Jay Barnes | KCUR

Jay Barnes

The Missouri House has formally rejected the Senate version of the state budget, setting the stage for final negotiations over the state’s spending plan for next year.

Medicaid Expansion Uncertain In Missouri

Apr 9, 2013
Elana Gordon / KCUR

Last year’s Supreme Court ruling left a key part of the federal health law up to states to decide: whether to expand Medicaid. About half of states have said they’ll go along with an expansion. The rest are undecided or opposed. Leaders in Missouri are still divided on what to do. Missouri’s Governor supports an expansion but he faced one of his toughest crowds yet, when meeting with Senate leadership this week.


A long-promised Republican alternative to Medicaid expansion was filed in the Missouri House Tuesday.  It’s being touted as “market-based Medicaid."

Under the bill, private insurers would compete to provide coverage for Medicaid recipients, and those recipients could get cash incentives for taking care of their health and avoiding costly medical procedures. 

The bill is sponsored by GOP House Member Jay Barnes of Jefferson City.