Show-Me Institute

Missouri voters will decide on a proposed constitutional amendment to replace income tax with expanded sales taxes, potentially including healthcare services and medications. Critics warn this could reduce healthcare accessibility, while proponents argue it would stimulate economic growth. The state faces budget challenges, including dwindling federal Medicaid funding and recent tax cuts.

Missouri's proposed Amendment 5 could introduce sales taxes on healthcare services, currently exempt, to replace income tax. Critics warn it may raise medication costs and threaten state services, while proponents argue it could boost economic growth.