Husch Blackwell secured a victory before the Missouri Supreme Court in closely watched litigation over the implementation of Amendment 2, a 2020 ballot initiative that Missourians passed and that would expand Medicaid coverage in the state.

The litigation stemmed from the decision of Missouri’s Department of Social Services to refuse to enroll the plaintiffs in MO HealthNet, the state’s Medicaid plan, because the Missouri General Assembly allegedly failed to appropriate funding for the program’s expansion. The trial court ruled that Amendment 2 violated article III, section 51 of the Missouri Constitution, which prohibits a ballot measure from appropriating money without creating revenue to fund the initiative.