Maddy summaryHB 3059 requires health insurance plans in Missouri to cover prescription drugs for advanced, metastatic cancer and related symptoms (like treatment side effects) without first demanding that patients try and fail other drugs. It directly affects cancer patients enrolled in health benefit plans, including MO HealthNet (Missouri's Medicaid program), by removing barriers to accessing necessary medications. The bill specifies coverage must apply to FDA-approved drugs that align with evidence-based medical guidelines and best practices for treating advanced cancer. This change ensures patients aren't forced to undergo ineffective treatments or provide proof of prior failures before receiving covered care.

Sponsored bills
Maddy summaryHB 3105, titled the "Second Amendment Preservation Act," protects Missouri residents' right to possess firearms by declaring federal gun regulations within the state invalid if they exceed constitutional limits. It grants the state attorney general or county prosecutors authority to sue federal officials for infringing on these rights and requires disciplinary action for law enforcement officers who knowingly violate them. The bill also affirms Missouri's exclusive authority to regulate firearms, including maintaining the existing federal excise tax on firearms, which it states does not restrict lawful ownership.
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 2297 allows property owners (or their contractors) to enter a neighbor's land up to 10 feet along a shared boundary to build, maintain, or repair a fence enclosing animal areas, without facing trespass charges. This applies only to fence work directly on the boundary line, and owners remain liable for any damage caused to crops or property beyond the 10-foot limit. The bill excludes utility companies, railroads, and accredited zoos/sanctuaries from this provision, and explicitly prohibits entering buildings on neighboring property. It directly affects rural landowners and fence contractors who need to work on boundary lines.
Maddy summaryHCR 28 designates the last full week in April each year as "Infertility Awareness Week" to increase public understanding of infertility. The resolution directly affects individuals and couples experiencing infertility, which impacts roughly 1 in 6 U.S. couples, by reducing stigma and promoting awareness. It does not create new programs or change funding but formally recognizes this week annually to encourage support and highlight access to care.
Maddy summaryHB 2816 is a definitions bill that clarifies tax classifications for property in Missouri, specifically adding solar photovoltaic equipment (panels, racking, inverters) to the definition of "tangible personal property" for tax purposes. This applies only to solar systems installed and producing energy before August 9, 2022. The bill modifies existing tax definitions for terms like "agricultural crops," "hydroelectric equipment," and "real property," but does not create new taxes or regulations. It directly affects property tax assessments for solar energy systems meeting the specified criteria.
Maddy summaryHB 2307 is a procedural bill that designates the Missouri Military Academy as the state's official military academy. It does not change the academy's operations, funding, or programs - only formally naming it as Missouri's designated military academy in state law. The bill directly affects the Missouri Military Academy by granting it this official title under state statute. As a naming resolution, it has no substantive policy impact beyond recognition. (1 sentence summary: This bill formally names the Missouri Military Academy as Missouri's official military academy in state law.)
Maddy summaryHB 2298 removes an exemption that previously allowed electric cooperatives to pay only fair market value when taking agricultural or horticultural property through eminent domain for constructing electric plants. The bill requires these cooperatives to pay 150% of fair market value instead, applying to takings under specific utility regulations. This change directly affects electric cooperatives operating under cooperative business plans (as defined in Missouri law) when acquiring farmland or similar property for new infrastructure. The law applies to all eminent domain proceedings filed after December 31, 2006, for qualifying property. It eliminates a prior distinction that allowed cooperatives to pay less than standard compensation.
Maddy summaryHB 2296 requires health insurance plans in Missouri to cover nonopioid medications for acute pain without discrimination. It prohibits insurers from denying coverage for nonopioid drugs, forcing patients to try opioids first, or charging higher out-of-pocket costs for nonopioid options when prescribed by a licensed provider for pain expected to last 30 days or less. The law applies to all health benefit plans issued or renewed on or after January 1, 2027, directly affecting insurance companies and enrollees (policyholders) seeking pain treatment. This creates a clear standard for coverage of nonopioid alternatives to opioids for short-term pain management.
Maddy summaryHB 439 requires dental plans (health plans covering dental care, excluding state programs like MO HealthNet) to spend at least 85% of premiums on actual patient care rather than overhead. It mandates annual reports to the state insurance department by March 1st, detailing the "dental loss ratio" using specific formulas that exclude administrative costs and certain fees. If the ratio falls below 85%, plans must issue pro-rata rebates to enrollees by August 1st of the following year. The bill directly affects dental plan providers and their enrollees by ensuring more premiums fund care rather than administrative expenses.