In this April 27, 2021, file photo, Maxine Horgan, left, and Barbara Nyden attend a Medicaid expansion rally at the Missouri State Capitol in Jefferson City, Mo.. A Missouri judge says Gov. Mike Parson can no longer deny Medicaid health care to thousands more newly eligible adults. Cole County Judge Jon Beetem issued the order Tuesday.

COLUMBIA, Mo. (AP) — A Missouri judge on Tuesday ruled that Republican Gov. Mike Parson no longer can deny Medicaid health care to thousands more newly eligible adults.

Cole County Judge Jon Beetem in his order said Parson’s administration must give Medicaid coverage to newly eligible adults, despite the governor’s resistance to doing so. Beetem also ordered that newly eligible adults won’t face any additional restrictions to get health-care coverage through the program.

The ruling is a major victory for supporters of expanding Medicaid under the terms of the 2010 federal health care law signed by President Barack Obama. Missouri voters last year approved a state constitutional amendment expanding access to the government health-care program to an estimated 275,000 more low-income adults, but Parson had refused to implement it because the GOP-led Legislature didn’t set aside money for it.