Jennifer is a 46-year self-employed entrepreneur from St. Louis County. Even with an annual income of $6,454, which is below the poverty line, she is ineligible for Medicaid. She is in the Medicaid gap. Using her minimal earnings and savings to build her business, has left her unable to afford health insurance. The fear of huge medical bills that could result from an on-the-job accident has prevented her from taking riskier jobs that are necessary to grow her business. If Jennifer had health insurance, she wouldn’t have to worry, in her words, “every moment of every day that a little accident could wipe me out and put me under a bridge.” If Missouri expanded Medicaid, health care costs will not be a source of fear, and instead hard-working, tax-paying entrepreneurs like Jennifer could build their business and contribute to the State’s growth and prosperity.