IAM Union Urges Missouri Senators to Reject Medicaid Cuts That Threaten Rural Hospitals and Workers’ Access to Care

WASHINGTON, June 27, 2025 – The International Association of Machinists and Aerospace Workers (IAM Union), representing 600,000 active and retired members across North America, is calling on U.S. Senators Josh Hawley and Eric Schmitt to reject the Medicaid cuts proposed in the reconciliation package (H.R. 1), warning that the legislation would devastate healthcare access and put Missouri’s rural hospitals at risk.

In a letter to the Senators, IAM Union International President Brian Bryant emphasized the bill’s real-world consequences for working families and communities across Missouri.

“The IAM Union represents thousands of aerospace, airline, and manufacturing workers throughout the state, including at Boeing’s St. Louis facility and at major airports,” wrote IAM Union International President Bryant. “These cuts would deliver a painful blow to Missouri’s healthcare system and threaten the stability of rural hospitals. Even with strong union health benefits, our members need access to functioning hospitals and clinics. If healthcare infrastructure collapses, every Missourian is at risk — especially in rural communities.”

The legislation proposes strict new work requirements for Medicaid recipients and sharp reductions in federal funding. Reports indicate that hundreds of thousands of Missourians could lose coverage, and hospitals that rely on Medicaid reimbursements could be forced to close or reduce critical services. Missouri’s Department of Health and Senior Services has already warned that the state’s rural health providers operate on thin margins and cannot absorb the proposed cuts.

The IAM Union is calling on Senators Hawley and Schmitt to stand up for working families and vote against this harmful legislation.

Read the letters to U.S. Senators Hawley and Schmitt

The IAM Union (International Association of Machinists and Aerospace Workers) is one of North America’s largest and most diverse industrial trade unions, representing approximately 600,000 active and retired members in the aerospace, defense, airlines, shipbuilding, railroad, transit, healthcare, automotive, and other industries across the United States and Canada.

goIAM.org | @IAM_Union

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