House Committee considers proposal to bar breed-specific local laws

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.

“The bottom line here is they’re trying to tell us we can’t own pit bulls,” bill sponsor Ron Hicks (R-Dardenne Prarie) told the House Special Committee on Urban Issues.  “I own my property.  I own my home.  I own the land that my home sits on.  I don’t think I should be told that I cannot own a certain type of domesticated animal.”

Hicks told the committee he knows dogs are sometimes associated with dog fighting rings, drug dealing, or other illegal activities.

“We need to start punishing the individual for the crime that they do.  If they train an animal to attack or be violent then they should pay the price,” said Hicks.

“I’m not telling [local governments] they can’t have leash laws.  I’m not saying they can’t have fence laws.  I’m not saying they can’t create their own laws if a dog were to bite somebody and then quarantine it – things like that.  I’m simply asking that you allow me to own my dog and you allow me to be responsible for it.  If my dog breaks the law you come to me, just like if my child breaks the law you come to me,”  Hicks said.

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.

“As Americans, Missourians have a right to live in a safe community.  They have a right to walk their dog down the street, work in their garden, ride their bike, and without fear of being attacked by a dog,” Strunk told the committee.  “If you prohibit [breed-specific laws] where will your constituents go who don’t want to live next door to a public safety threat?  Is it fair to force them to live in worry whether the owner is responsible or not?”

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.

“They were very, very successful.  Both Kansas City and Springfield reduced their shelter population of pit bulls by 50-percent,” said Baker.  “We wouldn’t want that to be overturned.”

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 Committee has not voted on the bill.

House endorses adding fentanyl, ‘date rape’ drugs to trafficking laws

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.

“I have two beautiful, amazing daughters that I kind of want to ensure … that they are not going to be exposed to these things such as fentanyl and carfentanyl and these other drugs of choice that are so dangerous that being prescribed in a micro-milligram fashion can actually kill you,” said Schroer.

Fentanyl is 50 to 100 times more potent than morphine and is legally used to manage pain, especially after surgery.

“We saw right before the hearing [on HB 239] that there was a record bust in the United States – 260 pounds was busted at the [U.S.] border … but in years past we’ve had many different seizures on Highway 44, Highway 70, where it was 30, 40 pounds, which was enough to kill not only everybody who’s in this Capitol right now, and this Capitol is full, it could kill many Missourians,” said Schroer.

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.

“The majority of those people said, ‘Once fentanyl came into the picture a lot of my friends either died or a lot of my friends became so hooked that we thought it was a lost cause,’” said Schroer.

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.

“If you’ve got somebody at a party that’s got 37 grams of marijuana, why would they have received a greater sentence than somebody that has less than a gram of Rohypnol or GHB?” asked Mitten.  “My amendment … ensured that there was parity between those substances, because personally I believe that the ‘date rape’ drugs are apt to do a heck of a lot more damage than a large amount of marijuana or even heroin.”

Schroer and Mitten both acknowledged that Rohypnol and GHB are also used extensively in sex trafficking.

“If we’re going to take a hard stance on human trafficking it needs to include these substances,” said Mitten.

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.

Missouri House endorses elimination of mandatory minimum sentences for non-violent crimes

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.

“This enables us to, as someone said, differentiate between the folks that we’re scared of and the folks that we’re mad at,” said bill sponsor Cody Smith (R-Carthage).

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.

“Not having to build new prisons and incarcerate more and more folks, and house them, having that cost of operational cost … we’re talking about hundreds of millions of dollars,” said Smith.

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)

“I just want to emphasize the point that what this bill does is it doesn’t lower the ceiling, so if there’s an egregious offense – if something heinous happens, there’s nothing in this bill that lowers the ceiling of discretion, but what it does is it lowers the floor,” said Roberts.

Democrats called the bill a good step in the direction of criminal justice reform, but say they hope to see more.

Kansas City representative Brandon Ellington (D) has filed legislation that would further change the laws regarding minimum sentences, and named other reforms his party supports.

“Expungement is still a hot topic; some of the laws around marijuana expungement, etcetera – not just for the medicinal but full-scale expungement, so we’re looking at things of that nature,” said Ellington.

HB 113 now goes to the Senate, where last year’s version of the same legislation was referred to a committee but did not receive a hearing.

House initially approves ‘Simon’s Law;’ would require parents be made aware of end to child’s life-sustaining care

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.

“This is a parental rights bill that says only you can determine the outcome for your child,” said bill sponsor Bill Kidd (R-Buckner).

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 said under “Simon’s Law,” doctors will have to have a conversation with parents about the care of their child, “so that the conversation happens.  So that when the buzzers go off and your child codes, no one stands there like the Crosiers did wondering why no one shows up.”

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.

