Medicaid Expansion Update | July 23, 2020

July 23, 2020

July 23, 2020

We are just 11 days away from the chance to vote Yes on 2 on Tuesday, Aug. 4! Following last week's member calls, there was a flurry of activity from hospitals throughout Missouri. Thank you to all who are doing so much to encourage employees and community members to vote. In addition to what was shared on the call last week, we've heard more ideas of things you may consider implementing.

  • Purchase electronic billboard space in your area, or put a message on a sign in front of your hospital; MHA will supply artwork for your use.
  • Place ads in local newspapers; MHA will supply artwork for your use.
  • Write a column for the local newspaper, newsletters or other publications that might welcome a submission. If you need assistance, contact us.
  • In addition to asking your local Chamber of Commerce to endorse expansion, make personal calls to business leaders in your community.
  • Contact local radio stations to see if there is an opportunity to present Medicaid expansion information on a program.
  • "Text 10/Tell 10" – challenge your employees to text 10 people and tell 10 people about voting on Aug. 4.
  • To help people feel comfortable going to the polls to vote, donate masks to polling locations throughout the community.
  • Reach out to local church leaders to see if there are opportunities to share information with their congregations.

These are just a few activities in addition to distributing the postcards and yard signs sent to hospitals throughout the last couple of weeks. Additional yard signs and postcards are available by contacting MHA.

MHA has many resources available to promote the importance of expansion to Missouri, which are outlined below.



The Missouri Catholic Conference has endorsed Medicaid expansion. Because of the opposition by Missouri Right to Life, the conference has created a question and answer document that directly addresses some of the misinformation from Missouri Right to Life. This may be helpful in your community. 


The campaign encourages use of their social media posts on your social media channels. You can access them on the campaign's Google drive

Yes on 2 is holding a virtual Get Out the Vote Rally tonight at 6 p.m. Sign up here.


Polling shows that messages pertaining to 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 share the following information.


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, is touring the state to station in communities to hand out yard signs and other promotional items.            


Absentee ballot turnout is expected to be higher than normal because of COVID-19. Make sure your employees know how to request and submit an absentee ballot. The deadline for requesting an absentee ballot by mail has passed, but absentee ballots may still be requested in person at your local election authority.

The deadline to request mail-in ballots also has passed. Mail-in ballots must be mailed back through U.S. mail in time for receipt by 7 p.m. on Election Day.

Here's information on absentee and mail-in ballots. If you plan to vote in-person, find your polling place here.            


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. Ads can be viewed here.


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 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 Boone Hospital CenterBoone Hospital Center, in Columbia, 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.

Boone Hospital Center said BJC and more than 200 organizations support Amendment 2 in a Facebook post.

"On August 4, Missourians will vote on Medicaid expansion. Expanding Medicaid will deliver health care to individuals who earn less than $18,000 a year, protect frontline health care jobs and help keep rural hospitals open to ensure that all Missourians have access to emergency care."           

MARV visited a number of BJC hospitals throughout the state, and BJC created a video documenting those stops and the need for Medicaid expansion in Missouri.

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