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Boonville hospital closing and Medicaid expansion emerge as issues in key Missouri Senate race (AUDIO)

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Both major parties are pouring money and resources into a mid-Missouri state Senate race, a race that could determine whether Republicans keep a veto-proof majority in that chamber.

The race features Senate Majority Leader Caleb Rowden, R-Columbia, and former State Rep. Judy Baker, D-Columbia.

The district covers Boone and Cooper counties, along the I-70 corridor. While Columbia and Boonville are the two major cities in the district, there are also numerous small towns and farms across the two counties.

Rowden, who served two terms in the Missouri House from 2013-2016, won the Senate seat in 2016 by defeating then-State Rep. Stephen Webber, D-Columbia. Rowden had 45,335 votes, to Webber’s 43,179. Rowden won the race by about two-and-a-half points.

The majority leader is the two number two position in the Missouri Senate. Rowden says serving as majority leader gives him a larger role in impacting the agenda.

“For me that’s making sure that we find a way to get past COVID, trying to find a way to make sure that small businesses have what they need on the back end of COVID, that’s going to be a challenge,” Rowden says. “Trying to make sure the budget situation is stable.”

Rowden also says transportation is huge in the district, noting the importance of an $81-million dollar federal grant to replace the aging I-70 Rocheport bridge. Rocheport is just west of Columbia.

More than 12 million vehicles cross the massive bridge annually, including three million trucks. The bridge connects Boone with Cooper county, across the Missouri River. The current bridge is more than 60 years old, and the state Department of Transportation (MoDOT) has said it’s in poor condition.

Judy Baker served two terms in the Missouri House, from 2005-2008. She left her House seat to run for an open U.S. House seat in 2008, narrowly losing that race to Blaine Luetkemeyer, R-St. Elizabeth, who’s now in his sixth term.

If elected to the Missouri Senate, Baker’s top priority is implementing and protecting Medicaid expansion, which was approved by Missouri voters in August.

“We just passed it (in August) and in this (senatorial) district, it passed with 62 percent of the vote. And my opponent, of course, has voted against it every time he could,” Baker says.

Medicaid expansion supporters say it will provide healthcare to Missourians who earn less than $18,000 annually.

This year’s closing of a hospital in Boonville has emerged as an issue in this race. Baker tells Missourinet that Pinnacle Regional Hospital in Boonville and some other hospitals would have been saved by Medicaid expansion.

“Those hospitals would have been able to stay in their communities, had they had some kind of revenue for the patients they were already seeing,” says Baker.

But Rowden tells Missourinet that the Boonville hospital closed because of mismanagement, saying hospital leaders in Boonville didn’t have the best interest of the community at heart. Rowden disagrees with Baker on Medicaid expansion.

“Well Medicaid expansion wouldn’t keep any rural hospital open, and there’s no data to back that up,” says Rowden. “I do think the infusion of federal dollars could have postponed the inevitable, in some cases.”

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

Rowden and Baker are also clashing over the initial cost of Medicaid expansion, with Rowden saying it will cost $300 to $500 million in the first five years. He says the money has to come from somewhere, and doesn’t want it coming from Mizzou.

Baker says Medicaid expansion would be an economic boost to hospitals and to the towns that have hospitals, especially rural areas.

Republicans currently control the Senate 23-8, with three vacancies. Two of the three vacancies are in the heavily-Democratic Kansas City area, and one is in southeast Missouri, a GOP stronghold.

A veto-proof majority in the Missouri Senate is 23 Senate seats.

Democrats hope to unseat both Majority Leader Rowden and State Sen. Andrew Koenig, R-Manchester, on Tuesday. If that happens and if the other Senate races end up as expected, Republicans would have 22 seats, one short of a veto-proof majority.

Governor Mike Parson (R) noted the importance of Rowden’s seat, during a speech last week to supporters at Emery Sapp and Sons in Columbia. Parson spoke directly to the construction workers in the back of the room, saying “I need him,” referring to Senator Rowden.

Rowden’s other top priorities include protecting funding for Mizzou, as well as K-12 and other higher education funding.

Baker is also focused on the COVID pandemic, and says any economic recovery should be geared toward working families.

