Should be an interesting next few months in Missouri. The NYT highlights a few of the key issues we face in MO, but there are more issues, including the impact Medicaid Expansion (or lack thereof) will have on employers (due to the expanded definition of who will be eligible for subsidies on the public exchanges).
http://www.nytimes.com/2013/08/03/us/missouri-citizens-face-obstacles-to-coverage.html?_r=0