Amy, a 40 year old mother living in St. Louis, falls into the Medicaid coverage gap. Amy previously served in the military and now works in retail. She has a back injury stemming from being hit by a car several years ago. She can only work part-time, because she spends much of her time caring for her 5-year-old daughter who is mentally handicapped. Because Amy continues to work part-time, she has an income that makes her ineligible for Medicaid in Missouri. This income is not enough to qualify her for a tax subsidy on the health exchange. She is left without an opportunity to obtain health insurance that she can afford.