Medicaid Expansion Update | June 18, 2020

June 18, 2020

June 18, 2020

We're now well into the seven-week stretch toward voting to expand Medicaid on Aug. 4! Much work remains to be done, but we're making steady progress. MHA will continue to share campaign updates and resources with you weekly, and we encourage you to use them in your hospital and community to promote the importance of expansion to Missouri.             


AARP announced its support of expansion in a press conference held this morning. They now will be reaching out to AARP members and affiliated organizations to encourage them to support expansion. 



On the heels of a new report released last week by Missouri Foundation for Health that shows the projected impact of Medicaid expansion on Missouri's economy from 2022-2026, MHA has developed regional graphics hospitals can use on social media to promote the economic benefits of expansion locally. A list of the counties in each region can be found here.             



The campaign will be identifying individuals who have requested an absentee ballot through a process that was new in 2018. These individuals will receive targeted direct mail encouraging them to vote yes and return their ballots.



Touching base with volunteers is an excellent way to increase outreach in the community and keep them engaged in issues important to the hospital. This especially is true for those volunteers who have not been able to return to the hospital because of COVID-19 restrictions. MHA sent fact sheets to volunteers and volunteer resource professionals today to encourage them to share information about the importance of expansion with their family and friends.



Volunteering is a critical part of the Yes on 2: Healthcare for Missouri team’s efforts to get out the vote on Tuesday, Aug. 4. Statewide volunteer efforts include organized voter outreach via phone calls and text messages to help drive Missourians to the polls.

We encourage you to sign up today to be one of the virtual volunteers for Medicaid expansion! Opportunities soon will be made available to individuals throughout the state who want to see Medicaid expansion become a reality. You can reach out directly to K.J. McDonald, Campaign Field Director, at or 417-396-2358.

Please also encourage your organization’s social media followers to volunteer! It can be as easy as sharing the volunteer link via email or on social media to get the word out.



Washington University health economist Tim McBride has developed an estimate of how the roughly 231,000 Missouri adults eligible to enroll under Medicaid expansion would be distributed throughout the state by region and county.



Medicaid Expansion Fact Sheet Image
A PowerPoint presentation and fact sheet have been developed to use in your hospital and community about the importance of expansion. Hospitals can customize these materials as needed. Talking points and fact sheets also are available on MHA's Medicaid expansion web page on the following topics.

  • How seniors benefit from Medicaid expansion
  • How expansion would help in the COVID-19 pandemic
  • How hospital community benefit and charity care would be affected by expansion
  • The boost to the state’s economy that will result from expansion, as researched in a study by Health Management Associates
  • A map showing rural hospital closures, in addition to facts about rural hospitals in Missouri

Next week, watch for a supply of postcards that will arrive at each hospital with suggestions for how they can be shared with employees, volunteers and physicians. 



Paid digital media will begin this week, and television ads will begin after July 4. There will be targeted mail and digital ads for specific subgroups. And, the campaign will encourage people to vote absentee when possible.



The Healthcare for Missouri campaign activity in endorsements, earned media and engagement will be coordinated around the following themes. MHA will share materials you can use to promote these themes in your hospital and community.

Week 7 – June 15: Seniors for Expansion – AARP endorsement and their campaign
Week 6 – June 22: MHA focus: Current Medicaid eligibility; Campaign focus: Labor group endorsements
Week 5 – June 29: First responders – EMS, firefighters
Week 4 – July 6: Veterans
Week 3 – July 13: Rural hospitals/women’s health care
Week 2 – July 20: 230,000 hardworking Missourians/Faith voices
Week 1 – July 27: More important than ever before – motivate base voters with human impact



MARV Stops at Mosaic Medical Center - AlbanyMosaic Life Care in St. Joseph and Mosaic Medical Center in Albany both hosted the Medicaid Ambulance Response Vehicle, or MARV, to spotlight the need for Medicaid expansion in Missouri. The MARV is part of the Healthcare for Missouri campaign to adopt the measure by initiative on the Aug. 4 ballot.

In a St. Joseph News-Press article, Dr. Davin Turner, Mosaic Life Care president, said the hospital supports Medicaid expansion because fewer patients will delay care.

“There are so many hardworking people from Missouri, that every day they delay or deny themselves medical care because they don't feel like they can afford it. They'll put this care off until it becomes a very serious problem before they come in to receive care, and they will receive care and they will receive the best quality care they can receive, whether it be here or in other medical facilities."           


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