Republican state senators held firm to their position that Medicaid in Missouri must be overhauled before it is expanded, prompting Democrats to walk out of a work session on the health care law. The dispute took place at the final meeting of the Senate Interim Committee on Medicaid Transformation and Reform, which was developing recommendations for the Legislature to consider when it convenes in January.
Transformation should include putting all low-income parents, pregnant women and children on Medicaid into private managed care plans, the report says. Currently, managed care is used only for families in 54 of Missouri’s 114 counties. Three managed care companies cover about 408,000 of the state’s 861,121 Medicaid participants. The committee chairman appeared to leave the door open a crack for compromise.