The House has voted to require insurance companies to cover therapies for developmentally disabled children in Missouri, which would expand on a 2010 law that required coverage for therapy for children with autism.
House Bill 399 would prohibit companies from limiting coverage in fully insured plans for physical, cognitive, emotional, mental, or developmental disabilities. That is less than one-third of the existing plans in the state, covering somewhere between 1,800 and 6,000 children.
The legislation is sponsored by Rocheport representative Chuck Basye (R). He said for children to be able to continue treatments when they are young could help them avoid long-term needs and issues later in life.
One of the driving forces behinds Basye’s interest in the issue is his relationship with a constituent, 9-year-old Nathan, whose mother Basye met during his campaign for reelection. Nathan is one of the children who could benefit from the passage of HB 399, if only indirectly.
Kirkwood representative Deb Lavender (D) is a physical therapist. She said often, children will start therapy but insurance will cover a limited number of sessions.
St. Louis Democrat Steve Butz called the bill well-thought-out and a good compromise between parents who were advocating for a change, and the insurance industry.
HB 399 would not cost the state anything. It is projected it would increase premiums for holders of fully insured plans by about 39-cents per member, per month.
The Missouri House’s Budget Committee Chairman has unveiled his plan for paying for road and bridge work in the state, in place of the plan proposed by Governor Mike Parson (R) in January.
House Budget Committee Chairman Kip Kendrick (photo; Tim Bommel, Missouri House Communications)
Representative Cody Smith’s (R-Carthage) plan is to use a $100-million from the state’s General Revenue Fund to support the Statewide Transportation Improvement Program (STIP), which is the Department of Transportation’s plan for road and bridge improvements for the coming years.
Parson’s plan called for using $351-million in bonds to replace or repair 250 bridges throughout Missouri. The bonding would have been paid back with about $30-million from the state’s General Revenue fund for 15 years.
Smith said it is important to focus on creating a plan that would funds transportation infrastructure but not put the state further into debt.
The Department has paid more than $700-million in debt payments in the last two years, and its average payment is $313-million a year.
Smith proposes spending $100-million in general revenue on roads and bridges in the next four years’ budgets or more. That would be subject to the appropriation process in each of those years. Smith potentially will be the House budget chairman throughout that time, and therefore would be in a position help make that happen.
State budget experts say General Revenue has never been used to pay for transportation infrastructure. That is usually done with funds earmarked for that purpose. Smith said it’s time to consider a fundamental change.
Representative Kip Kendrick is the ranking Democrat on the House Budget Committee. (photo; Tim Bommel, Missouri House Communications)
Columbia representative Kip Kendrick is the top Democrat on the House Budget Committee. He called Smith’s proposal bold and a part of a larger discussion about how Missouri’s transportation infrastructure should be paid for, but funding it with general revenue would pit it against other priorities supported by that fund, like K-12 and higher education.
The Missouri Department of Transportation says it is about $8-billion short of being able to fund its transportation needs in the next decade.
Missouri voters in November rejected a 10-cents-per-gallon tax increase to pay for road and bridge work.
Smith’s plan is part of his proposed budget for the fiscal year that begins July 1. He unveiled that plan Wednesday. Over the coming weeks the House Budget Committee will propose changes to that plan, then send it to the full House for debate during the week of March 25-29. Before the state budget is finalized it must be approved by both the House and the Senate, then the governor could approve, reject, or delay funding from it.
It’s cheaper for a non-Missourian to come into the state, poach an animal, and pay the fine for that, than it is to buy an out-of-state hunter tag. The Missouri House has voted to change that.
Representative Jered Taylor (photo; Tim Bommel, Missouri House Communications)
The House voted to send to the Senate House Bill 260, which would increase the fines for poaching wild turkeys, deer, elk, black bears, or paddlefish in Missouri.
The bill would increase to between $500 and $1000 the fine for poaching a wild turkey or paddlefish; between $2000 and $5000 the fine for poaching a white-tailed deer; and between $10,000 and $15,000 the fine for poaching a black bear or elk.
Missouri in 2011 began bringing elk into the state from Kentucky with an aim of reestablishing the population of the animal here, and an eventual goal of having an elk hunting season. The Department of Conservation says elk hunting could begin as early as next year and that could bring millions of dollars into the state, but Taylor said poaching is hurting the chances of that happening, and the current fines for poaching are not a deterrent.
The poaching of paddlefish has been very lucrative because paddlefish roe is often sold on the black market as caviar. This means one fish can be worth thousands of dollars.
The Missouri House has voted to keep judges from putting people back in jail for failing to pay for the costs of keeping them in jail.
Representative Bruce DeGroot (photo; Tim Bommel, Missouri House Communications)
House Bill 192 would keep a person’s failure to pay a jail for housing that person, from resulting in more jail time that would result in additional housing costs. Instead, a local sheriff could attempt to collect such costs owed through civil proceedings, or a judge could waive those costs.
