Potential Medicaid cuts would have severe effect in Missouri

Missouri could lose roughly $2 billion a year in federal funding if Congress makes substantial Medicaid cuts. The state expanded Medicaid in 2021 after voters passed a constitutional amendment, meaning any changes to Medicaid expansion would require voters to amend the state constitution again. If Congress cuts Medicaid, states would need to address the shortfalls. Potential cuts could cause states to eliminate in-home nursing care for disabled adults, since nearly all in-home services are an optional part of the program. The impact of potential cuts on Missouri has caused Sen. Josh Hawley, R-Mo., to speak out against cutting Medicaid. (KFF news article, 5/7/25)