Rep. Pattie Mansur

Maddy summaryHB 2292 expands mandatory abuse and neglect reporting requirements to include suspected companion animal abuse. It directly affects professionals who already report adult or child abuse, such as healthcare workers, social workers, animal control officers, and long-term care staff. The bill requires these individuals to complete 1.5 hours of training within 60 days of hire, covering how to identify animal abuse, report it, and understand its connection to adult abuse cases. This training must be provided during work hours and includes specific guidance on reporting under sections 273.410 and 273.415.

Maddy summaryHB 3450 requires health insurance plans sold in the state to cover specific preventive health services without cost-sharing (like copays or deductibles) starting January 1, 2026. It mandates coverage for services rated A or B by the U.S. Preventive Services Task Force, CDC-recommended vaccinations, and other preventive care outlined in federal guidelines from the Health Resources and Services Administration. This applies directly to health insurers and plans operating in the state, though it allows cost-sharing for out-of-network providers and makes exceptions for high-deductible health plans under federal rules. The law ties coverage requirements to current federal guidelines, with updates to be adopted by the state insurance director based on new federal recommendations.

Maddy summaryHB 1810 prevents Missouri's Department of Health and Senior Services from denying trauma center status to a hospital solely based on its distance from another trauma center. The bill revises state law to explicitly prohibit this distance-based denial when hospitals meet other trauma center criteria. It directly affects hospitals seeking or maintaining trauma center designations, particularly those in rural or underserved areas where proximity to other centers might have been a barrier. The key change removes distance as a factor in the designation process, requiring the department to evaluate hospitals based on established clinical criteria instead.

Maddy summaryHB 1823 creates a new criminal offense for possessing an ammunition feeding device (like a magazine) that holds more than ten rounds. This law directly affects individuals who own or carry such devices in Missouri, making it illegal to possess them without exception. The bill replaces existing firearm definitions and adds specific penalty provisions for this violation. It focuses solely on restricting high-capacity feeding devices, not on other firearm types or general possession.

Maddy summaryHB 1901 replaces Missouri's outdated indoor air quality laws with a new "Missouri Clean Indoor Air Act" (sections 191.2710-191.2750). The bill prohibits smoking and vaping in most enclosed public areas - including bars, restaurants, and workplaces - while defining specific terms like "bar," "cigar-tobacco bar," and "electronic smoking device" (ESD) to clarify enforcement. It directly affects businesses (employers), employees, and public venues by requiring smoke-free environments, with strict rules for cigar-tobacco bars (e.g., freestanding locations and revenue limits). The law includes penalty provisions for violations and explicitly exempts entryways and certain medical devices.

Maddy summaryHB 2584 establishes detailed requirements for charter schools in Missouri, directly affecting charter school applicants, sponsors (like school boards or the state board), and students. It mandates comprehensive applications including mission statements, financial plans, academic performance standards, student admission policies, and closure procedures. Key provisions require charter schools to submit legally binding performance contracts outlining academic goals, student discipline policies, special education services, and procedures for transitioning students if a school closes. The bill also prioritizes charter schools serving high-risk students and dropouts, requiring at least one-third of new charters (if a sponsor approves three or more) to focus on these populations. This bill, currently pending in the legislature, would reshape how charter schools are authorized and operated in Missouri.

Maddy summaryThis bill establishes insurance coverage provisions for orthotic, prosthetic, and assistive devices for individuals enrolled in Missouri's MO HealthNet program, which provides health care to low-income residents. The legislation outlines specific payment rules and coverage limits for various health services, including hospital care, physician services, prescription drugs, and home health care, while explicitly excluding certain providers like abortion facilities from receiving funds. Key provisions include setting payment amounts at no more than 80% of reasonable costs for outpatient services, limiting chiropractic visits to 20 per year, and restricting nursing home coverage for those with significant home equity. The bill also defines eligibility criteria and payment methodologies for different types of care, ensuring services are medically necessary and aligned with federal regulations.

Maddy summaryHB 2355 would authorize Missouri's Department of Social Services to seek a federal waiver from Medicare and Medicaid to create a "Food is Medicine" program within MO HealthNet. This program would provide nutrition services - including counseling, meals, prescriptions, and grocery support - to MO HealthNet participants diagnosed with nutrition-related chronic diseases like diabetes or heart conditions. The bill requires prioritizing community organizations and local farms for food purchases in nutrition prescriptions. It directly affects low-income Missourians enrolled in MO HealthNet who manage chronic health conditions linked to diet. The bill is currently in the Health and Mental Health committee for review.

Maddy summaryHB 2151 modifies Missouri's Fast Track Workforce Incentive Grant program to provide state-funded grants for residents pursuing education or training in high-demand occupations. It creates eligibility for "eligible apprentices" (in approved U.S. Department of Labor programs) and "eligible students" (25+ or without recent education) who meet income limits ($100,000 joint/$50,000 individual, adjusted annually for inflation), Missouri residency, and program requirements. Grants cover related costs like tools, books, and uniforms, with funding capped at four semesters or a bachelor's degree. The Higher Education Coordinating Board administers the program, designating eligible fields annually based on workforce shortages.

Maddy summaryHB 3143 allows counties to propose a local sales tax of up to 0.25% on everyday purchases, but only after voters approve it in an election. If approved, the tax revenue must be used exclusively for senior citizen services, such as meals, transportation, or wellness programs, and cannot fund other county expenses. The tax would be collected separately from other sales taxes, administered by the state revenue department, and deposited into a dedicated "Senior Services Sales Tax Trust Fund." Counties must submit the tax proposal to voters via a specific ballot question asking if they support the tax for senior services.