Missouri’s elected leaders have largely resisted having anything to do with the federal Affordable Care Act.
Lawmakers passed on setting up a health insurance exchange, leaving it to the federal government. And so far, the Legislature has not expanded Medicaid as the federal act allows. State voters, meanwhile, twice have opposed the law commonly known as Obamacare, including a vote last year barring state and local officials from having any part in the online marketplace’s creation.
The city of St. Louis, in contrast, has launched an extended effort to inform residents about the law and help them sign up for coverage in the federal exchange.