Missouri State Medical Association Funds $1.5M PACs Targeting Managed Care Medicaid, Prior Authorization
The Missouri State Medical Association has created two new political action committees with $1.5 million in funding to influence state legislative races ahead of the 2026 elections. The association is actively lobbying to eliminate managed care for Missouri Medicaid recipients and restrict prior authorization requirements for medical services. This represents a dramatic shift in political activity for the 125-year-old organization, which had contributed only $19,625 to political committees since 2001 and made no donations since 2014. The funding immediately positions these PACs among the state's largest political contributors for the 2026 cycle.
Missouri MCOs face organized political opposition from the state's primary physician association, which is deploying substantial resources to eliminate managed care delivery for the state's 1.3 million Medicaid enrollees and restrict prior authorization protocols that underpin utilization management.
Managed Care
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