Medicaid Expansion Update | July 1, 2020

July 1, 2020


July 1, 2020

Only five weeks remain to motivate voters to go to the polls on Tuesday, Aug.4, and vote Yes on 2! Thank you to all who are actively supporting expansion both in your hospital and in your community – it is critically important. 

If you haven't yet done outreach with your hospital staff or community, now is the time! MHA has many resources available to promote the importance of expansion to Missouri.

Nonpublic hospitals should have received a supply of postcards and yard signs to share with employees, volunteers and physicians. Additional postcards and yard signs are available by contacting MHA.



Yesterday, Oklahoma became the 37th state to expand Medicaid with voters expressing their choice. The vote was close, 50.48% yes and 49.52% no. Notable was the absentee ballot support with the yes vote outweighing the no vote by four to one. It is critical to spread the word about voter registration and how to request an absentee ballot if needed.

Wednesday, July 8, is the last day to register to vote in the Aug. 4 election – make sure you spread the word about getting registered. Here’s a link to online registration, and information is available on how to request an absentee ballot or mail-in ballot (new for some residents with COVID-19-related health concerns).


EMS Press Conference This week, more than 20 Missouri groups representing first responders announced their support of voting #YesOn2 for Medicaid expansion. The campaign will publish the full list of endorsements on Saturday, July 11. If your hospital has not expressed your endorsement of expansion, please complete this form on the campaign website.


On Tuesday, a House Budget hearing took place in Jefferson City on the fiscal note related to Medicaid expansion. The campaign prepared 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. Brian Kinkade, MHA Vice President of Children's Health and Medicaid Advocacy, testified alongside Matt Powers, who co-authored the HMA report. A recording of the hearing is available, with the MHA and HMA testimony beginning at 5:37:30.


Medicaid Expansion PostcardIn addition to postcards and yard signs, MHA has tools available online – digital signage, social media graphics, information on voter registration and how to request an absentee ballot – for you to help encourage your employees, volunteers and physicians to vote Yes on 2 on Aug. 4.             


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. 

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.

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.

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 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 GVMHGolden Valley Memorial Healthcare in Clinton 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.

Craig Thompson, CEO at GVMH, said access to health care is more important now than ever.

“Passing Amendment 2 for Medicaid expansion is one of the best things we can do to support our families, friends and neighbors, safeguard jobs for health care workers and keep rural Missouri hospitals open."           
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