Medicaid Expansion Update | July 9, 2020

July 9, 2020


July 9, 2020

We are at the four-week mark to expand Missouri's Medicaid program at the polls on Tuesday, Aug. 4. There is a great deal of activity by the campaign, hospitals and other organizations throughout the state to get the word out to 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. 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. Consider implementing a competition among your employees to see who can send out the most postcards. Additional postcards and yard signs are available by contacting MHA.

Two member call-ins to receive the latest update on the Medicaid expansion ballot initiative have been scheduled for 9 a.m. and 4 p.m. Thursday, July 14. The content of the calls will be identical, so there only is need to dial in once.

To participate:

Dial-In: 1-877-271-1828

Participant Code: 183289



Polling shows that messages around rural health care access and rural hospitals are strong with voters in both rural and urban areas. MHA developed resources for use in your hospital and community. We urge you to get the following information out over the next couple of weeks.


Last week, Oklahoma narrowly passed Medicaid expansion through a ballot initiative. In that election, absentee ballot voting was very high and those voters were disproportionately in favor of expansion. Please make sure your employees know how to request an absentee or mail-in ballot. Here's information on how to request an absentee or mail-in ballot (new for some residents with COVID-19-related health concerns) and where to find polling places for in-person voting.            


From business leaders to organized labor, voices of faith to patient advocates, urban to rural, the Yes on 2 coalition for Missouri Medicaid expansion continues to grow. This week, the full list of nearly 300 supportive organizations was released. Additionally, today, two major business organizations in the St. Louis region – Civic Progress and the St. Louis Regional Chamber – expressed their support for Medicaid expansion in Missouri.


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 – to help encourage employees, volunteers and physicians to vote Yes on 2 on Aug. 4. 

Phone and text programs began in earnest last week and are ramping up as we get closer to Aug. 4. In addition, town hall and press events are occurring throughout the state, with a strong focus on African American and Latino communities. MARV, the Medicaid Ambulance Response Vehicle, will be touring the state next week to station in communities to hand out yard signs and other promotional items.            


Volunteering is a critical part of the Yes on 2: Healthcare for Missouri team’s efforts to get out the vote on 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 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


Television ads are running in targeted areas of the state, and targeted mail and digital for specific subgroups also have begun.


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 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 Christian HospitalChristian Hospital and Barnes-Jewish Hospital, both in St. Louis, 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.

Leann Chilton, BJC government relations vice president, said Medicaid expansion is a nonpartisan issue.

“Health care has no party affiliation. It's about making sure that it's affordable and accessible to all — including the neediest in our community."           
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