“What I discovered in sitting across the table and talking to parents who had been through this was that for many of them it was as if they had signed their child’s death warrant,” said Kidd.  “As I listened to their emotional pain, still reliving that very action, I realized that there had to be a different way.”

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.

“There will be few times when I will take the microphone and beseech all of you to vote for a bill because it is, beyond a shadow of a doubt, the right thing to do,” said Rowland.  “There is no question in my mind or my soul that what we are doing today is profoundly correct for parents who have children with disabilities.”

The House gave initial approval to HB 138.  Another favorable vote would send it to the Senate.

House Committee considers legislation to stop abusive teachers from going to new districts

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.

“Kids are put at risk and there’s lifetime consequences for that, ranging from mental health issues to medical issues to just their well-being, and the trauma that they’ve experienced,” said Gerdiman.

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.

“According to a 2010 GAO report, on average a teacher offender will be passed to three different districts before being stopped,” said Seitz.

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.

“Every organization that serves children, and particularly schools, must operate under the assumption that some people who sexually abuse children may work for them,” said Seitz.  “Organizations that serve children have an obligation to create an environment that is inhospitable to sexual abuse.  These environments must be nurtured from the top with leaders, such as the school board, who understand the risks and actively work to train staff and volunteers, and institute child protection policies.”

Gerdiman said board members will be better equipped to protect children with the additional training the bill would mandate, “so that they are more aware of the signs and symptoms of child abuse; the process of disclosure when a child is ready to talk about what has happened to them; as well as grooming behaviors that adult alleged perpetrators and juvenile perpetrators may use,” said Gerdiman.

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.

“It’s just to make sure that you can’t hide behind the sunshine law if you’ve been abusive towards a student,” said Miller.

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.

Missouri House adopts bill that would eliminate vehicle inspection requirement

The Missouri House has advanced a proposal to join 35 other states in eliminating the requirement that motor vehicles be inspected in order to be licensed.

Maysville Republican J. Eggleston said he was originally opposed to eliminating vehicle inspections in Missouri, but his research caused him to change his mind and be a sponsor of the idea. (photo; Tim Bommel, Missouri House Communications)

House Bill 451 is sponsored by Maysville Republican J. Eggleston, who said when the idea was introduced to him he was opposed to it.  Then he started doing research and found himself convinced that eliminating the state’s vehicle inspection program wouldn’t make Missouri roads any less safe.

“My daughter, my son, my wife, who drive on our roads, who I love more than life itself, I do not want to endanger them one iota.  If I thought for a second this would harm their safety I would not bring this forward,” said Eggleston.

Eggleston said in his research he found no direct correlation between whether a state requires inspections and the number of crashes that occur there or how high its insurance rates are.  He said the 15 states that still require inspections actually have a slightly higher rate of fatal accidents.

Eggleston said eliminating the program would lift significant burdens from Missourians, who pay $30-million a year in inspection fees, and must take time off from work and make other sacrifices to get inspections done.

“The other pushback is sometimes, ‘Well if it just saves one life then wouldn’t it be worth it to inconvenience everybody?’  I’m not sure that taxing or inconveniencing everybody on the odd chance you might help somebody, even though we can’t prove we’re going to help anybody, is sound government policy,” said Eggleston.  “I think if the government’s going to make you go through some hassle or pay some fee they better have some stats to back it up that it’s actually making a positive difference.”

Boonville Republican Dave Muntzel said based on reports to the Missouri Highway Patrol from vehicle inspections done in the state, 18-percent of vehicles 5 or more years old do not pass inspection, and 25-percent of vehicles 10 or more years old don’t pass.

“Now we’re wanting to take vehicle inspections away and put these vehicles on the road?  I don’t want any of them coming down the road at me and steering going one way or the other, or if they have to stop, or if my grandchildren happen to walk out in the street and they get hit by a car that’s got defective brakes on it.  I don’t want that to happen,” said Muntzel.

Representative Donna Baringer (D-St. Louis) said no one came to testify in favor of this bill before a House committee but many people came from throughout the state to testify against it.  She noted that in 2017, 15 people died in accidents related to vehicles with safety defects; and more than 15-thousand people were cited for failure to register a vehicle with the Department of Revenue.

“If we already have almost 16,000 people who do not want to get their cars inspected and we already have 15 people who have died in this state, if we do away with the safety inspections do we triple that number, or is it going to be a free-for-all, and it won’t be 15 Missourians.  Will it be 50, 85; at what point does each one of those lives count?” asked Baringer.

Other lawmakers said mechanical problems with vehicles will be caught in a timely manner by regular visits to mechanics for things like oil changes, making state-required inspections unnecessary.

Ash Grove Republican Mike Moon said regular maintenance shouldn’t be mandated by the state.

