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Missouri Focus

Holding a supermajority in both the House and the Senate and controlling the governorship, Republicans have a state government trifecta.  Governor Parson signed 93 new laws and vetoed six bills passed by the 2019 Missouri General Assembly.  Democrats have an uphill climb in the 2020 election when five of six statewide offices are up for election (all but the auditor), all 163 House seats  and half of the Senate (17 seats) are up for election.  The likely faceoff for Missouri Governor will be incumbent Mike Parson and current State Auditor Nicole Galloway. 

Healthcare for Missouri

Healthcare for Missouri is a coalition of voters, patients, medical professionals, business leaders, and organizations committed to expanding access to health care. Medicaid expansion will help more than 200,000 Missourians who don’t have health insurance.  They include farmers, service workers, and business employees who don’t qualify for current Medicaid coverage and make too little to buy insurance on the exchange.  With the expansion of Medicaid in Missouri, more than $1 billion in tax dollars will be brought back to Missouri every year to keep rural hospitals open, create thousands of jobs, boost local economies, and provide health care to more than 200,000 hardworking Missourians.  If 172,000 valid signatures are collected by May 2020, this constitutional measure will appear on the Nov. 3, 2020 ballot.  For more information, go to

Medicaid Reform

Governor Parson appointed seven members to serve on the Missouri Health Insurance Innovation Task Force. Its purpose is to identify ways to curb rising health care premiums and increase access and competition in health insurance markets for all Missourians. The concepts are intended to be used to develop an innovation waiver application for the ACA. The chairperson of the task force will submit a report to Parson no later than Jan. 31, 2020, recommending a course of action to obtain the waiver.

Advance Practice Registered Nurses (APRN)

APRNs include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives, and all play a pivotal role in the future of health care. Currently, APRNs are licensed as registered nurses with an APRN certificate in Missouri which does not allow for full scope of practice. A House bill that would have changed the APRN licensure and allowed APRNS to practice independently after practicing for two years in a collaboration agreement with a physician died in the Senate. This bill was opposed by the Missouri State Medical Association.   Plans are already underway for a 2020 licensure bill.

Prescription Drug Monitoring Program (PDMP)

Missouri remains the only state without a statewide prescription drug monitoring program – for the seventh year in a row another attempt will be made to pass PDMP. The program would create a statewide electronic database designed to help identify the abuse of prescription drugs. Governor Parson has pushed for the passage of a statewide program and patient advocates and members of the medical community continue to speak to its importance. A PDMP bill has been introduced every year in the Missouri legislature since 2005, but due to ongoing concerns about privacy violations, it still has not passed. Missouri cities, neighboring states, and the federal government have been forced to create a patchwork of workarounds that do not as effectively track prescriptions.

Other 2020 Priorities

  • Access to care, licensure, managed care practices
  • Interstate Licensure Compact for Physicians
  • Workplace safety

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Page updated 10/24/19
















































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