Medicaid Expansion Update | June 25, 2020

June 25, 2020


June 25, 2020

With just six weeks to go until the election on Aug. 4, the campaign is in full swing and there is a lot of activity throughout the state. Thank you to all who are actively supporting expansion both in your hospital and in your community – it is critically important. 

MHA will continue to share campaign updates and resources with you weekly, and encourage you to use them in your hospital and community to promote the importance of expansion in Missouri.

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. Also watch for yard signs to be delivered next week. Additional yard signs and postcards are available by contacting MHA.



This week, 13 patient advocacy organizations announced their support of expansion. Presentations currently are being made to business organizations, and additional endorsements are expected. The campaign will publish the full list of endorsements on Saturday, July 11.

Have you publicly endorsed Yes on 2? Make sure your organization is represented on the full list of endorsing organizations when it is released July 11 by clicking here.


On Tuesday, June 30, a House Budget hearing will take place in Jefferson City. To prepare, the campaign has outlined a comprehensive strategy that includes a press conference the morning of June 30 to announce the EMS community’s endorsement and a lineup of individuals to testify, including the author of the MHA-sponsored Health Management Associates report that examined expansion in three conservative states – Arkansas, Indiana and Ohio.


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.

Encourage staff to sign up to be one of the virtual volunteers for Medicaid expansion. 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 Eligibility Graphic The current eligibility to qualify for Medicaid in Missouri is extremely low. In polling conducted by MHA, when voters hear the current eligibility, they are more supportive of Medicaid expansion. We encourage you to use these social media graphics on current Medicaid eligibility in your social media channels. 

MHA also developed regional social media graphics that hospitals can use to promote the economic benefits of expansion locally. A list of counties in each region is available.

A customizable PowerPoint presentation and fact sheet have been developed to use in your hospital and community about the importance of expansion. 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


Paid digital media began last week, and television ads will begin after Saturday, 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 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 Freeman Health SystemFreeman Hospital West in Joplin and Freeman Neosho 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 Joplin Globe article, Paula Baker, Freeman president and CEO, said that Freeman Health System supports Healthcare for Missouri and has been lobbying for expansion for several years. She noted that many people without health insurance end up visiting an emergency room for care, the most expensive venue for treatment. If patients can’t foot the bill, hospitals write it off as charity care or bad debt.

MARV Stops at Freeman Health System
“Most importantly, Medicaid expansion will improve the health of those caught in the gap of making too much money to qualify for marketplace subsidies but not making enough to buy insurance, older people who have lost their health insurance but are not yet old enough for Medicare, and many other individuals who can't afford to see a doctor."           

Photographer credit: Amber Morris, Freeman Health System marketing

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