JEFFERSON CITY, Mo. — The long Republican-led effort to block the Affordable Care Act in Missouri appears to be coming to a close after the state’s highest court ruled a voter-approved plan to expand Medicaid was valid.
For many observers, the fight is over, and the day when 275,000 low-income Missourians can begin receiving health insurance benefits is on the horizon.
James Layton, who spent two decades in the Missouri Attorney General’s office, put it bluntly when asked if there are any additional legal routes opponents can take.