Missouri Budget Project

They said they wouldn’t cut Medicaid – they are doing it now. The Senate began their “vote–a–rama” on the Budget Reconciliation this morning.  

• 170,000 Missourians will lose health care

• Missouri will lose $21 billion in federal funding for Medicaid over the next 10 years 

• Kids, parents, seniors, people with disabilities, working Missourians will all be impacted by the loss of coverage and benefits 

Contact Senator Hawley’s office now and ask him to oppose the bill.

Office: (202) 224-6154  

This bill clearly violates what Senator Hawley has said in his public statements, that he will not support cuts to services and benefits. We ask that the Senator oppose this amendment.

More details on the bill based on new analysis produced by Missouri Foundation for Health and Manatt. 

• The latest version of the Senate bill would result in tens of billions of dollars in reduced Medicaid funding for Missouri and would eliminate Medicaid coverage for 170,000 people.

• Specifically, Missouri is expected to face a $21.1 billion reduction in federal Medicaid funding (a 12% cut in Medicaid spending) over the next ten years under the Senate bill, according to Manatt’s modeling.

• While the latest Senate bill language makes modest improvements compared to the Senate Finance Committee language -- including delaying the cuts to provider taxes and state directed payments by a year -- the Senate bill’s reductions are still $4.5 billion—or 27%—greater than what was proposed in the House bill.

• The cuts to Missouri get substantially worse over time.

  • By fiscal year 2034 when the Senate legislation would be fully implemented,

    Missouri is expected to lose nearly a fifth of its federal Medicaid funding ($3 billion)

• Missouri hospitals – and the communities that they serve – will face the brunt of the cuts.

  • More than 50% of the Medicaid cuts Manatt modeled in the Senate bill ($10.9 billion) are derived from cuts to Missouri’s Medicaid hospital expenditures.

  • Missouri’s rural hospitals would see a cut of $1.4 billion under the Senate bill. The rural hospital fund proposed in the revised Senate bill would not come close to offsetting these losses. Based on a high-level estimate, Missouri could expect that the rural hospital fund would cover around one-third of projected rural hospital losses, leaving Missouri’s rural hospitals bear the brunt of almost $900 million in cuts. There are only 15 other states where the fund would fill in less of the gap than in Missouri.    

• But it is important to note that the Medicaid cuts go beyond the hospital sector.

  • Due to the work requirements and additional eligibility requirements in both the House and now the Senate bill, Missouri can expect to see at least 170,000 people – the majority of whom are likely to be exempt or already working – lose Medicaid coverage.