HB 192 has broad, bipartisan support, as members of both parties agreed that being jailed for failing to pay so-called “board bills” only created a cycle of debt that some Missourians have been trapped in for years. Legislators gave examples of individuals who had stolen items like makeup or candy, and years later owe tens of thousands of dollars to the local jails that had housed them.
HB 192 would do away with hearings in which the court requires a defendant to show why he or she shouldn’t be jailed for failing to pay board bills. Lawmakers heard that defendants are often required to appear monthly for such hearings and a warrant is issued for them if they fail to appear.
The bill is supported by a number of groups including the Missouri State Public Defender, the Missouri Association of Criminal Defense Lawyers, and the Missouri Association of Prosecuting Attorneys.
The House voted 156-1 to send the bill to the Senate for its consideration.
People who’ve benefited from needle exchange programs that are operating outside Missouri law are asking the state House to make them legal so they can be expanded.
Aaron Laxton with the Missouri Network for Opiate Reform and Recovery holds 1.5-month old Grayson, as he testifies in favor of a needle exchange program proposal before a House Committee, while Chad Sabora, Executive Director of the Missouri Network for Opiate Reform and Recovery listens. (photo; Mike Lear, Missouri House Communications)
Needle exchanges in the Kansas City and St. Louis regions allow abusers of intravenous drugs to get clean needles. Similar exchanges in other states have been shown to be successful in combating the spread of diseases like HIV and Hepatitis C, while getting more drug abusers into treatment programs.
In Missouri, however, those exchanges are in violation of the state’s drug paraphernalia laws. The ones in Kansas City and St. Louis are essentially operating through unofficial “handshake” agreements with local law enforcement, who allow them to keep running. House Bill 168 would exempt them from the state’s drug paraphernalia laws.
The bill is sponsored by Sikeston Republican Holly Rehder, who has strongly promoted and sponsored this and other bills aimed at fighting opioid abuse throughout her seven years in the House.
Chad Sabora runs one of those programs. He is also a former prosecutor who became a heroin user, and has been in recovery for almost eight years.
He said needle exchanges are successful because they promote human connections with abusers.
Representative Holly Rehder (photo; Tim Bommel, Missouri House Communications)
Aaron Laxton with the Missouri Network for Opiate Reform and Recovery, like Sabora, has testified in support of needle exchange legislation several times in past years. He told the committee that in past years he’s talked about loved ones he’s lost to opioid abuse, but in this hearing he offered an example of two lives saved by an exchange program.
He presented his one-and-a-half-month old adopted son Grayson, who was exposed to fentanyl, cocaine, and methadone before birth. He said the programs like those that HB 168 would support help people like Grayson’s mother get into treatment.
Laxton told lawmakers that technically what he does is illegal, and he urged lawmakers to change that so that more programs like his can be started throughout the state.
Rehder said the CDC has identified 13 counties in Missouri that are primed for an outbreak of Hepatitis C. She said passing her bill would help keep those outbreaks from occurring, and could save the state tens of millions of dollars.
Last year a needle exchange program proposal passed out of the House with 135 votes in favor, but it stalled in the Senate. Rehder said she has assurances from senators that they will help propel her bill to the floor in that chamber if it clears the House this year.
A Missouri House Committee is considering barring local governments from having any ordinance or policy against specific breeds of dogs. Backers say such laws are unfair and punish responsible owners. Opponents say such local laws are needed to control threats frequently posed by some breeds.
Representative Ron Hicks (photo; Mike Lear, Missouri House Communications)
House Bill 297 would allow local governments to have policies to control dogs, such as to prevent them from running at large, so long as they are not targeted at specific breeds.
Numerous pet owners and several organizations spoke in favor of Hicks’ legislation, while four people representing three groups, spoke in opposition.
Dana Strunk with the group Safety Before Dangerous Dogs argued that breed-specific laws are needed to offset owners who don’t take proper care of their animals.
Executive Director Bob Baker with the Missouri Alliance for Animal Legislation said HB 297 is too broad. He maintains that some breed-specific ordinances are actually good for the animals they target.
Baker told the committee Springfield and Kansas City shelters were once populated mostly by pit bulls that had been abandoned by owners, resulting in many of those dogs being euthanized. Then those cities required that pit bulls be spayed or neutered.
Legislators on the committee questioned Baker’s data and his position that breed-specific ordinances benefited animals. They asked him to provide more information to the committee.
The Missouri Municipal League opposes HB 297 saying dog regulations should be up to local governments.
The Missouri House has proposed strengthening the state’s trafficking laws to include the potent pain reliever fentanyl and its derivatives, as well as Rohypnol or GHB – both commonly known as “date rape” drugs.
Representative Nick Schroer (photo; Tim Bommel, Missouri House Communications)
House Bill 239 would make possession or trafficking of those drugs a felony. Penalties range from three years to life in prison, depending on the amount of the drug involved. Missouri laws against trafficking do not include any of those substances.
Lawmakers heard that the abuse of fentanyl steadily increased between 2013 and 2017, and doctors said many people are being treated in emergency rooms because they took heroin mixed with fentanyl.
