Medicaid Expansion Update | July 30, 2020

July 30, 2020

July 30, 2020

This is it – we are just five days away from the opportunity to pass Medicaid expansion in Missouri by voting Yes on 2 on Tuesday, Aug. 4! Hospitals throughout the state are putting forth incredible effort to get the word out, including placing ads and billboards, giving presentations, participating in radio programs, writing columns, and more. Keep up your efforts these last few crucial days!

MHA will send out a special edition of this newsletter on Election Night once the results are known, so stay tuned!

MHA has crafted sample messages from hospital leaders than can be customized to encourage your employees, physicians and volunteers to vote on Tuesday. We urge you to reach out before Election Day and emphasize the importance of voting Yes on Amendment 2.  



The campaign activity is making a difference! A tracking poll from last week shows the support for expansion increasing, especially among those who have high enthusiasm for voting. And, support is stronger among Independents with a large shift in those voting yes.

There also is strong support and a favorable impression among those who have seen, heard or read something about Amendment 2.  



MHA has begun planning for post-election success to be prepared for implementation of Medicaid expansion. We will be working with other partners to reach out to lawmakers and the Parson administration to offer our assistance to successfully launch an implementation plan. We will share more information throughout the next few weeks.


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.            


Today, the Springfield Chamber of Commerce announced its endorsement of Amendment 2 to expand Medicaid in Missouri and encouraged members to vote yes, saying, "Amendment 2 would provide additional resources to ensure more Missourians have access to health care."


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 hand out yard signs and other promotional items.            


The Missouri Catholic Conference has endorsed Medicaid expansion. Because of the opposition by Missouri Right to Life, the conference 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


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.


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.


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


Hospital leaders are speaking out in support of Amendment 2. CoxHealth CEO Steve Edwards outlined the benefits of Missouri Medicaid expansion in a video posted to social media.

"Every day in our hospitals and in our clinics, we see the most vulnerable in our community seeking care and, often without insurance, they seek it too late and what could be a moderate or mild illness becomes an acute illness that requires expensive and sometimes medically challenging intervention."           

Wes Murray, CEO of Texas County Memorial Hospital in Houston, Mo., voiced support for Medicaid expansion in a local news interview

"This is not a new tax. We are already paying for Medicaid expansion, but we are not reaping the benefits of it, and our tax dollars are going to other states to help pay for their Medicaid expansion. If Medicaid expansion is passed, it would bring those tax dollars back to our state."           

Fitzgibbon Hospital in Marshall, Mo., wrote an article of support of Amendment 2 for their local newspaper and on Facebook. Fitzgibbon's President and CEO, Angy Littrell, said expansion is critically important for rural hospitals.

"The sustainability of rural health care is at a pivotal point in our state. Medicaid expansion is vital in assuring our community access to quality care right here at home."           

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