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‘Critical’ Medicaid renewal looms over Missouri legislature with 8 weeks left in session

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‘Critical’ Medicaid renewal looms over Missouri legislature with 8 weeks left in session


JEFFERSON CITY, Mo. (WGEM) – Missouri lawmakers entered their annual spring break on Friday, marking what is seen as the “halfway point” of the legislative session, though 11 weeks have passed with just eight remaining.

State lawmakers have yet to complete the renewal of a $4.5 billion funding mechanism which expires this fall.

The Federal Reimbursement Allowance, or FRA, in simple terms, is how the state of Missouri draws down federal dollars to cover its Medicaid program.

If it is not renewed, lawmakers predict catastrophe for Missouri health care, including widespread closures of rural hospitals that depend on those funds.

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“We all understand that we’re not going to not renew a $4.5 billion fund that pays for our nursing homes and our rural hospitals and people that are really vulnerable,” said State Sen. Cindy O’Laughlin, the Senate’s majority leader.

“Everyone in this chamber knows how essential and critical that FRA is to healthcare, especially in rural Missouri, and to the state’s budget being solvent,” said State Sen. John Rizzo, the Senate minority leader.

The last time the FRA was up for renewal in 2021, a handful of Republicans stalled the bill, demanding it include language which prohibits Medicaid funds from going to abortion providers.

The Senate failed to pass the measure before the close of the session, forcing the governor to call a special session to see the program renewed.

It was eventually completed without the language demanded by the small group of Republicans.

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Many of the same members, now known as the “Freedom Caucus,” have promised to block the bill again unless it contains that same language

“If we’re able to defend those that are doing harm and be able to help fund those that aren’t, we’re willing and able to make that happen,” said State Sen. Rick Brattin, R-Harrisonville. “But until that happens, it’s going to be an issue with this Freedom Caucus.”

The Missouri Budget Project predicts any scenario in which the FRA is not renewed would result in roughly $1.5 billion in cuts to K-12 and higher education and mental health services.



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Missouri

Missouri Lottery Powerball, Pick 3 winning numbers for April 18, 2026

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The Missouri Lottery offers several draw games for those aiming to win big.

Here’s a look at April 18, 2026, results for each game:

Winning Powerball numbers from April 18 drawing

24-25-39-46-61, Powerball: 01, Power Play: 5

Check Powerball payouts and previous drawings here.

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Winning Pick 3 numbers from April 18 drawing

Midday: 5-8-2

Midday Wild: 3

Evening: 3-8-5

Evening Wild: 1

Check Pick 3 payouts and previous drawings here.

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Winning Pick 4 numbers from April 18 drawing

Midday: 0-1-6-1

Midday Wild: 2

Evening: 4-7-6-9

Evening Wild: 5

Check Pick 4 payouts and previous drawings here.

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Winning Cash Pop numbers from April 18 drawing

Early Bird: 08

Morning: 01

Matinee: 05

Prime Time: 04

Night Owl: 05

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Check Cash Pop payouts and previous drawings here.

Winning Show Me Cash numbers from April 18 drawing

07-10-21-27-33

Check Show Me Cash payouts and previous drawings here.

Winning Powerball Double Play numbers from April 18 drawing

02-38-45-53-63, Powerball: 21

Check Powerball Double Play payouts and previous drawings here.

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Feeling lucky? Explore the latest lottery news & results

Are you a winner? Here’s how to claim your lottery prize

All Missouri Lottery retailers can redeem prizes up to $600. For prizes over $600, winners have the option to submit their claim by mail or in person at one of Missouri Lottery’s regional offices, by appointment only.

To claim by mail, complete a Missouri Lottery winner claim form, sign your winning ticket, and include a copy of your government-issued photo ID along with a completed IRS Form W-9. Ensure your name, address, telephone number and signature are on the back of your ticket. Claims should be mailed to:

Ticket Redemption

Missouri Lottery

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P.O. Box 7777

Jefferson City, MO 65102-7777

For in-person claims, visit the Missouri Lottery Headquarters in Jefferson City or one of the regional offices in Kansas City, Springfield or St. Louis. Be sure to call ahead to verify hours and check if an appointment is required.