Bill sponsor Nick Schroer (R-O’Fallon) said there is a hole in Missouri’s trafficking law, so prosecutors often must charge for whatever drug fentanyl is laced with. He said more and more it’s being trafficked by itself, as it’s becoming more popular to abuse.
As a criminal defense attorney Schroer represented a number of people who had battled heroin addiction. That’s how he became aware of the rise of fentanyl.
Representative Gina Mitten (photo; Tim Bommel, Missouri House Communications)
Representative Gina Mitten (D-St. Louis) sponsored the amendment that would make possessing or trafficking Rohypnol or GHB punishable by the same penalties as those for other controlled substances.
Schroer anticipates some in the Senate might try to make additions to HB 239 and then send the bill back to the House. He is optimistic that Governor Mike Parson (R) would sign the bill if it gets to him.
The Missouri House has voted to eliminate mandatory minimum sentences for non-violent crimes.
Representative Cody Smith (photo; Tim Bommel, Missouri House Communications)
Missouri law requires that offenders with one prior conviction must serve at least 40-percent of a prison term. Those with two prior convictions must serve 50-percent, and those with three or more must serve 80-percent.
House Bill 113 would allow judges to make exceptions to those mandates if, based on certain criteria, those minimums would be unjust to the defendant or unnecessary to protect the public.
Supporters say reforms such as those in HB 113 would keep individuals who made bad decisions but aren’t likely to commit further offenses from spending too much time in prison, where they might learn to commit additional and more violent offenses.
Projections say HB 113 will also save the state more than $3-million by 2023, by leading to the release of an estimated 466 prisoners and thereby eliminating the cost of housing, feeding, and otherwise seeing to the needs of those individuals.
Smith notes that those projections don’t include the fact that as recently as last year, Missouri was seen as on pace to need another two prisons in the next five years.
The bill drew broad bipartisan support, passing out of the House 140-17. St. Louis Democrat Steven Roberts said while the bill removes minimum sentences, it doesn’t stop a judge from imposing maximum sentences when appropriate.
Representative Brandon Ellington (photo; Tim Bommel, Missouri House Communications)
The House is close to voting to prevent do-not-resuscitate orders from being issued for Missouri children without a parent being aware.
Representative Bill Kidd has offered Simon’s Law for four years. (photo; Tim Bommel, Missouri House Communications)
House Bill 138 is commonly known as “Simon’s Law.” It would prohibit a health care facility, nursing home, physician, nurse, or medical staff from putting such an order in a child’s file without a parent’s permission. That permission may be written, or given orally in the presence of at least two witnesses.
The bill is named for Simon Crosier, who died at three months old after, his parents say, a DNR order was put on his chart without their knowledge. His parents testified to a House Committee last year that when the monitors in his room went off as he died, they didn’t understand why no medical staff responded to try to save him.
Kidd has offered Simon’s Law in some form for four years. Last year’s version would have required written permission from a parent or legal guardian of a patient under 18 years old before a DNR or similar order could be issued. It was opposed by some parents and medical practitioners, some of whom said forcing a parent to sign off on such a document was “really inhumane.”
Since then, Kidd said he met with hospitals, parents, and doctors to refine the legislation.
Representative Rory Rowland (photo; Tim Bommel, Missouri House Communications)
By including the ability for two witnesses to attest to a doctor having discussed the situation with parents, Kidd says that onus has been taken off of parents, and that has alleviated some opponents’ concerns. No one testified against HB 138 when it went was heard by a House committee.
Independence Democrat Rory Rowland, who has spoken many times during debates about his son JP who has Down syndrome, spoke emotionally in favor of Kidd’s legislation.
The Missouri House is looking for ways to keep schools from hiring people known to have sexually abused students while working in other districts.
Representative Rocky Miller and Missouri KidsFirst Director of Public Policy, Jessica Seitz. (photo; Tim Bommel, Missouri House Communications)
House Bill 739 sponsored by Lake Ozark Republican Rocky Miller would require full disclosure between districts about former employees, and require a district to contact any district or charter school a person previously worked for, for background information.
Cara Gerdiman, Executive Director of Kids Harbor Child Advocacy Center, said with such requirements not already in place, some abusers are able to impact more children’s lives before being caught.
Jessica Seitz with Missouri KidsFirst told the House Committee on Elementary and Secondary Education the bill would be another positive step toward protecting children in Missouri schools.
The bill would add 2.5 hours of training focused on sexual harassment to what is required of new school board members. Returning school board members would be required to take at least one hour of refresher training annually.
Seitz said that increased training is one of the most important pieces of HB 739.
The bill would also require annual, age appropriate sexual harassment training for students in grades 6 and up. Some lawmakers questioned whether the legislation should include an option for parents to opt out of that training for their children.
HB 739 would specify that exemptions to Missouri’s open records law, or “Sunshine Law,” would not allow a district to withhold documents on a person if they relate to a confirmed violation of policies against abusing students.
Lawmakers on the committee are also considering whether the bill should be broadened to include abuse not directed at students.
The committee will consider the legislation and potential changes to it at a future hearing, before voting on whether to advance it to the full House for debate.