Click here to listen to Brian Hauswirth’s full interview with Missouri Senate Majority Leader Caleb Rowden, R-Columbia, which was recorded on October 28, 2020:

Click here to listen to Brian’s full interview with former State Rep. Judy Baker, D-Columbia, which was recorded in Columbia on October 29, 2020:

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Parson and Galloway focusing on rural Missouri in final days of campaign; both appealing to blue-collar voters (AUDIO)

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The two main gubernatorial candidates are focusing on rural Missouri again Friday, and during the final days of the campaign.

Governor Mike Parson (R) brings his “Mike works bus tour” to four rural western Missouri towns: his hometown of Bolivar, as well as Clinton, Belton and El Dorado Springs. He’ll finish Friday evening in Springfield.

The governor tells Missourinet he feels confident about where the race is and that he’s on message. Parson also says that if he wins Tuesday, he’ll continue to focus on putting people first.

“I think what we seen what we did by taking the largest income tax cut in our state’s history, by creating 40,000 new jobs by focusing on workforce development and infrastructure,” Parson says, highlighting achievements of his term.

Parson will speak at Friday evening’s “Keep Missouri Red Rally” in Springfield, with former White House Press Secretary Sarah Huckabee Sanders. Sanders will also join the governor Saturday for a rally in eastern Missouri’s St. Peters.

Missouri State Auditor Nicole Galloway, the Democratic gubernatorial nominee, will meet Friday morning with Teamsters Union members in Springfield and with UAW members in Pleasant Valley.

She campaigned Thursday in Columbia, before heading to southwest Missouri’s Marshfield and Springfield. During an interview with Missourinet outside her bus in Columbia, Galloway says rural voters tell her that Jefferson City is disconnected from what matters to them, in their communities.

“Rural hospitals are closing. Jobs are leaving the area,” Galloway says. “They’re concerned about funding for their schools, which are the center of those rural communities.”

The Missouri Hospital Association (MHA) says ten rural hospitals have closed in Missouri, since 2014. Click here to see the full map and years. To be clear, several of those closings happened when Governor Jay Nixon (D) was in office.

But several have also happened during the tenure of Governors Eric Greitens (R) and Parson.

While Parson and Galloway disagree on numerous policy issues, one thing they both have been doing during the campaign’s final stretch is campaign heavily in rural towns across the state.

Galloway says her top priority, if elected governor, will be implementation of Medicaid expansion.

“Making sure that not only folks have access to affordable health insurance, but also have access to health care, meaning we can keep our rural hospitals open and open clinics in parts of our state that desperately need it,” says Galloway.

In August, Missouri voters approved Medicaid expansion for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level. While the issue was defeated in 105 of Missouri’s 114 counties, Galloway notes it passed by six points statewide, and that hundreds of thousands of votes from rural residents were key to its passage.

Galloway also says Missouri needs a reset on COVID strategy, so people can get back to work.

During a campaign stop Tuesday at Emery Sapp and Sons in Columbia, Governor Parson emphasized his rural roots, and talked about growing up in southwest Missouri’s Wheatland. He also discussed saying the Pledge of Allegiance in school.

He’s also emphasizing his experience.

“I think what people are seeing right now with everything we’ve been through is experience does matter at a time like this, and I think that’s one of the things I have,” says Parson. “All the way from serving my country in the military, law enforcement, being a business owner.”

Parson says it’s important to take a balanced approach to combating COVID, and that it’s crucial to look at the state as a whole. He says businesses are opening back up, and children are back in school.

Both candidates are appealing to blue-collar voters.

Parson praised their work ethic during his speech at Emery Sapp and Sons, talking about the workers wearing coveralls in the back of the room. He noted he had done work like that. It drew applause from the audience.

As for Galloway, she told her audience on Thursday that Governor Parson’s supporters want to make Missouri a right-to-work state. She’s pledging to veto a right-to-work bill, if she’s elected. That also drew applause from her audience.

Election day is Tuesday across Missouri.

