The House’s version of the 2025 budget bill — the so-called “megabill” — threatens to strip health coverage from over 210,000 Missourians, gutting both Medicaid and Marketplace subsidies. These cuts would disproportionately affect working families, seniors, children, and people with disabilities, especially in our rural communities.

🚨 Who’s at Risk?
- ~91,000 Missourians would lose Medicaid coverage due to new work requirements and administrative hurdles — even though many already work or should be exempt.
- ~170,000 Missourians, including children and older adults, could lose coverage due to expanded red tape, paperwork barriers, and punitive eligibility checks.
- Combined, over 210,000 Missourians stand to lose either Medicaid or Marketplace health coverage — many of them from low-income or rural areas where access to care is already fragile.
These cuts are driven by:
- Rigid work requirements for adults aged 19–64 (typically 80 hours/month),
- More aggressive verification and reauthorization procedures,
- New federal restrictions on provider taxes, which fund Missouri’s MO HealthNet program.
💡 Why This Matters
This bill doesn’t just hurt individuals — it endangers rural hospitals, increases uncompensated care costs, and places new burdens on already strained health systems. Thousands of Missouri families could be forced to choose between health care and putting food on the table.
In Missouri’s 4th District, where rural families already face too many barriers to care, this bill could be catastrophic.

✅ The Bottom Line
If this House budget bill becomes law, over 210,000 Missourians will lose health care. It’s one of the most reckless attacks on working families and rural communities in recent memory.
We can and must fight back. Our people deserve better health care, fewer barriers, and a government that works for us — not against us.
📢 Join the Fight
I’m Ricky Dana, and I’m running for Congress in Missouri’s 4th to protect health care, strengthen rural hospitals, and stand up for working families. We need representatives who fight for people — not party-line cruelty.
Let’s stop the cuts and build a better future — together.
#MO4 #MedicaidMatters #ProtectOurCare #HandsOffMedicaid #StopTheCuts #RuralHealthCrisis #PeopleOverPolitics #DanaForCongress
Source Documents:
- Families USA – Missouri Medicaid Coverage Impact
- Missouri Budget Project – House Budget Cuts Analysis
- Empower Missouri – Medicaid Cuts Impact
- MarketWatch – SNAP and Medicaid Under Threat
- Politico – Medicaid Moderates
- Washington Post – Insurance Loss Projections
- Associated Press – GOP Bill and Medicaid