The physicians of the Kansas City Medical Society have identified access to health care as their number one priority of 2019 and are advocating for Medicaid expansion in Kansas and Missouri during the 2020 legislative sessions.


On behalf of the 3,400 physician members of KCMS, we call on our legislators to support Medicaid expansion in Kansas and Missouri.

Physician members of KCMS believe Medicaid expansion is important because:

  • Patients can be treated sooner if insured, and the end cost is lower.
  • Our community’s economy is directly linked to its health.
  • It’s important that low-income people get the healthcare they need to keep working and taking care of their families.
As Dr. Jerome Adams, the U.S. Surgeon General, shared at our November 2018 annual meeting, a community’s health and economic prosperity are linked.


Physician members agree that a major barrier to delivering care is health insurance or ability to afford health insurance.  Uninsured patients end up getting sicker and needing more costly treatments than if they had been insured and received care sooner.
Some community hospitals in rural areas in both Kansas and Missouri are closing or in danger of closing. Medicaid expansion would assist some of these hospitals.  These hospitals are key to access to care but also to creating jobs in their communities.
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    The Kansas and Missouri Medicaid programs currently offer no coverage to childless adults and very low-income eligibility limits for parents (19% FPL in Missouri and 33% FPL in Kansas).  To put this into context, 19% FPL for a family of four is roughly $4,500 annually.

  • Absent Medicaid expansion, the coverage system in both Missouri and Kansas has a large coverage gap that leaves hundreds of thousands of residents behind, because they make too much money to qualify for the current Medicaid program and too little for a subsidized marketplace plan.

If both Missouri and Kansas expand Medicaid, 400,000 people would gain access to health insurance. This would bring approximately $325 million per year into our six-county area surrounding Kansas City for the health care of our neediest residents.

For more information, please contact KCMS President Mark Brady, MD, at Also see the following links:

Map of status of Medicaid expansion by state as of April 26, 2019 (Henry J. Kaiser Family Foundation):

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