Official Ballot Title
Amendment 2
[full text] https://www.sos.mo.gov/CMSImages/Elections/Petitions/2020-063.pdf
[View Certificate of Sufficiency]
https://www.sos.mo.gov/CMSImages/Elections/Petitions/2020-063SufficiencyforWeb.pdf
Proposed by Initiative Petition
Official Ballot Title:
Do you want to amend the Missouri Constitution to:
● adopt Medicaid Expansion for persons 19 to 64 years old with an income level at or
below 133% of the federal poverty level, as set forth in the Affordable Care Act;
● prohibit placing greater or additional burdens on eligibility or enrollment standards,
methodologies or practices on persons covered under Medicaid Expansion than on
any other population eligible for Medicaid; and
● require state agencies to take all actions necessary to maximize federal financial
participation in funding medical assistance under Medicaid Expansion?
State government entities are estimated to have one-time costs of approximately $6.4
million and an unknown annual net fiscal impact by 2026 ranging from increased costs
of at least $200 million to savings of $1 billion. Local governments expect costs to
decrease by an unknown amount.
Fair Ballot Language:
A "yes" vote will amend the Missouri Constitution to adopt Medicaid Expansion for
persons 19 to 64 years old with an income level at or below 133% of the federal
poverty level, as set forth in the Affordable Care Act. Currently, Medicaid eligibility is
set forth in state statute, but this amendment adds Medicaid Expansion to our
constitution. This amendment prohibits placing greater or additional burdens on
eligibility or enrollment standards, methodologies or practices on persons covered
under Medicaid Expansion than on any other population eligible for Medicaid. The
amendment requires state agencies to take all actions necessary to maximize federal
financial participation in funding medical assistance under Medicaid Expansion. Federal
law requires states to fund a portion of the program in order to receive federal funding
(state match). This amendment does not provide new state funding or specify existing
funding sources for the required state match.
A "no" vote will not amend the Missouri Constitution to adopt Medicaid Expansion.
If passed, this measure has no direct impact on taxes.
#YesOn2
2020 Ballot Measures
https://www.sos.mo.gov/elections/petitions/2020BallotMeasures
The following ballot measure has been certified for the August 4, 2020 primary election.
PAGE 29 July 2020