Click here to listen to Governor Mike Parson speak to Missourinet’s Brian Hauswirth and other reporters at Columbia’s Emery Sapp and Sons on October 27, 2020:

Click here to listen to Brian Hauswirth’s interview with Missouri Auditor Nicole Galloway, on October 29, 2020 in Columbia:

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Rural hospital closings getting attention from both candidates in southern Missouri congressional race (AUDIO)

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Health care has emerged as a major issue in southern Missouri’s Eighth Congressional district race between U.S. Rep. Jason Smith (R-Salem) and his Democratic challenger Kathy Ellis.

The sprawling district includes 30 southern Missouri counties and about 20,000 square miles. It stretches from Jefferson County, south of St. Louis, all the way to the Bootheel. It also includes southern Missouri towns like West Plains, Ava, and St. James. The district hasn’t sent a Democrat to Washington since Congressman Bill Burlison, who served from 1969 to 1981.

The Eighth Congressional district has seen five hospital closings since 2016:

** Parkland Health Center in Farmington (2016)
** Southeast Health Center of Reynolds County in Ellington (2016)
** Southeast Health Center of Ripley County in Doniphan (2018)
** Twin Rivers Regional Medical Center in Kennett (2018)
** Black River Medical Center in Poplar Bluff (2019)

Ellis, a social worker who lives in Festus, supports Medicaid expansion and says federally qualified health centers must be expanded in southeast Missouri.

“So that they’re delivering primary care, behavioral health, dental, OBGYN, everything that the area needs,” Ellis says.

As for Congressman Smith, he says Medicaid expansion is a state issue. He has described the hospital closings as “unacceptable” several times, during interviews with Missourinet. He notes that people die when hospitals close, noting that rural hospital closures are associated with an increase in an area’s mortality rate.

But Smith says attention hasn’t been given to the hospitals he’s worked to save, like the Iron County Medical Center in Pilot Knob. Smith tells Missourinet the facility was days away from closing, and that he and U.S. Sen. Roy Blunt (R) worked with the hospital administrator to keep it open.

Smith also says that when the COVID-19 pandemic hit, he immediately got hospital administrators, local health clinics and doctors on the phone, and brought their needs to the president. He notes he successfully urged the Trump Administration this year to reverse its earlier rule requiring telehealth to have audio and video, saying that’s been huge for the district, which has major issues with lack of rural broadband and cell service.

“And so working with the president (Donald Trump), I was able to get him to do an executive order to rescind it, that they could do telehealth by just audio. It didn’t have to be audio and visual,” Smith says.

Congressman Smith also filed legislation in July called the “Saving Rural Hospitals from Closure Act,” which would keep rural hospitals open by allowing the HHS Secretary to give hospitals flexibility to remain financially viable.

The two candidates agree that access to quality health care is critical in southeast Missouri, and that the district needs every hospital and rural clinic in it.

They also agree on the need for improved rural broadband in the district.

As for Ms. Ellis, she reiterates that health care is the top priority for residents in the district. She notes it’s impoverished and that some southeast Missourians must drive two hours for health care.

“We have huge infant/mother mortality rates in the Bootheel and we have fully one-third of the 16 counties surrounding the Bootheel where children don’t have enough to eat on the weekends,” says Ellis.

She says her priorities are the priorities of district residents, and that it’s time to have a representative who listens to the people.

During her interview with Missourinet, she notes that many southeast Missouri Republicans have run unopposed for state legislative seats during recent years.

She says there’s not been a lot of energy from the Missouri Democratic Party, for southeast Missouri and other rural areas. She says that’s happened around the nation as well.

But Ellis emphasizes that elections are won and lost in rural areas, and that Democrats must focus on rural America. She says winning can take multiple election cycles, and says young voters in her district are energized.

Ellis put 75,000 miles on her car in 2018, when she faced Smith. Smith won with about 73 percent of the vote, getting 194,042 votes to Ellis’ 66,151 votes.

Congressman Smith describes the district as “God’s Country.” It includes the Mississippi Delta and the Ozark Hills. He says his priority is to represent his constituents.

“That is to make sure our rural Missouri values has a strong voice and is represented in Washington D.C. Those values include limited government, freedom, lower taxes,” says Smith.

Smith says the tax cut signed by President Trump should be made permanent, along with doubling the child tax credit.

He also says the 2020 election is not just about the next two or four years, it’s about the next 50 years.

Click here to listen to Brian Hauswirth’s full interview with U.S. Rep. Jason Smith, R-Salem, which was recorded on October 26, 2020:

Click here to listen to Brian Hauswirth’s full interview with Democrat Kathy Ellis of Festus, which was recorded on October 26, 2020:

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Parson and Galloway blast each other repeatedly during Missouri gubernatorial debate

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Missouri’s two major gubernatorial candidates clashed during a Friday afternoon debate in Columbia on numerous issues, including Clean Missouri, COVID, Medicaid expansion and valet parking at the Capitol.

The debate, which took place at the Missouri Theatre in Columbia, was sponsored by the Missouri Press Association.

Missouri voters approved Clean Missouri in November 2018. It had several provisions, including one requiring a nonpartisan demographer to draw state legislative districts.

Governor Mike Parson (R) opposed Clean Missouri and supports Amendment Three, which will appear on your November ballot. Amendment Three transfers the responsibility of drawing the districts from the demographer to a governor-appointed bipartisan commission.

“None of the big money behind this ever talked about how the redistricting would work, they talked about everything but that (in 2018),” Parson says. “This is a major shift in how we do elections in the state of Missouri.”

But Auditor Nicole Galloway, the Democratic gubernatorial nominee, disagrees. She backed Clean Missouri in 2018 and opposes Amendment Three.

“In November of 2018, over 60 percent of voters said they want a fair, transparent government and they wanted to get rid of gerrymandering,” says Galloway.

The candidates also blasted each other over COVID. Galloway says Missouri physicians support a statewide mask requirement.

“Because it is a proven way to contain the spread of the virus, protect the public health, get our economy going again,” Galloway says.

Governor Parson says he’s taken a balanced approach on COVID and has also emphasized the importance of personal protective equipment (PPE).

“You’ve got to be able to deal with the virus, you got to be able to deal with the economy, you’ve got to get kids back in school safely,” Parson says.

They also clashed over the recent special session on violent crime, with Galloway saying the governor “struck out.”

The Legislature did approve two of Governor Parson’s top priorities during the special session: a witness protection program and legislation eliminating the residency requirement for St. Louis police officers, firefighters and EMS personnel. But the Legislature did not pass the governor’s proposals regarding juvenile certification and one involving St. Louis Circuit Attorney Kim Gardner’s (D) office.

Governor Parson says the special session was successful, and will help against violent crime.

The two candidates also had differing opinions on the cost of Medicaid expansion and also clashed on valet parking at the State Capitol in Jefferson City, an issue that hasn’t been talked about much during the campaign.

Governor Parson accuses Galloway of politicizing her office, and Galloway says Parson has failed the test of leadership.

Libertarian nominee Rik Combs and Green Party nominee Jerome Bauer also participated in the debate, which was produced by KOMU-TV in Columbia. The debate aired live in mid-Missouri on Channel 8.

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

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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.

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

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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:

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

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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.

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Missouri Chamber of Commerce endorses Medicaid expansion effort

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The Republican-leaning Missouri Chamber of Commerce and Industry says today that it backs a Medicaid expansion effort on the August primary election ballot. In a statement from President Dan Mehan, he says the business group supports Amendment 2 as a “pro-jobs measure” that will help fuel economic growth throughout our state.

Missouri Chamber of Commerce endorses Medicaid expansion effort

“According to economic projections, expanding Missouri’s Medicaid program will boost job creation by 16,000 jobs per year for five years. Likewise, passage will expand our state’s economic output by $2.5 billion,” says Mehan. “While this data makes a clear case for passing Amendment 2, the benefits of Medicaid expansion are even more significant during this time of economic hardship. The Missouri Chamber urges voters to approve Amendment 2 on August 4. Let’s not miss this chance to bolster our economy during this recovery while expanding access to health care for our fellow Missourians.”

Gov. Mike Parson and the influential business group generally agree on political issues. But, many Missouri Republican lawmakers, including Parson, oppose the expansion of Medicaid. Parson has said the state cannot afford to put more people on government-funded health insurance and other priorities like education, public safety and mental health would compete for the same funding.

The Healthcare for Missouri campaign wants to put another 230,000 low-income adults on Medicaid. If approved by voters, those earning up to $18,000 annually could qualify.

The Missouri Hospital Association says ten rural Missouri hospitals have closed since 2014. Missouri is one of 14 states without Medicaid expansion.

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Missouri Medicaid expansion effort escapes election ballot removal attempt

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The Missouri Supreme Court has rejected a request to have a Medicaid expansion court case transferred to the high court. The decision ends an attempt by conservative group Americans for Prosperity to get the issue kicked off the August primary election ballot.

Missouri Medicaid expansion effort escapes election ballot removal attempt

The organization, along with United for Missouri, filed lawsuits contending the measure unconstitutionally requires the state to spend money without providing a revenue stream to pay for it.

Americans for Prosperity-Missouri State Director Jeremy Cady issued the following statement:

“The Western District Court of Appeals clearly held that the Medicaid Expansion Initiative on the August ballot does – and could – not infringe upon the Legislature’s exclusive right to set spending priorities through the appropriation process, and took its proponents at their word that Amendment 2 of the Missouri Constitution would not do so. While this was not the decision we were seeking, the rationale underlying the Court’s decision, that the separation of powers will be respected, should be viewed as a win for Missourians.”

Healthcare for Missouri’s plan would let Missourians earning up to $18,000 annually qualify for state-funded health insurance – increasing the state’s Medicaid rolls by about 230,000.

Attorney Chuck Hatfield, who’s representing the pro-expansion side, tells Missourinet he believes the courts have made the correct decision.

“An issue like expanding healthcare is a matter for the voters and the Court should not stop the voters from having their say at the ballot box,” he says in a written statement.

Missouri is one of 14 states without Medicaid expansion.

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Missouri House approves $34.9 billion budget, following heated debate on Medicaid expansion

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The Missouri House voted Wednesday afternoon to give final approval to a $34.9 billion state operating budget. GOP leaders say it’s a budget that’s about $146 million less than the current budget.

Missouri House Speaker Pro Tem John Wiemann, R-O’Fallon, (left) talks with House Majority Floor Leader Rob Vescovo, R-Arnold, on the House floor in Jefferson City on April 27, 2020 (photo courtesy of Tim Bommel at House Communications)

Most House members wore masks during the debate, which got heated during a discussion about Medicaid expansion. Due to COVID-19 concerns, there were just three people watching debate in the Capitol’s public fourth-floor galleries.

State Rep. Deb Lavender, D-Kirkwood, spoke several times on the House floor, criticizing legislative Republicans for approving $450 million in tax cuts in recent years. She says that money should have been used for education and other essential services.

House Budget Committee Chairman Cody Smith, R-Carthage, tells the House that the growing Medicaid budget has impacted higher education and other essential programs. He says Medicaid continues to grow.

Chairman Smith says the budget also includes $11 million for institutional staff stipends for corrections officers at the Missouri Department of Corrections, as well as $10 million for county jail reimbursements. Smith had hoped for $15 million, but notes COVID-19 impacted that.

COVID-19 has impacted the budget, and it’s impacted pay for state employees as well. Smith tells Missourinet the budget does not include money for pay raises for state employees.

More than 14,000 state employees work in Jefferson City, making state government the town’s largest employer.

Today’s debate also featured a heated discussion on the Missouri House floor, about the issue of Medicaid expansion.

Representative Lavender tells the House that states that have expanded Medicaid receive $500 more per person, than states like Missouri. But State Rep. Doug Richey, R-Excelsior Springs, argued against it, warning about the federal debt and the federal deficit.

Richey blasted House Democrats on the floor, for arguing for Medicaid expansion. He says it’s immoral and that Democrats want to deficit-spend.

The conversation got more heated when State Rep. Gina Mitten, D-St. Louis, and Rep. Richey spoke over each other during a heated floor debate.

“I dare you to go back to your constituents and say we don’t need no stinking federal dollars,” Mitten told Richey.

Chairman Smith also spoke against Medicaid expansion.

The budget now heads to the Missouri Senate, and Senate President Pro Tem Dave Schatz, R-Sullivan, tells Missourinet he expects the Senate Appropriations Committee to work through the weekend on the budget.

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