Amid federal changes, advocates question the role of private insurers in Missouri Medicaid

By: Steph Quinn

Outlets: Missouri Independent

Published: July 31, 2026

Words: 1,751

Last Updated: 1 hour, 53 minutes ago

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Missouri’s Medicaid program is heading into its hardest budget years in at least a decade.

A federal law passed by Congress last year, the One Big Beautiful Bill Act, threatens more than $1 billion in penalties unless the state lowers its error rate below 3% starting in October 2029. It also imposes new mandates on the Department of Social Services. The state allotted $132 million to implement the law in its fiscal year …

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