Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·MO·August 28, 2026

Missouri Labor and Reproductive Rights Coalition Targets Lawmakers Over Paid Sick Leave Repeal

A coalition of Missouri labor unions and reproductive rights groups launched a $1 million campaign in August 2026 to defeat Republican lawmakers who voted to repeal the state's paid sick leave requirement. The partnership builds on years of successful ballot campaigns that expanded Medicaid in 2020, approved abortion rights and higher minimum wage with paid sick leave in 2024, and defeated Amendments 4 and 5 in August 2026. Voters will face another test in November 2026 when asked to repeal the 2024 abortion rights amendment and reinstate an abortion ban. The coalition's organizing approach connects labor and reproductive rights issues in ways that resonate with voters in a Republican-controlled state.

Why it matters

The coalition's influence on Missouri ballot measures directly affects Medicaid expansion implementation and future state policy decisions on eligibility, benefits, and program funding.

Managed Care

Read the full article at missouriindependent.com

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