For additional instructions or to download the claim form, visit the Missouri Lottery prize claim page.

When are the Missouri Lottery drawings held?

  • Powerball: 9:59 p.m. Monday, Wednesday and Saturday.
  • Mega Millions: 10 p.m. Tuesday and Friday.
  • Pick 3: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
  • Pick 4: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
  • Cash4Life: 8 p.m. daily.
  • Cash Pop: 8 a.m. (Early Bird), 11 a.m. (Late Morning), 3 p.m. (Matinee), 7 p.m. (Prime Time) and 11 p.m. (Night Owl) daily.
  • Show Me Cash: 8:59 p.m. daily.
  • Lotto: 8:59 p.m. Wednesday and Saturday.
  • Powerball Double Play: 9:59 p.m. Monday, Wednesday and Saturday.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Missouri editor. You can send feedback using this form.



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Missouri Lottery Mega Millions, Pick 3 winning numbers for April 17, 2026

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The Missouri Lottery offers several draw games for those aiming to win big.

Here’s a look at April 17, 2026, results for each game:

Winning Mega Millions numbers from April 17 drawing

38-43-44-49-62, Mega Ball: 08

Check Mega Millions payouts and previous drawings here.

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Winning Pick 3 numbers from April 17 drawing

Midday: 4-8-6

Midday Wild: 2

Evening: 8-8-2

Evening Wild: 1

Check Pick 3 payouts and previous drawings here.

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Winning Pick 4 numbers from April 17 drawing

Midday: 3-9-4-2

Midday Wild: 4

Evening: 7-3-7-7

Evening Wild: 7

Check Pick 4 payouts and previous drawings here.

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Winning Cash Pop numbers from April 17 drawing

Early Bird: 07

Morning: 06

Matinee: 08

Prime Time: 05

Night Owl: 07

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Check Cash Pop payouts and previous drawings here.

Winning Show Me Cash numbers from April 17 drawing

04-06-25-37-39

Check Show Me Cash payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

Are you a winner? Here’s how to claim your lottery prize

All Missouri Lottery retailers can redeem prizes up to $600. For prizes over $600, winners have the option to submit their claim by mail or in person at one of Missouri Lottery’s regional offices, by appointment only.

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To claim by mail, complete a Missouri Lottery winner claim form, sign your winning ticket, and include a copy of your government-issued photo ID along with a completed IRS Form W-9. Ensure your name, address, telephone number and signature are on the back of your ticket. Claims should be mailed to:

Ticket Redemption

Missouri Lottery

P.O. Box 7777

Jefferson City, MO 65102-7777

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For in-person claims, visit the Missouri Lottery Headquarters in Jefferson City or one of the regional offices in Kansas City, Springfield or St. Louis. Be sure to call ahead to verify hours and check if an appointment is required.

For additional instructions or to download the claim form, visit the Missouri Lottery prize claim page.

When are the Missouri Lottery drawings held?

  • Powerball: 9:59 p.m. Monday, Wednesday and Saturday.
  • Mega Millions: 10 p.m. Tuesday and Friday.
  • Pick 3: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
  • Pick 4: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
  • Cash4Life: 8 p.m. daily.
  • Cash Pop: 8 a.m. (Early Bird), 11 a.m. (Late Morning), 3 p.m. (Matinee), 7 p.m. (Prime Time) and 11 p.m. (Night Owl) daily.
  • Show Me Cash: 8:59 p.m. daily.
  • Lotto: 8:59 p.m. Wednesday and Saturday.
  • Powerball Double Play: 9:59 p.m. Monday, Wednesday and Saturday.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Missouri editor. You can send feedback using this form.



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Will Missouri incarcerate its economic future?

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Will Missouri incarcerate its economic future?


Missouri has hastily passed a sweeping crime bill that moves the state in the wrong direction. The law — signed by Gov. Mike Kehoe — bundles together expanded pathways for certifying adolescents ages 14 to 18 as adults and the expansion and standardization of mandatory minimum sentences. This legislation will push more teenagers into the […]



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