Missouri Senate President Pro Tem Tom Dempsey has reiterated that any Medicaid expansion will be difficult to pass out of the Missouri Senate, a statement that comes as the state House presented its budget without any money for the expansion.
The Medicaid expansion is a key aspect of the federal Affordable Care Act, also known as “Obamacare.” Under the ACA, the federal government would fund 100 percent of the expansion from 2014 to 2016. After that, Missouri would gradually pick up a share of the cost until it pays 10 percent of the expansion by 2020.
Proponents – such as Gov. Jay Nixon – say the expansion will provide an economic development jolt and provide health care coverage to thousands of Missourians. But many Republicans in both legislative chambers have chafed at the idea, severely complicating its chances of passage.
Dempsey said at an event Friday – as he has in the past – that he has doubts that the federal government will sustain its end of the bargain.