Centers for Medicare and Medicaid Services (CMS)

Missouri officials have proposed cutting tens of millions of dollars in services for people with disabilities. And Montana halted a plan to pay for birthing doulas amid a budget shortfall and fears over coming federal Medicaid cuts.

Sedalia's newest effort to help its most vulnerable residents appears to be a win: a building with the area’s most crucial social service providers all under one roof, available throughout the week on a walk-in basis. It's part of a Missouri pilot program to better serve rural communities.

The proposed ballot measure, if approved by a majority of Missouri voters, would make it more difficult for the state to reverse federal restrictions on Medicaid eligibility. The upcoming changes could cause 130,000 Missourians to become uninsured in the next decade.

Missouri received the ninth-largest award of any state from the federal Rural Health Transformation Program, part of the GOP spending law passed by Congress over the summer. But it still amounts to less than a third of what rural areas will lose from reduced Medicaid spending.

Gov. Mike Kehoe is hopeful Congress will reverse course on major restrictions on medical provider taxes, which were included in the "Big Beautiful Bill" that President Trump signed. All of Missouri's Republican members of Congress voted in favor of it.

Advocates worry that tens of thousands of vulnerable Missourians will lose Medicaid and food stamps because of new administrative barriers proposed by the GOP-led Congress. Missouri has already come under fire for failing to administer benefits on time.

Navigators help people enroll in Medicaid and insurance on the federal marketplace. Federal funding cuts by the Trump administration mean Kansas will have less navigators.

The federal spending cuts proposed by the Republican-controlled Congress could lead to tens of thousands of jobs lost across Missouri and Kansas health care systems and food suppliers, a new study found.

U.S. Rep. Eric Burlison, an Ozark Republican, also took a negative view of town hall meetings, claiming that "only political nutjobs show up.” His comments come after several GOP lawmakers faced angry crowds criticizing federal job reductions.

MO HealthNet covers more than 1.3 million, or one in five people in the state, across different eligibility groups. The majority of Missouri's Medicaid funding, including almost all of its expansion money, comes from the federal government.

More than 400,000 of Missouri's nearly 1.4 million Medicaid recipients lost coverage after the end of the COVID public health emergency. Almost half were children — one of the highest rates in the nation.

Missouri officials doubt the state could stop accepting Medicaid expansion applicants if the federal government provides less money. Republican Sen. Josh Hawley says he'd be "really concerned" about significant Medicaid cuts in a budget bill.