A photo of Truman Medical Center in Kansas City showing the six-story hospital on a sunny day.

Truman Medical Center pulls out of Missouri Medicaid provider tax pool

BY: - August 10, 2021

Kansas City’s Truman Medical Center will stop contributing to a financial pooling arrangement that helps maintain political support for a tax that pumps hundreds of millions of dollars into Missouri’s Medicaid program every year. The move, which lawmakers began learning about last week, has raised concerns that other providers could follow Truman’s lead — and […]

The Missouri House floor for the 2019 State of the State address.

Capitol Perspectives: Medicaid’s financial history

BY: - July 23, 2021

There is a fascinating history to Missouri’s recent special session to fix the legislature’s failure to continue one of the state’s most important financial mechanisms that assures adequate funding for Medicaid health coverage. The mechanism goes back to 1990, when Missouri accepted voluntary contributions from the Missouri Hospital Association to provide higher Medicaid reimbursements for […]

Missouri House passes Medicaid provider tax bill, preventing major budget cuts

BY: - June 30, 2021

With fewer than 12 hours to spare before the start of a new fiscal year, the Missouri House on Wednesday approved a bill extending medical provider taxes essential to balancing the budget, forestalling more than $700 million in cuts planned by Gov. Mike Parson. Divisions over how and whether to add provisions sought by anti-abortion […]

No changes in committee as FRA bill heads to Missouri House for debate

BY: - June 29, 2021

After receiving a warning that any delay beyond Wednesday for the bill extending medical provider taxes could be catastrophic, the House Budget Committee voted 27-2 to send it to the full chamber without any changes from the version passed last week in the state Senate. The new state fiscal year begins Thursday, and Gov. Mike […]

Missouri Senate approves FRA, rejects push to ban Planned Parenthood from Medicaid

BY: - June 26, 2021

A bipartisan coalition handed anti-abortion activists a rare defeat in the Missouri Senate Friday night, rejecting a push to ban Planned Parenthood as a Medicaid provider as it passed a bill to secure billions for the state’s Medicaid program. And only a restatement of the state’s already existing ban on using public funds to pay […]

Missouri Senate set to debate dueling bills extending tax crucial to Medicaid funding

BY: - June 24, 2021

After about three hours of testimony Thursday, the Missouri Senate Appropriations Committee approved two bills to extend medical provider taxes vital to funding the state’s share of Medicaid. The first bill brought up for a vote would extend the taxes for five years, limit the types of contraceptives available to women on Medicaid and block […]

Divide among Missouri Republicans threatens to upend special session on Medicaid tax

BY: - June 24, 2021

Missouri Gov. Mike Parson and GOP legislative leaders were gathered on a conference call Tuesday morning, with little time to spare.  The governor had set a noon deadline for lawmakers to strike a deal on a tax that provides $2 billion for Missouri’s Medicaid program. If they didn’t, he vowed deep cuts across the board […]

Contraception, Planned Parenthood dominate debate as Missouri Senate returns to Capitol

BY: and - June 23, 2021

If state lawmakers approve the limits on Planned Parenthood’s participation in state medical funding suggested by Gov. Mike Parson, it would not cost the organization any money. Lawmakers are back in session this week because they failed earlier this year to extend provider taxes vital to funding Medicaid after a push from conservatives in the Missouri […]

Parson calls special session, setting up debate on contraceptives, Planned Parenthood

BY: - June 22, 2021

A special session to extend provider taxes essential to the state’s Medicaid program will begin at noon Wednesday, Gov. Mike Parson announced Tuesday afternoon. The announcement was issued just minutes after a noon deadline set by Parson on Monday. The call came after seven members of the Senate Conservative Caucus sent him a letter demanding […]


Capitol Perspectives: The price of a purge

BY: - June 22, 2021

A recent suggestion by a Missouri Senator of a Senate leadership purge reminded me about the last time the Senate’s top leader was ousted. Sen. Paul Wieland, R-Imperial, made his suggestion in a letter to Republican senators, reported by The Missouri Independent, complaining about how Senate leaders consulted with Democrats on his amendment to ban Medicaid […]

Missouri Gov. Parson says he’ll slash budget if lawmakers don’t strike a deal on FRA soon

BY: - June 21, 2021

Gov. Mike Parson gave lawmakers a deadline of noon Tuesday to strike a deal to renew medical provider taxes vital to funding Medicaid or accept responsibility for more than $700 million in cuts from the state budget that takes effect July 1. At a news conference Monday afternoon, Parson lashed out at anti-abortion lawmakers who […]

Special session on tax crucial for Medicaid in doubt over Planned Parenthood amendment

BY: - June 18, 2021

On Tuesday, Republicans appeared to have reached a fragile consensus around extending a tax crucial to Missouri’s Medicaid finances — opening the door for Gov. Mike Parson to call lawmakers into special session next week.  By Friday afternoon, that consensus appears to have been derailed, at least temporarily, by disagreements over a proposed amendment that […]