House considering free birth certificates for individuals escaping domestic violence

House lawmakers are being asked to consider another measure meant to help victims of domestic violence get away from abusers and move on with their lives.

Representative Chris Dinkins (photo; Tim Bommel, Missouri House Communications)

Often individuals who have left a home where abuse occurs have left behind birth certificates, as well as other documents and identification that they must get new copies of but cannot without those certificates.  The fee to get a new copy is often a burden to a survivor faced with numerous other expenses while trying to start down a new path in life, according to Representative Chris Dinkins (R-Annapolis).

“To come up with $15 per kid to get them enrolled in school is sometimes a pretty [significant] hardship on them,” said Dinkins.

Dinkins is sponsoring House Bill 1135, which would allow people working with a shelter to get free copies of birth certificates.

She was presented with the proposal by the Southeast Missouri Family Violence Council.  Assistant Director Tracy Carroll told the House Committee on Children and Families that abusers often use vital documents in their efforts to control a victim.

“The abuser either burns or throws away or keeps in a lock box their driver’s license, social security, their birth certificate, and so that’s a form of abuse – control, and so what I found was we had to start from the very bottom with them and try to get their identification,” said Carroll.

Carroll said most of the women that come into their shelter need this kind of help.  Last year that included 200 of the 263 people that came in, yet the shelter, which is a nonprofit agency, had no budget for securing new copies of documents.

“We scrounged that money … we were digging through our purses because everybody needs a birth certificate.  They can’t get a job, they can’t send their kids to school,” said Carroll.

In one case Carroll said a mother in the shelter had eight children.  At $15 dollars apiece, that was a particular hardship for her as she tried to get them enrolled in school while escaping an abusive situation.

Carroll said any cost the State of Missouri sees would be offset by victims being able to get their lives on track.

“They’ll be able to be employed, they’ll be able to get an education, they’ll be able to vote,” said Carroll.  “Most of the women in our shelter have not been allowed to vote.”

Committee chair Sheila Solon (R-St. Joseph) said people escaping abuse have good reason for not having these documents on hand.

“I know when I’ve had constituents call my office and it’s a domestic violence situation, I always tell them, ‘Don’t go back home.  Get to the shelter,’ so that’s probably, most of the time, why they don’t have their documents,” said Solon.  “They’re doing the wise thing and not returning and trying to retrieve those.”

An individual would have to provide documentation from a shelter to prove that he or she is involved with such an agency.  The bill would only allow the fee for each eligible individual’s birth certificate to be waived one time.

The committee has not voted on HB 1135.

Missouri House sends prescription drug monitoring proposal to the Senate

The Missouri House has voted to create a statewide monitoring program for drug prescriptions.  Backers hope such a law would combat the abuse of prescription drugs and help prevent conflicts between medications.  Opponents say it would violate Missourians’ constitutional right to privacy.

Sikeston Republican Holly Rehder, who has pushed for a prescription drug monitoring program for years in response to her own family’s struggles with prescription drug abuse, hopes this is the year PDMP legislation is finally sent to the governor. (photo; Tim Bommel, Missouri House Communications)

House Bill 188 would create an online database that physicians and pharmacists could use to track pill purchases and pharmacy visits.  Missouri is the only state in the U.S. without such a system, statewide.  A program launched in the St. Louis region several years ago now covers 67 of the state’s 114 counties, encompassing about 87-percent of its population.

The bill cleared the House 103-53.  Republicans who opposed it were very vocal about fears that the program would create a government database that would jeopardize Missourians’ medical information.

Backers say no other PDMP database has ever been successfully hacked and say this would fall under Health Insurance Portability and Accountability Act privacy protections.  Blue Springs Republican Dan Stacy remained critical, and said that to say databases won’t get hacked is, “probably somewhat naïve.”

“The bigger the database, the bigger the target, and when we, as a body decide to put all of the State of Missouri – all of these records into one database – that is helping create a large target, and that is a place in which we can get a lot of data hacked because it’s a target,” said Stacy.

Eureka Republican Dottie Bailey said she remembered being a concealed carry permit holder when, under the administration of Governor Jay Nixon, information about those permit holders was shared with the Department of Homeland Security.

“Nothing has happened to that administration since that occurred other than my name is with the federal government as a firearms owner, or permitted, so right now, not a big deal, right?  But what happens when another administration gets in that wants to weaponize those databases?  And this is where I worry, this is where my constituents worry,” said Bailey.  “This bill is very difficult because yes, something needs to be done, but an overwhelming, sweeping government program has never, ever done what we think it’s going to do and then we usually end up regretting it.”

Proponents said concerns over privacy were being overblown, and paled in comparison to the bill’s goal of saving lives by fighting prescription drug abuse.

“Hacking is a real concern, I know, for all of us,” said Representative Sheila Solon (R-St. Joseph), “however we can’t let that worry consume us or we would never use a credit card to go to a restaurant or to go shopping or go to the gas station.  We’d never use a credit card or do any shopping online.”

Other lawmakers expressed frustration that all attempts to amend the bill were rejected.  Among those amendments were proposals to require physicians and pharmacists to participate in the database – the bill would make that optional – and to create penalties for failure to participate.

Representatives Justin Hill, Jack Bondon, and Jason Chipman were among those Republicans who opposed HB 188 to create a PDMP. Chipman offered an amendment to require all physicians and pharmacists in the state to participate in the program the bill would create, but it and all amendments to HB 188 were rejected. (photo; Tim Bommel, Missouri House Communications)

“No penalties; no requirement to participate; no protection for chronic pain patients, and that is unfathomable.  I just don’t get it, why we are punishing those who actually need the help,” said Ash Grove Republican Mike Moon.

Bill sponsor Holly Rehder (R-Sikeston) responded to those critics, saying, “I disagree with those who said that we didn’t do our job because this bill hasn’t been amended.  Mr. Speaker this bill has been massaged for years on this floor.  We started this year with where we had left off with the things we had agreed with.  The ones who wanted to amend it wanted to kill it.”

Rehder, who has proposed PDMP legislation for several consecutive sessions, told opponents that one way or another Missouri will have a monitoring program.

“Over half of our counties have passed this locally.  The current program will be statewide at some point and that program does not have legislative oversight; it doesn’t have a purge; it doesn’t protect our ability to purchase or have ownership of guns.  Do you need to pick which program you want?” said Rehder.

HB 188 now goes to the Senate, where past years’ versions have run into opposition and stalled out.  While the senator who led that opposition is no longer in that chamber due to term limits, last week the Senate version of Rehder’s bill stalled in a tie committee vote.

Rehder and other backers note that all members of that committee were present for the vote, and she believes that outcome isn’t representative of the chances of passing a PDMP bill this year.