Gary Romine

Marshall Griffin/St. Louis Public Radio

A scheduled meeting between Missouri Governor Jay Nixon (D) and Republican legislative leaders over Medicaid reform is now in jeopardy because of a disagreement over the meeting's location and format.

Marshall Griffin/St. Louis Public Radio

A Missouri Senate interim committee examining the state's Medicaid system voted this afternoon to adopt a draft report that recommends using managed care companies to provide health coverage to more of Missouri's working poor.

The report also deliberately excludes recommendations to expand Medicaid.  State Senator and committee chair Gary Romine (R, Farmington) maintained that Medicaid must be reformed first.