Shaping Policies. Creating Opportunities.

Recent Publications

What’s at Risk: Medicaid & SNAP in Missouri

References Include: Analysis of coverage losses from Missouri Foundation for Health, 2025 Joseph Llobrera, Dottie Rosenbaum, and Catlin Nchako, “Senate Agriculture Committee’s Revised Work Requirement Would Risk Taking Away Food Assistance From More Than 5 Million People:
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Living on Borrowed Time: Missouri Faces Big Budget Cliff

Governor Kehoe recently announced that Missouri expects a $1 billion shortfall in general revenue in FY 2027. This shortfall is expected mostly because of the implementation of previously passed tax cuts. COVID-related savings temporarily masked the shortfall, and this budget gap
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Final Budget Reconciliation Bill Will Take Health Coverage, Food Assistance Away From Missourians

Medicaid (called MO HealthNet in Missouri) and the Supplemental Nutrition Assistance Program (SNAP) help keep Missourians and their families healthy and fed, so they can work, succeed in school, and contribute to their communities. But recently passed provisions included in the
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Budget Reconciliation Bill Heavily Skewed to Wealthiest

The recently passed budget reconciliation bill prioritizes tax cuts and expands loopholes for the wealthy and corporations while cutting more than $1 trillion from Medicaid and food assistance – all while adding $3.4 trillion to the national deficit. This legislation leaves
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Paid Family Leave is Good for Workers and the Economy

The Family Medical Leave Act (FMLA) of 1993 was a critical step forward in supporting families. FMLA provides job protections for millions of workers who need to take time off to bond with a child, care for an aging parent or recover from a serious illness. However, because FMLA
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Costly Capital Gains Exemption Will Make Missouri Taxes More Regressive

During the 2025 State Legislative Session, lawmakers passed House Bill 594, which exempts capital gains from income tax, making Missouri the only state in the nation that levies an individual income tax that does not also tax capital gains.[i] Capital gains are income generated
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Federal Medicaid Cuts Would Eliminate Health Coverage, Increase Costs for Missourians

Medicaid helps keep Missourians and their families healthy, so they can work, succeed in school, and contribute to their communities. But Congress is considering the biggest cuts to Medicaid in history, resulting in unprecedented reductions in health services for Missourians. The
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House Budget Reconciliation Would Cut Health Care, Food Assistance for Missourians

The U.S. House of Representatives is barreling forward to meet its self-imposed deadline of voting this week on legislation that would enact the largest cuts to Medicaid and SNAP in the history of the programs. The cuts would strip health coverage and food assistance away from
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Pain of Missouri’s 2005 Missouri Medicaid Cuts Holds Lessons for Today

State Medicaid cuts made in 2005 – which are only a fraction of the size of the cuts being discussed today – caused nearly 150,000 Missourians to lose Medicaid coverage, increased the number of uninsured Missourians, and led to increased costs for providers and patients. The
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Medicaid Work Requirements Put More than 111,000 Missourians at Risk of Losing Health Coverage

Work requirements impose administrative barriers and red tape that cause people to lose their coverage – including those who are supposed to be exempt from the requirements in the first place.
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