Hailey
Health policy advocates and lawmakers voiced strong opposition on Wednesday to President Donald Trump’s proposed “One Big Beautiful Bill Act”, warning that the legislation could have severe consequences for thousands of Missourians, particularly in rural communities that heavily depend on Medicaid.
According to the Congressional Budget Office, the proposed changes could lead to nearly 9 million Americans losing healthcare coverage, with an estimated 130,000 to 160,000 Missourians impacted each year.
A central component of the bill includes mandatory work requirements for Medicaid eligibility. Individuals aged 19 to 64 would be required to work a minimum of 80 hours per month unless they fall under specific exemptions. These exemptions include:
- Individuals with disabilities
- Pregnant women
- Caregivers for dependent children
State Senator Patty Lewis, a Democrat from Kansas City, called the bill “devastating” and warned of widespread harm to vulnerable populations.
Impact on Missouri’s Health System and Economy
Missouri’s Medicaid program, MO HealthNet, currently covers about 1.25 million residents, including:
- 660,000 children
- 186,000 people with disabilities
- 109,000 seniors
The state receives around $12.7 billion in federal funding for Medicaid, which constitutes two-thirds of the program’s total budget.
The proposed legislation would reduce federal support by $1.3 trillion over the next decade and introduce work requirements that could limit access to care.
Sheldon Weisgrau, Vice President of Health Policy and Advocacy at the Missouri Foundation for Health, highlighted the dire economic implications for rural communities, noting that providers could lose up to 21 cents of every Medicaid dollar.
Hospital Closures and Job Losses Looming
Since 2014, 21 rural hospitals in Missouri have already shut down, and another 25 are currently at risk due to financial instability.
Weisgrau emphasized that rural hospitals are often the top employers in their regions, and closures would result in massive job losses and long-term economic ripple effects.
“We are likely going to see more rural hospitals close,” he said. “That means job losses and severe consequences for local economies.”
Calls for Action and Warnings from Health Officials
Health leaders from major systems such as MU Health Care and Boone Health expressed concern over the proposed changes, stating they are closely monitoring developments in Congress.
Sen. Lewis issued a stark warning:
“This bill is unpopular and will harm and kill people if implemented. It’s vital that Missourians contact their representatives now.”
The “One Big Beautiful Bill Act” poses a significant threat to Missouri’s healthcare system, particularly in rural areas where access is already limited.
Experts warn of hospital closures, job losses, and increased suffering for the state’s most vulnerable residents.
As the bill progresses through Congress, public advocacy and political engagement are crucial in defending the health and economic stability of thousands of Missourians.