COLUMBIA — Data shows nearly 90,000 children and close to 23,000 adults were dropped from Missouri’s Medicaid health care program in the past year, prompting a state Democratic leader to call for an investigation.

House Minority Leader Crystal Quade on Sunday publicly released a letter she wrote to Republican House Speaker Elijah Haahr days earlier asking him to launch an investigation of the recent enrollment drop.

In an interview with The Associated Press on Monday, Quade cited concerns about unexpected medical bills that could force people to choose between paying a bill that should be covered by Medicaid or taking a hit to their credit.

She also warned about the implications for parents trying to vaccinate their children before school.

Haahr did not immediately comment Monday.

Medicaid is a federal government program that, in Missouri, provides health insurance for children, pregnant women, people with disabilities and other vulnerable communities.

Copyright 2019 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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