Attention Hospital Employees


Why Should

Hospital Employees, Volunteers, Boards

and Physicians Care About Medicaid Expansion? 

In June 2012, the United States Supreme Court ruled that the Patient Protection and Affordable Care Act was constitutional, except for the requirement for states to expand the Medicaid program. Their ruling gave states the option not to expand Medicaid to adults whose incomes are up to 138 percent of the federal poverty level ($15,856 for individuals). In Missouri, this would provide more than 300,000 individuals the opportunity to be covered by Medicaid.

As part of the ACA, hospitals will incur payment cuts from Medicare and Medicaid in return for increased numbers of insured patients through an expansion in Medicaid, as well as more affordable private health insurance options available through Health Insurance Exchanges. The federal government will provide 100 percent of the program costs for the first three years of the expansion. Beginning in 2017, states will pay a small percentage each year until 2020 when they would pay 10 percent of the cost of the expansion.

If Missouri lawmakers choose not to expand the program, hospitals still will incur the payment cuts without the offsetting benefit of more Medicaid coverage and fewer uninsured patients.

Key Facts To Know

  • The health care sector is good for Missouri employing nearly 13 percent of Missouri’s non-farm workers.
  • Missouri’s hospitals employ 150,666 health care workers.
  • Even through the recessions of 2001 and 2008, the sector had consistent growth.
  • Looming payment cuts from Medicare and Medicaid over the 7 year period 2013-2019 threaten hospitals’ future economic stability.
  • By expanding Medicaid, Missouri has the opportunity to offset some of these cuts and create jobs, strengthen the local economy, keep employers’ health care costs under control and improve the health of the workforce.

Key Actions Hospital Employees Can Take

MHA is undertaking the largest and most extensive legislative and grassroots advocacy effort ever conducted by the association. The stakes for our hospital members are extremely high. To be successful, we must have your assistance.

Lawmakers need to understand what cuts of this magnitude mean to your patients and community. They need to hear from everyone connected with the hospital — employees, volunteers, board members, physicians and community members who benefit from the services provided by the hospital.

  • Contact your legislators and share both the positive consequences of Medicaid expansion and the negative consequences of not expanding.
  • Talk to neighbors, family and friends and tell them how important this issue is for Missouri’s future —

To learn more about the issue and to easily contact your legislator, go to

About Craig Thompson

I am a young professional with two great sons, and I work in the healthcare setting. I am employed in hospital administration and serve as Chief Executive Officer at Golden Valley Memorial Healthcare in Clinton, Missouri. At GVMH we care for our families, friends and neighbors. We're committed to providing the safest, friendliest and most compassionate care to all we serve.
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