This document discusses expanding Medicaid in Missouri. Approximately 260,000 Missourians are currently in the coverage gap and do not qualify for Medicaid or subsidies. Expanding Medicaid would provide coverage to these individuals and save the state $385 million from 2013-2022. It would also generate $2 billion annually and create nearly 24,000 jobs. However, the Supreme Court ruled that states can opt out of Medicaid expansion. To expand Medicaid in Missouri, the legislature would need to pass a bill to increase eligibility levels.