Illinois expanded its Medicaid program. Missouri didn’t. How are those choices working out?

Mar 27, 2014

In his hospital room at Touchette Regional Hospital in Centerville, Il., patient Steven Glispie finishes signing the paperwork to enroll in Medicaid.
Credit Véronique LaCapra / St. Louis Public Radio

In most states, Medicaid eligibility had been limited to disabled adults, very low-income parents, and their children. Then along came the federal health care law.

It was designed to expand Medicaid coverage to all adults earning up to 138 percent of federal poverty levels. But in 2012, the Supreme Court gave states the chance to opt out. 

Illinois is one of 25 states that went ahead with Medicaid expansion. Neighboring Missouri did not. Illinois Public Radio’s Véronique LaCapra looked into the impacts of those differing decisions.