“It’s our responsibility as individuals to make sure that our vehicles operate properly and safely on the roadways, and if they don’t it’s our responsibility to make sure those repairs are done in a timely manner, not waiting for an inspection,” said Moon.

The House has given initial approval to HB 451.  Another favorable vote would send it to the Senate.

House moves to lift hospice care death investigation requirement; change aimed at comforting families

Legislation in the Missouri House would lift the requirement, under certain circumstances, that the death of a person under hospice care be investigated.

Representative Bill Kidd (photo; Tim Bommel, Missouri House Communications)

Backers of House Bill 242 and an amendment added to House Bill 447 say that Missouri law requiring coroners and medical examiners to investigate a death in a home doesn’t account for the increase in the use of hospice care for terminal patients.

“The coroner does not have to come out and see that person who we all know is dead from cancer or a well-documented terminal illness,” said the proposal’s sponsor, Cameron Republican Jim Neely.

The legislation would allow the physician treating a patient or the hospice director to certify when a patient has died due to natural causes relating to a disease or known illness.  A coroner or medical examiner must be notified within 24 hours of such a death.

The legislation is personal for at least a couple of representatives.        Republican Bill Kidd (Buckner) told his colleagues his wife died after about three weeks in hospice care.  He said hospice care allows a terminally ill person and his or her family a great deal of comfort and assistance

“At the end of that it is an emotional experience to have a coroner want to come into your house and look at the body – and by the way, the body has to stay there untouched, which means that hospice cannot clean the body, cannot prepare it, which also means that the funeral home cannot come in and take the body away.  The family has to stay there with the body in the house … because you haven’t called the coroner,” said Kidd.

“If any of you, I hope never, have to go through a hospice in-home death experience, but the last thing you want is the intrusiveness of a coroner coming in and accusing you of maybe doing something nefarious, and that’s kind of what it is,” said Kidd.

Kansas City Democrat Richard Brown said his wife battled cancer for 12-years.  She was in hospice for two weeks before she died in 2018.

Representative Richard Brown (photo; Tim Bommel, Missouri House Communications)

“The one thing that she wanted was death with dignity.  That’s what this amendment does, is it allows those person that are in hospice to die with a sense of dignity,” said Brown.  “My wife did not want to go to a coroner and be subjected to an autopsy when we knew what the cause of death would be.”

“I’m asking that for all Missourians who want to die with dignity that you allow them to do so when we know what the imminent cause of death will be when they are in the care of hospice providers,” said Brown.

“In a hospice situation hospice is there on doctor orders, hospice has their own doctors and physicians that come in and access the patient.  They already know – everybody has come to the conclusion that this is a terminal case, and it is not necessary for the coroner to intrude into your private home at such a fragile time,” said Kidd.

Neely’s stand-alone bill, HB 242, has been approved by two House committees and could soon be brought to the floor for debate.  HB 447, to which the language of 242 has been amended, has received initial approval in the House and could soon be sent to the Senate.

House committee: Missourians not properly warned about possible smaller refunds, greater taxes owed

House members investigating the Department of Revenue say it hasn’t prepared Missourians for owing more income tax debt or getting smaller tax refunds this year, and that many Missourians could suffer because of it.

Missouri Department of Revenue Director Joel Walters testifies to the House Special Committee on Government Oversight (photo; Tim Bommel, Missouri House Communications)

An error in Missouri tax code that dates back at least to 2004 was only recently discovered.  Its end result is that while changes in federal tax code will cause Missourians’ overall tax debt to decrease, they could see a greater remaining income tax bill or a smaller refund than they anticipated.

Members of the House Special Committee on Government Oversight looked back over the Department of Revenue’s efforts to alert Missourians about how the tax code has changed and what it could mean for them.  House Minority Leader Crystal Quade (D-Springfield) said those efforts were off message.

“I’m not seeing anywhere in here saying, ‘Hey, you might not get as much money back as you thought,’” said Quade.  “We’ve had enough conversations to understand how we got here and where we’re at, but ultimately a lot of the legislators’ concerns lies with the people who are expecting to get money back, who have budgeted their lives around this money coming back and they may not get it.”

“Are you going to do anything to make sure that people know that what they’re expecting to receive may not be the case?  ‘Cause your tweets aren’t,” Quade added.

Chairman Robert Ross (R-Yukon) said his committee’s chief goal is to make sure Missourians aren’t faced with a similar situation again, and that means the Department must do a better job of communicating.

“The Department was proud to send out press releases to talk about the bicentennial license plate that we switched over to … they spread the news whether it be on social media, whether it be in press releases, you read about that in the paper, there were different TV interviews; there was a lot of notoriety about a new license plate, however now that this mistake has occurred the Department of Revenue does not want to ‘fess up,” said Ross.  “Let the taxpayer know that an error occurred and what they should be expecting as we get closer to April.”

