Rep. Renee Reuter

Maddy summaryHB 1776 creates a state matching grant program to help Missouri school districts fund renovation projects. It provides state funds covering 60% of eligible project costs (with districts contributing 40%), targeting essential upgrades like roofing, HVAC, windows, and health/environmental improvements at school facilities. Eligible projects must maintain daily school operations, and funding prioritizes districts affected by disasters, experiencing rapid enrollment growth, or having lower property values per student. School districts apply annually, with the Department of Elementary and Secondary Education reviewing applications and awarding grants based on established criteria and available appropriations.

Maddy summaryHB 2464 establishes the "Missouri Terminally Ill Patient Dignity and Care Act," requiring hospitals to provide specific care standards for patients certified by a physician as terminally ill (expected to die within six months). Key provisions mandate timely pain management, a 30-minute response time to patient requests for assistance (unless clinically justified), documented care protocols, and access to a terminal care ombudsman to address complaints. Hospitals must track response times, investigate neglect complaints, and report annually to the Department of Health, with penalties including civil fines up to $5,000 per violation or license suspension for noncompliance. The law directly affects terminally ill patients in Missouri hospitals and takes effect January 1, 2027.

Maddy summaryHB 2513 requires healthcare providers to create and maintain written, physician-approved individualized care plans for children under 18 with rare or medically complex conditions (defined as conditions affecting fewer than 200,000 people nationally or requiring specialized management). The bill mandates annual reviews of these plans, updates after hospitalizations, and specific emergency care instructions within the plan. It requires hospitals and emergency services to report significant protocol deviations (any change from the care plan causing or risking harm) to the child’s primary specialist within 24 hours. The law also establishes training for healthcare professionals on adhering to these care plans and encourages a centralized registry of plans for authorized access. The provisions become effective March 1, 2027.

Maddy summaryHJR 144 proposes a constitutional amendment granting Missouri veterans with service-connected disabilities a proportional property tax exemption. It directly affects veterans who received a disability rating from the U.S. Department of Veterans Affairs, exempting their real property (like homes) and personal property from taxes based on their specific disability percentage. For example, a veteran with a 50% disability rating would receive a 50% reduction in property taxes, while those rated 100% would be fully exempt. This amendment requires voter approval in a special election and would take effect for tax years beginning January 1, 2027.

Maddy summaryHB 1879 requires Missouri health insurance plans to cover genetic counseling and genetic testing for cancer risk starting January 1, 2027. It applies to individuals assessed as high-risk for harmful gene mutations based on personal or family cancer history. The law mandates that coverage includes all associated costs with no deductibles, copays, or other cost-sharing, and prohibits insurers from using genetic test results to deny coverage, adjust premiums, or limit benefits. This policy directly affects Missourians seeking cancer risk assessment and their health insurers.

Maddy summaryHB 1877 allows Missouri elected officials and their campaign committees to use campaign funds for childcare costs that directly result from campaigning for office or performing official duties. This means expenses like daycare or babysitting incurred while attending campaign events or conducting government work can now be paid with campaign money. The bill specifies these childcare costs must be ordinary and necessary, would not have been incurred otherwise, and cannot be paid to a household member of the official. It does not change other restrictions on campaign fund usage, such as prohibitions on personal expenses or legal fines. The bill directly affects state legislators, mayors, and other elected officials who manage campaign finances.

Maddy summaryHB 1875 requires health care providers in Missouri to notify patients before providing nonemergency care if they are out-of-network for the patient's health insurance plan. Before such care, providers must check the patient's insurance coverage and their own network status, and if out-of-network, they must inform the patient or the person consenting for the patient. This notification must occur prior to treatment and complements existing federal protections like the No Surprises Act. The bill directly affects health care providers and patients receiving nonemergency care in Missouri.

Maddy summaryMissouri's HB 1874 creates a new legal claim allowing a person to sue a third party (like a romantic rival) for intentionally causing their spouse to leave the marriage. This law directly affects married individuals whose spouses have left due to the actions of a third person. The bill specifies that such lawsuits must be filed within three years of the alleged harmful act and can only be brought against natural persons (individuals, not corporations). It does not change existing laws about divorce or spousal relationships but adds a new civil remedy for interference.

Maddy summaryHB 1924, the "Charitable Organizations Privacy Protection Act," simplifies how Missouri-based charitable organizations claim assets designated as beneficiaries (like life insurance or retirement accounts). It allows charities to submit a verified affidavit - supported by IRS tax-exempt status, death proof, and organizational documents - to property holders (e.g., banks, insurers) instead of providing sensitive personal information about staff. The bill prohibits property holders from requesting social security numbers, driver’s licenses, or financial details from charity representatives. If the affidavit meets requirements, property must be transferred within 30 days, or the charity may sue for recovery within one year. This directly affects Missouri charities and financial institutions handling beneficiary-designated assets.

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.