Missouri Department of Social Services

More than 300,000 Missouri residents lost Medicaid coverage within the course of the year, and 92% were because of "procedural" terminations due to missing forms, incomplete information or other issues. A new rule proposed by the federal government could add even more paperwork.

The change comes via an executive order from Gov. Mike Kehoe directing the state to discourage the use of Supplemental Nutrition Assistance Program, or SNAP, to buy "foods that are high in sugar and ultra-processed" and incentivize healthy eating.

The Trump administration’s drive to slash safety-net spending is hitting SNAP. As the cost of gasoline spikes, rent and utilities climb and food remains expensive, more than 3.5 million Americans have lost food benefits.

The effort comes after the federal government criticized suspected levels of Medicaid fraud in Democratic-led states.

The Missouri Department of Social Services applied last year for federal permission to prohibit purchases of candy, prepared desserts and sugary drinks with SNAP and SuN Bucks. But supermarkets aren't yet clear what qualifies.

Missouri lawmakers have repeatedly introduced bills to try to significantly reduce the number of hospital boarding days each year and eventually end the practice altogether.

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 Department of Social Services Director Jessica Bax detailed a plan that could help child abuse investigators make more money by working in more specialized roles.

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.

A federal judge ruled last year Missouri’s food aid system was “overwhelmed,” had wrongly denied assistance to applicants, and had caused many to go hungry. A new bill signed by President Trump will cut SNAP funding and add work requirements, which will likely worsen the problems.

Refugees and asylum grantees are among those who can no longer qualify for federal nutrition support until five years after obtaining green cards, because of new restrictions in President Trump's budget bill.

After weeks of uncertainty, Kansas released SNAP benefits to residents on Friday, while Missouri plans to release benefits — either full or partial payments — later this week. But the recent Trump budget bill added a number of restrictions to the program.