Lawmakers have been asking the Department for examples of how taxpayers might be affected.  Director Joel Walters said his Department has declined to offer examples because the many variables in filing means any two people filing the same way, with the same annual income, could see wildly different impacts.

Representative Robert Ross chairs the House Special Committee on Government Oversight (photo; Tim Bommel, Missouri House Communications)

Legislators told Walters they still want examples so they have a better idea what some Missourians might face.  Quade said the impact the changes will have on one Capitol employee are alarming.

“A staffer who makes about $30-thousand a year – single mom of three.  In last tax cycle she received $128 back from the state and $7,240 in federal.  This year she owes $304 to the state and [will get back $4,275 from the federal government], so that’s a $3,500 swing, and that’s for someone who works here,” said Quade.

Quade noted that it is illegal for a state worker to owe the state income tax.  She said that is just one way the situation could impact individual Missourians that they must be informed about.

Walters told the committee he agrees that communication should be improved.  He also stressed that he believes it is a minority of Missouri taxpayers who will experience a significant change in their tax returns, “but those are important people and people that we stand ready to work with.”

“We’ve created a dedicated phone line to help individuals with this.  We consistently work with taxpayers who need more time to pay their taxes or are struggling to pay their taxes, and we’ve put a page right up front on our website where immediately you go there, you can say if you need assistance – here’s where you can go to get assistance,” said Walters.

Ross said the committee will also be exploring what options are available to taxpayers who might be facing increased tax debt, “Maybe deferred payment plans … what actually the Department has the authority right now, without statutory changes occurring, but then what other options may possibly need to be addressed through statute.”

One legislator raised the question of some kind of tax debt forgiveness on the grounds that the Department made a mistake, but Ross said for such an idea to move forward seems unlikely.

The committee will meet again next week when, Ross said, it will ask more questions of Walters and review the examples that legislators have requested, which he urged the Department to at last prepare.

House pushes mental health awareness after death of members’ family friend

The sponsor of mental health legislation said that issue hit close to home for her on the day her bill came to the House floor.

Representative Chrissy Sommer (photo; Tim Bommel, Missouri House Communications)

St. Charles Republican Chrissy Sommer said that during her drive to the Capitol on Monday she received the tragic news that the mother of her daughter’s best friend had committed suicide.

“You may have noticed I’m a little shaky and nervous, and the reason is because on my way here today I found out that a friend of mind committed suicide, and I’ve been thinking about her a lot,” said Sommer.  “It really struck me that this [bill] was pulled up today … because it can affect everyone.”

The House gave initial approval to House Bill 108, which would have Missouri join the federal government in making May “Mental Health Awareness Month,” and in making July “Minority Mental Health Awareness Month.”

“I’m thinking of her and I’m doing this in her honor, and I hope that we will pass it … I don’t mean to get emotional … but I hope that we will pass this not only in her honor but in the honor of everyone who has lost someone to suicide,” said Sommer.

Sommer said untreated mental health contribute to things like unemployment, disability, homelessness, incarceration, substance abuse, and suicide.

“Early identification and treatment of mental illnesses have proven to be vital to any recovery process.  Stigma association with mental illness prevents many individuals from seeking the necessary treatment,” said Sommer.

The House heard that there are particular stigmas and disparities within minority communities regarding mental health.

St. Louis Democrat Bruce Franks, who speaks openly about numerous traumas in his life including seeing his brother fatally shot when they were both children, said he has contemplated suicide in the past.  He said there is a stigma in the African American community about getting help and what “mental health” is.”

Representative Bruce Franks (photo; Tim Bommel, Missouri House Communications)

“I talk on the floor about the funerals I’ve gone through and some of the things that I’ve seen, and even a couple of my Republican colleague friends on the other side have been to my district to see some of these traumatic things, so just imagine when folks are going through this each and every day and it plays on you mentally and you never get the help that you need because the people in your community and society sees this as a stigma,” said Franks.

Franks said the legislation is “very important, and it’s not just about an awareness month.  It’s about education and empowering people to let them know it’s okay to not be okay but it’s okay to seek help.”

Jefferson City Republican Dave Griffith said he hopes raising awareness will cause more struggling veterans to get help.

“Many of you may not have heard ‘hashtag-22.’  Hashtag-22 stands for the 22 veterans that commit suicide every day.  It is for real.  These men and women are suffering from PTSD and from many other mental illnesses and having a day or a month that we can recognize them is something that I stand for,” said Griffith.

“The perception of mental illness won’t change unless we act on it, and one way to do this is for us in Missouri to enact the Mental Health Awareness Month,” said Sommer.

With the House’s action on Monday, one more favorable vote would send HB 108 to the Senate.

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.