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'It's just shocking': How Missouri Republican politics drove twin crises in Medicaid


It s just shocking : How Missouri Republican politics drove twin crises in Medicaid
Jonathan Shorman and Jeanne Kuang, The Kansas City Star
May 23 Mike Levitt s nursing homes have experienced a difficult 14 months.
Still recovering after being ravaged by the coronavirus pandemic, Levitt s Tutera Senior Living & Health Care, which operates five facilities in the Kansas City region, suddenly finds itself at the edge of financial oblivion.
Missouri lawmakers are at fault.
The General Assembly adjourned earlier this month without renewing a tax that funds vast swaths of Medicaid in Missouri. Nursing homes are heavily reliant on Medicaid patients, who have spent down their savings and now depend on the program to pay for their care. ....

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Lucas blasts proposed Missouri oversight Kansas City's COVID relief spending


Lucas blasts proposed Missouri oversight Kansas City s COVID relief spending
Jeanne Kuang and Steve Vockrodt, The Kansas City Star
Apr. 26 JEFFERSON CITY Kansas City Mayor Quinton Lucas slammed a proposal Monday by state lawmakers to review cities pandemic aid spending, the latest in a series of legislative moves that city officials say undermines the principle of local control.
The proposal was heard by the House Budget Committee Monday, as Lucas administration prepares this week to outline how he wants to spend the first $95 million that the city has received from the federal government through the American Rescue Plan.
The bill sponsored by House Budget Chair Cody Smith, a Carthage Republican, would form a state oversight committee to look into local governments spending of those dollars to root out fraud. ....

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Missouri Republicans fight 'will of the people' as they push limits on direct democracy


Missouri Republicans fight will of the people as they push limits on direct democracy
Jonathan Shorman and Jeanne Kuang, The Kansas City Star
© TIM BOMMEL/TNS
Cody Smith, right, a Carthage Republican, chairs a House Budget Committee meeting on March 22, 2021, with staff member Chris Dunn, center, and vice chair Dirk Deaton, a Noel Republican.
JEFFERSON CITY, Mo, When Missouri voters approved Medicaid expansion in August, the results weren t all that close.
The constitutional amendment requiring the state to expand eligibility to upward of 275,000 residents passed 53.3% to 46.7%. The margin of victory stood at more than 83,000 votes.
Less than a year later, the Republican-dominated House is balking. GOP legislators voted last week to exclude the funding necessary to carry out the expansion, leaving its fate unclear. ....

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$1.6B offered to Kansas and Missouri for Medicaid expansion, but GOP doesn't want it


$1.6B offered to Kansas and Missouri for Medicaid expansion, but GOP doesn t want it
Jonathan Shorman and Jeanne Kuang, The Kansas City Star
Apr. 7 The number of patients visiting Health Partnership Clinic in Olathe and Paola dropped nearly a third last year as the pandemic took hold. And yet, the number without insurance surged by 10% and is still growing.
Officials there, and at similar Kansas and Missouri clinics serving low-income patients, say such numbers highlight a burgeoning need for Medicaid expansion. It would provide health coverage to hundreds of thousands of people across both states who make too much for Medicaid but not enough for subsidies under the Affordable Care Act. ....

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