to hear Tuesday testimony on two issues: Medicaid expansion and tax credits

June 30, 2020 By Brian Hauswirth

Missouri lawmakers will hear testimony on Tuesday in Jefferson City about potential impacts on the state budget, if voters approve Medicaid expansion in August.

House Budget Committee Chairman Cody Smith, R-Carthage, speaks on the Missouri House floor on May 6, 2020 in Jefferson City (file photo courtesy of Tim Bommel at House Communications)

Medicaid, which is officially called MO HealthNet in Missouri, is a federal and state program that assists with medical costs for residents with limited incomes.

Missouri voters will cast ballots on Amendment Two in August, and the House Budget Committee will hear testimony Tuesday afternoon from 1-5 about potential budget implications.

Missouri’s current Medicaid budget is about $10 billion, about one-third of the state’s approximately $30 billion budget.

Thirty-six states have approved Medicaid expansion.

The Missouri Chamber of Commerce and Industry has endorsed Amendment Two, describing it as a “pro-jobs measure that will help fuel economic growth throughout our state.” The Chamber cites a report from the Missouri Foundation for Health, which says Medicaid expansion will create more than 16,000 new jobs annually during its first five years, creating more state revenue.

The Missouri Hospital Association also backs Medicaid expansion, saying 10 rural Missouri hospitals have closed since 2014.

Top Missouri GOP leaders oppose Medicaid expansion, warning it will impact the budget, causing cuts in other programs.

House Speaker Elijah Haahr, R-Springfield, says it would take dollars out of the classroom. He notes it would require a ten percent match, for the 90 percent draw down.

House Budget Committee Chairman Cody Smith, R-Carthage, agrees, warning it will blow a hole in the state operating budget. Governor Mike Parson (R) has expressed similar concerns.

The Budget Committee will also meet Tuesday from 10 a.m. to noon for their annual tax credit review hearing. Tax credits are essentially money that can be offset against a tax liability.

Budget Chairman Smith tells Missourinet that the state issued $551 million in tax credits in fiscal year 2019. Supporters of tax credits in the Legislature say they’re critical to landing key projects, especially in rural Missouri.

But opponents say they decrease funding for other parts of the state budget.

Galloway tells Missouri Democrats she’ll put Jefferson City back on the side of working families (AUDIO)

June 15, 2020 By Brian Hauswirth

Missouri’s presumptive Democratic gubernatorial nominee is urging voters to approve a Medicaid expansion proposal on the August ballot. State Auditor Nicole Galloway addressed the Missouri Democratic Party state convention this weekend.

Missouri State Auditor Nicole Galloway (D)
(Missourinet file photo)

“We’re going to bring our (Missouri) tax dollars home, to invest in our people,” Galloway says. “Giving coverage to working people, saving health care jobs and creating new ones in parts of our state that desperately need them.”

Amendment Two will be on the August 4 statewide ballot. 36 states have approved Medicaid expansion.

The Missouri Chamber of Commerce and Industry announced its support of the August ballot measure on Friday.

“Let’s not miss this chance to bolster our economy during this recovery, while expanding access to healthcare for our fellow Missourians,” Missouri Chamber President Dan Mehan says, in a written statement.

The Missouri Chamber describes the Medicaid expansion proposal as a “pro-jobs measure that will help fuel economic growth throughout our state.”

The Missouri Hospital Association says ten rural Missouri hospitals have closed since 2014.

Governor Mike Parson (R) and House Speaker Elijah Haahr, R-Springfield, oppose Medicaid expansion. Speaker Haahr says it would take dollars out of the classroom, noting it requires a ten percent match, for the 90 percent draw down.

During her Friday evening address, Galloway also condemned George Floyd’s recent death in Minneapolis. The Columbia Democrat says America’s criminal justice system is fractured.

“Addressing it begins with accountability, accountability for the law enforcement officers involved. And accountability in the systems that perpetuate systemic inequality,” says Galloway.

Galloway says the disparities in our criminal justice system are real.

The former Minneapolis police officer who was charged with murdering Mr. Floyd is now charged with second degree murder, and the three other officers have been charged with aiding and abetting.

Galloway also addressed the issue of voting, during her presentation. She is urging Governor Parson to issue an order that would allow any Missourian in 2020 to vote absentee, without notarization.

The governor signed absentee voting legislation this month.

It expands absentee voting to those 65 and older, or who are vulnerable to COVID-19. Elderly people are considered at greater risk. Notarization is not required for those 65 and older or who are vulnerable.

The bill also expands voting by mail for everyone, but requires notarization.

“Missouri’s notary requirement is voter suppression, especially during a pandemic,” Galloway told the convention on Friday.

Galloway faces four primary opponents in August: Jimmie Matthews of St. Louis, Antoin Johnson of St. Louis, Kansas City’s Eric Morrison and Robin John Daniel Van Quaethem of St. Louis.

Galloway is expected to face Governor Parson in the November general election.

Click here to listen to State Auditor Nicole Galloway’s full eight-minute address to the Missouri Democratic Party state convention on June 12, 2020: