Missouri Chamber of Commerce and Industry Archives

Missouri primary election spotlight: Can the state afford to expand Medicaid?

August 3, 2020 By Alisa Nelson

A Medicaid expansion measure is one of the hot items at the ballot box in Tuesday’s primary election. Missouri voters will be asked whether to expand Medicaid to another 230,000 low-income adults. Currently, about 950,000 Missourians get government-funded healthcare. Under Amendment 2, Missouri adults earning up to $18,000 annually could qualify.

Missouri primary election spotlight: Can the state afford to expand Medicaid?

The clash between those for and against the plan has been largely about the way Medicaid expansion would affect the state’s bank account and philosophical contrasts. The messaging is very different depending on who you talk to.

During a statewide anti-expansion tour, State Treasurer Scott Fitzpatrick, a Republican, says the plan would cost the state another $200 million annually and would mean less money for other priorities.

“We fund prisons and if we want to close prisons and let violent criminals out of jail – that’s one option,” he says. “If we want to turn into Illinois and not fund our pension obligations – that’s another option and turn into a state with a junk credit rating. When you get down to it, one of the few discretionary items that we can decide how much money we’re going to spend without substantial consequences to the state is on education.”

Fitzpatrick, a former chairman of the House Budget Committee, says Missouri’s Medicaid obligations already make up about 40% of the state’s annual operating budget and it continues to grow each year.

“The state of Missouri already has a very generous Medicaid opportunities for families with children,” he says. “If you have a family and you have children and you are making less than 300% of the federal poverty level, which for a family of four is about $76,000, you can get your kids on Medicaid in the state of Missouri. If you are a pregnant woman and you need prenatal care and you don’t have access to health insurance and you are making less than 300% of the federal poverty level, you can get on Medicaid in the state of Missouri. The people that we are talking about, by and large expanding Medicaid to, are people who are working age, who are physically able to work and in many cases are choosing not to for whatever reason.”

State Representative Kip Kendrick, D-Columbia, insists the state would save money. Kendrick is the ranking Democrat on the House Budget Committee.

“Most states actually see a cost savings in the first year to two years and then that cost savings continues to grow,” Kendrick tells Missourinet affiliate KWIX in Moberly. “As more people come on, they tend to come on to that expanded role at a 90/10 (federal) match rather than a 60/40 (federal) match as you typically see in states that haven’t expanded. So, it’ll end up being cost savings for the state and provide greater access to healthcare and do a lot to shore up our hospitals and clinics around the state at a difficult time in the middle of a pandemic.”

A study by Washington University in St. Louis says Missouri would save about $39 million if the state expanded Medicaid. The analysis, done by the school’s Center for Health Economics and Policy, says the expansion would cost the state an estimated $118 million.

Sen. Bob Onder, R-Lake St. Louis, was also among a line of Republican legislators at the anti-expansion tour in Jefferson City.

“I would point out that the average Medicaid expansion state has seen cost overruns of 154%,” he says.

Onder, a practicing physician, says about 60% of the Medicaid expansion population already has private health insurance. If the ballot measure passes, he says they will be kicked off their insurance.

Gov. Mike Parson opposes the ballot measure and has the same financial stance as his Republican allies. During a press conference in May, Parson said the state budget is tough enough to handle with the coronavirus outbreak, let alone if Medicaid is expanded.

“There’s absolutely not going to be any extra money whatsoever,” says Parson. “Look, I don’t think it’s a time to be expanding anything in the state of Missouri right now. I’m telling you, we are going to have challenges going in to 2021 for sure when it comes to just meeting the budget with what we currently have.”

The Republican-leaning Missouri Chamber of Commerce says it backs the proposal that it says would lead to another 16,000 jobs per year for five years. Missourinet’s attempts to get the Chamber’s response about its support were not answered but in an initial statement expressing its position, President Dan Mehan called Amendment 2 a “pro-jobs measure” that will help fuel economic growth throughout our state.

“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,” says Mehan.

Missouri Hospital Association spokesperson Dave Dillon tells Missourinet the healthcare group supports the expansion effort.

“It’s an important tool in getting people who need care some care and getting them comfortable with the idea of getting it when they need it. And that is to say that other parts of the Affordable Care Act were about keeping people healthy. You get paid – not necessarily for doing a procedure over and over again – but for the outcome of that procedure. To improve people’s health, requires you to put them in a system that you can help maintain their health. Medicaid can be that tool.”

Dillon agrees with the argument that Medicaid expansion is the vehicle for people who were never going to be able to afford to buy their own health insurance.

“But for us, if we’re going to set up a system of penalties for us not being able to keep individuals healthy – and by the way at the same time cost the healthcare system a lot more to treat in the wrong place at the wrong time – then we really need this as a tool in our tool belt to try to get those people to where if they need care for a chronic condition, if they are not even managing and don’t realize that they have diabetes, heart disease or the like, when they show up and need a stint or something really expensive, that’s an unnecessary cost. That’s a cost that we all bear because if that individual can’t pay for it, it’s going to be cost-shifted to people who can.”

He goes on to say the measure would save the entire healthcare system some money.

“There’s a hidden healthcare tax that everybody that’s got a commercial health insurance plan pays,” says Dillon. “That is attributable, in part, to the fact that we have a large number of uninsured and when they need care, they get it. They just don’t get it in an efficient place. They usually get it in the Emergency Department and then we have to write it off.”

Fitzpatrick, from southwest Missouri’s Shell Knob, says Medicaid expansion is billed as the “silver bullet” for struggling hospitals.

“I frankly don’t think that it is. I mean, it might help a little bit but frankly there are hospital systems out there that have problems that exceed what Medicaid expansion itself can solve.”

If Amendment 2 passes, Missouri would become the 38th state to expand government-funded healthcare coverage.

Polls are open Tuesday statewide from 6 a.m. to 7 p.m.

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:

Missouri Chamber backs Medicaid expansion, which remains key issue in gubernatorial race

June 12, 2020 By Brian Hauswirth

Missouri’s most influential business group is endorsing a Medicaid expansion issue that will appear on your August ballot. Medicaid, which is formally known as MO HealthNet, is a federal and state program that assists with medical costs for residents who have limited incomes.

Governor Mike Parson (right) briefs Missouri Capitol reporters in Jefferson City on June 11, 2020 (photo courtesy of the governor’s Flickr page)

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

The Missouri Chamber of Commerce and Industry has endorsed Amendment Two, which will be on the August 4 statewide ballot. The Chamber describes the Medicaid expansion proposal as a “pro-jobs measure that will help fuel economic growth throughout our state.”

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

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

36 states have approved Medicaid expansion.

While the Medicaid expansion issue will be decided by voters in August, it has also emerged as a key issue in Missouri’s November gubernatorial race. It’s also a key issue for lawmakers in both parties.

Missourinet asked both Governor Mike Parson (R) and State Auditor Nicole Galloway (D), the presumptive Democratic gubernatorial nominee, about Medicaid expansion when they filed in February in Jefferson City.

“When (Auditor) Galloway was there and (Democratic Governor Jay) Nixon was there, we had over one million people on the state Medicaid roll out of six million. So when you think of that practically, one out of every six people on Medicaid,” Parson told Missourinet in February, at the Kirkpatrick Building.

Parson also said that day that no one verified Missouri’s Medicaid rolls, for more than a decade. He also emphasized that children who qualify for Medicaid should receive those services, and that his administration wants them to receive the services.

Auditor Galloway supports Medicaid expansion, noting the ten rural Missouri hospitals that have closed since 2014. The Columbia Democrat told Missourinet in February that it’s crucial.

“We have a governor that has kicked 100,000 children off of their health insurance, and he has no vision and no solution on how he’s going to fix that,” Galloway said that day.

Medicaid expansion has been discussed in the General Assembly for years, with most Republicans opposed to it and Democrats supporting.

House Speaker Elijah Haahr, R-Springfield, opposes Medicaid expansion, saying it would take dollars out of the classroom. Speaker Haahr notes it requires a ten percent match, for the 90 percent draw down.

House Budget Committee Chairman Cody Smith, R-Carthage, agrees, telling Missourinet Friday evening that he opposes Medicaid expansion because he worries it will blow a hole in the state budget. Other GOP members on the House Budget Committee have the same concern.

Democrats in the Legislature disagree. State Sen. Jill Schupp, D-Creve Coeur, who hopes to unseat U.S. Rep. Ann Wagner, R-Ballwin, this fall, backs Amendment Two. Schupp says it will ensure that an additional 300,000 Missourians have access to health care.

State Rep. Keri Ingle, D-Lee’s Summit, spoke about the issue on the Missouri House floor during the May budget debate. Ingle predicted that day that Missourians would approve Medicaid expansion at the ballot box.

Meantime, the coronavirus outbreak has impacted Missouri’s Medicaid numbers, as well as the budget.

The number of Missourians on Medicaid has increased by about 75,000 during the COVID-19 pandemic. Online statistics from the state Department of Social Services (DSS) show there were about 848,000 Missouri Medicaid enrollees in February.

That number increased to about 923,000 in May.

Missouri Chamber of Commerce endorses Medicaid expansion effort

June 12, 2020 By Alisa Nelson

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.

Missouri Chamber calls on governor to deal with ‘opportunistic COVID-19 lawsuits’

May 21, 2020 By Alisa Nelson

The Missouri Chamber of Commerce and Industry wants Gov. Mike Parson to call a special session to put an end to “opportunistic COVID-19 lawsuits”. In a press release, the Chamber says coronavirus liability is an emerging problem in Missouri involving those who believe they might have contracted the virus at a business and wants to sue the organization.

Missouri Chamber of Commerce President Dan Mehan

President Dan Mehan says the Chamber is not calling for protections for businesses that defy government orders and ignore public health recommendations. He wants companies protected that are making a good faith effort and taking the necessary precautions.

During Wednesday’s coronavirus briefing, the governor appeared open to the idea of a special session to deal with coronavirus liability.

“It’s quite apparent we’re going to have to deal with the legal challenges that goes along with COVID-19,” says Parson. “Whatever we need to do – calling the legislators back but it won’t be for one individual thing if I call them back. We’ll have some things in place that we need to do. There are still some issues that are very important to the state that need to be addressed. We’re not going to let attorneys go out here and sue everybody because they was doing their jobs of COVID-19. So, whatever it takes to kind of even that playing field, we’re planning on doing it in Missouri.”

Missouri Association of Trial Attorneys President Brett Emison issued a response:

“Missouri already has laws in place to protect health workers during extraordinary circumstances like the COVID-19 crisis. Missourians need not surrender fundamental constitutional rights – including 7th Amendment rights – during a pandemic. If anything, such rights are even more critical. Businesses should take all reasonable precautions as they reopen to protect customers and employees. For our economy to fully reopen, employees and customers must be safe to engage with businesses. If businesses have no accountability, how can employees and customers feel safe? If no one is responsible, no one is safe,” he says.

Some state lawmakers and the governor have said a special session is likely later this year to deal with coronavirus-related issues and funding. After the Legislature adjourned Friday, Missouri House Speaker Elijah Haahr, R-Springfield, told reporters he expects a special session would mainly involve budget issues.

(VIDEO) Rundown of today’s COVID-19 briefing in Missouri

April 28, 2020 By Alisa Nelson

Missouri reports at least 314 people have died from the coronavirus and another 7,303 have tested positive for the disease.

Gov. Mike Parson says the state reached its peak on April 7 in the number of coronavirus patients in the hospital. During Tuesday’s press conference, Parson says 1,242 people were being treated in a hospital that day. Since then, the numbers have fallen.

Gov. Parson (Photo courtesy of the governor’s Flickr page)

“As of April 25, the total number of hospitalizations has significantly reduced in every region of the state with the exception of the St. Louis region,” he says. “Our hospitals are not overwhelmed and things are improving.”

The declines include:

67% in northeast Missouri
63% in southwest Missouri
45% in southeast Missouri
41% in the Kansas City region and northwest Missouri
38% in central Missouri
8% increase in the St. Louis region

The St. Louis area has had at least half of the state’s overall cases of the respiratory disease.

Parson says the downward trend has led to his decision to gradually reopen the state for business on May 4. Missouri Chamber of Commerce and Industry President Dan Mehan says he’s glad to see a “light at the end of the tunnel for Missouri businesses”. He says a chamber survey shows the coronavirus has caused a significant financial strain on businesses.

“According to our research, Missouri businesses are expected to lose a quarter of their revenue this year. Another 15% of businesses, primarily small employers, are going to go out of business,” says Mehan.

The Chamber has a released a “Return to Work” guide that helps businesses reopen.

Greg Hunsucker of the Missouri Restaurant Association says restaurants are ready to get back to business in a safe and responsible way.

“Tables with dining rooms will be socially-distant,” he says. “We have worked with our employees to implement social distancing and many additional measures to provide a safe environment for all Missourians. On behalf of the 300,000 restaurant employees in the state of Missouri, we are ready to get back to work.”

Stay-at-home restrictions remain in place for some Missouri communities, including in the Kansas City and St. Louis areas.

Despite coronavirus outbreaks among some of the nation’s meatpacking plants, President Trump is expected to order them to stay open. At least 3,000 workers among 48 meat packing plants around the country have tested positive for the virus. Gov. Parson agrees with the president’s move.

“Yeah I think that’s a good thing,” says Parson. “Whatever we do we’ve got to keep the food chain going in the United States and for Missouri – it’s a huge issue here. Yes, I want to see them open and I want to see people going to work and making sure we keep that food chain moving.”

The state is testing workers this week at meat processing sites in northwest Missouri’s St. Joseph and Saline and Moniteau Counties, after some cases have been reported there.

The state will be releasing more information about coronavirus cases among Missouri nursing homes. State Public Health Director Randall Williams says those details will begin being published on Friday.

“We will announce by county at what nursing homes have had more than two cases,” says Williams. “We’ve talked that over with our local health departments and they’re in agreement with that.”

Whether the plan includes assisted living centers is unknown. Dozens of Missouri nursing homes and assisted living centers have reported coronavirus cases, including large outbreaks and several deaths in Springfield and near St. Louis and Kansas City.

The entire press conference is below.

Missouri State Representative Roeber still recovering from vehicle crash

May 13, 2019 By Brian Hauswirth

The Missouri House Speaker says a state lawmaker who was seriously injured in a March head-on collision will need to learn to walk again.

State Rep. Rebecca Roeber, R-Lee’s Summit, speaks on the Missouri House floor on May 12, 2017 (file photo courtesy of Tim Bommel at House Communications)

Speaker Elijah Haahr, R-Springfield, tells Missourinet that State Rep. Rebecca Roeber, R-Lee’s Summit, continues to recover. Roeber is no longer at MU Health Care in Columbia.

“Representative Roeber is now back in the Kansas City area, she continues to receive treatment but at least my understanding is her need for surgeries are done,” Haahr says.

The March collision happened on Highway 50 in west-central Missouri’s Syracuse. The Missouri State Highway Patrol says Roeber crossed the center line on Highway 50 and struck a second vehicle.

Roeber, who was first elected to the House in 2014, chairs the House Elementary and Secondary Education Committee. She will not return to the Capitol this session, which ends Friday at 6 p.m.

Meantime, legislation that would allow charter schools to expand to Missouri cities and charter counties with a population larger than 30,000 is finished for the year.

Chairwoman Roeber is the House sponsor. Her bill is House bill 581.

House Speaker Pro Tem John Wiemann, R-O’Fallon, tells Missourinet the bill was removed from the House calendar because of the amount of time it sat in the calendar and was not brought up for debate.

Speaker Haahr told Missourinet recently the bill already faced an uncertain future with Roeber out. He noted that charter school legislation would have probably have had come through the Senate first, where it’s already been filibustered.

“If not, we always have next year to work on that issue,” says Haahr.

Proponents of charter school expansion legislation include the Missouri Chamber of Commerce and Industry and the organization Excellence in Education in Action. Supporters say school choices benefit all in society and that expansion will give more children an opportunity to attend schools that meet their needs.

Bill opponents include the Missouri School Boards Association and the Missouri State Teachers Association. Opponents say removing students from public education impacts the overall district and that the fiscal impact of charter school expansion will hurt public school funding and programs.

Under current law, charter schools are only allowed in St. Louis, Kansas City and an unaccredited school district. Charter schools are publicly-funded schools which operate independently of traditional public schools.