Missouri’s 1115 waiver program, named the Missouri Mental Health Crisis Prevention Program, was recently submitted to the Centers for Medicare and Medicaid Services (CMS) and is awaiting approval. The goal of Missouri’s waiver is admirable. Unfortunately, this special population waiver program spends more to provide less coverage for fewer people.
When states don’t extend Medicaid, Americans are hit the hardest. Our brief compares two neighboring states, Missouri and Iowa. Iowa has extended Medicaid coverage, but Missouri has not.
On April 29, Families USA released a report that profiles two residents in neighboring states: Iowa, which chose to accept federal funds to extend health coverage to more adults through Medicaid, and Missouri, which has rejected federal funds to do the same. Our report shows how a state’s choice to extend health coverage can make a real difference in people’s lives. It also shows that if a state chooses not to extend coverage, that choice is not only a great injustice—it threatens access to care for Americans who need affordable, quality health care.
This infographic shows the populations—uninsured adults, parents with dependent children, working but uninsured adults, and uninsured veterans and their spouses—that would benefit from extending Medicaid.
We’ve examined data from 22 states showing that working adults make up the majority of those who could benefit if states expanded Medicaid. View our new infographic and issue brief about the top occupations of the working but uninsured residents in Idaho.
In communities of color, where rates of uninsurance and poor health outcomes are higher than in white communities, the differences between those who have insurance and those who lack it are stark.
In most states, the health care sector is among the industry sectors with the largest employment. Health care jobs tend to pay more than a state’s median wages, and growth in this sector can have a positive economic effect on other areas of a state’s economy. Many organizations, ours included, have written about the effects of Medicaid expansion on a state’s economy. Recently, Missouri (a state that has not yet expanded Medicaid) compared its employment growth in the health care sector to that of select Medicaid expansion states.
Nearly every day, you encounter hardworking people engaged in a job that you rely on—a daycare aide who cares for your child, a cashier who rings up your coffee, or a carpenter working in your neighborhood. But if you live in a state that hasn’t expanded Medicaid, there is a good chance that many of these people—even though they are employed—do not have health insurance.
We recently examined data from the 24 states that have not expanded Medicaid to determine how many of those residents who could benefit from expanded health coverage are working—and which types of jobs they hold.
Top 9 occupations of the employed but uninsured in Missouri who would benefit from Medicaid expansion
The population that would most benefit from Medicaid expansion in Missouri is the working population, those with incomes up to 138 percent of the federal poverty level ($27,310 for a family of three in 2014). Sixty percent of this population is employed but uninsured.
Shows how many people will be able to get affordable, comprehensive insurance through the new health insurance marketplaces and how many people the Affordable Care Act has helped so far.