Rep. Melissa Schmidt

Maddy summaryHCR 4 designates the last full week in April each year as "Infertility Awareness Week" in Missouri. This symbolic resolution aims to raise public understanding of infertility, reduce stigma, and highlight the emotional, financial, and medical challenges faced by individuals and couples affected by infertility - impacting millions of Missourians. It does not create new laws, allocate funding, or change healthcare access; instead, it formally recognizes the week to support awareness efforts led by local and national organizations. The resolution was introduced by Representative Murray and sent to the governor for approval.

Maddy summaryHB 236 requires commercial websites where 33% or more of content is deemed "material harmful to minors" to use reasonable age-verification methods before allowing minors access. If a website fails this, it can be sued by a minor who accessed such content, facing damages and legal fees. The law explicitly excludes news organizations and internet service providers from liability, stating they aren't responsible for content they transmit but don't create. It defines "material harmful to minors" as content appealing to prurient interests, depicting sexual acts or nudity, or lacking artistic/scientific value for minors.

Maddy summaryHB 618 limits health insurers' ability to require prior authorization for medical services starting January 1, 2026. Insurers must approve at least 90% of a provider's past requests for a service before requiring prior authorization, or the provider qualifies for an exemption. Hospitals may qualify for exemptions by entering value-based care agreements with insurers, achieving a 3+ star CMS rating, or having a high prior-authorization approval rate. The bill excludes pharmacy, imaging, cosmetic, and experimental services from exemptions (with annual $100,000 cost limits adjusted for inflation) and requires insurers to provide a 90-day medication coverage grace period if a patient's insurance changes.

Maddy summaryHJR 6 proposes a constitutional amendment to expand property tax exemptions in Missouri, primarily affecting disabled veterans and their surviving spouses. The amendment would exempt the primary home (homestead) of disabled veterans - defined as those certified by the VA for 100% service-connected disability - and their surviving spouses (if they continue living in the home) from property taxes. It also maintains existing exemptions for business inventories (e.g., manufacturers' raw materials and retailers' stock) and properties used by religious, charitable, or educational organizations. The amendment requires voter approval in Missouri’s 2026 general election.

Maddy summaryHB 927 designates June as "Fathership Month" in Missouri to promote awareness of fathers' roles in children's lives and establishes the "Missouri Fathership Project" within the Department of Social Services. The bill creates a grant program to fund community organizations that hire "fathership project specialists" who help fathers rebuild relationships with children, navigate court systems, and overcome barriers to reunification. These specialists serve as direct liaisons for fathers in family court cases, developing personalized plans to address relationship breakdowns and support compliance with court-ordered case plans. The initiative directly affects fathers seeking to reconnect with children, particularly those involved in family court or child support cases, and is funded through state appropriations and dedicated grants.

Maddy summaryHB 1012 establishes Missouri's "Zero-Cost Adoption Fund" to cover adoption-related costs for residents. It creates a tax credit allowing individuals or businesses contributing cash donations (over $10,000) to the fund to claim a 100% credit against their state income tax, capped at 50% of their tax liability. The fund, financed by these contributions, directly assists adoptive families by covering nonrecurring adoption expenses and postadoption services, while also supporting adoption recruitment and foster care prevention programs. The program has annual funding limits ($25 million initially, rising to $75 million with inflation) and will sunset automatically after six years unless reauthorized.

Maddy summaryHB 850 modifies licensing rules for child care facilities in Missouri. It creates a new temporary license for providers expanding existing sites or adding new locations, requiring fire/sanitation inspections, background checks, and 13 months of prior operation before approval. The bill also establishes a process for facilities to request variances from licensing rules if they don’t endanger children’s health or safety. These changes directly affect child care providers, the Department of Elementary and Secondary Education, and children receiving care, while ensuring religious facilities remain exempt from certain regulations.

Maddy summaryHB 328 updates regulations for public mass transportation systems, including light rail and buses operated by the bi-state development agency. It prohibits carrying weapons (including firearms) on transit facilities and conveyances, with limited exceptions for law enforcement officers or unloaded rifles/shotguns in a closed container. The bill also bans alcohol consumption, smoking, littering, and obstructive behavior on transit, requiring fare payment and compliance with agency directives. These rules apply directly to all passengers and employees using public transportation services.

Maddy summaryHB 986 updates Missouri's list of diseases that healthcare providers must report to the Department of Health and Senior Services. It adds methicillin-resistant staphylococcus aureus (MRSA), carbapenem-resistant enterobacteriaceae (CRE), vancomycin-resistant enterococcus (VRE), alpha-gal syndrome, and Lyme disease to the required reporting list. The bill also requires the department to submit an annual report to the Centers for Disease Control and Prevention (CDC) detailing the incidence and reporting of these diseases. This change directly affects healthcare facilities and providers who must now report these specific conditions.

Maddy summaryHB 1227 requires health screenings for children entering state custody under Missouri's Children's Division. Within 72 hours of custody, a pediatrician must conduct a full physical exam, including review of past medical records. By 30 days, a developmental, behavioral, and emotional screening must be completed using standardized tools by a licensed mental health professional or primary care physician. These screenings aim to identify health needs and connect children with appropriate services, directly affecting children in foster care, their foster families (who gain access to medical records), and healthcare providers.