Rep. Matthew Overcast

Maddy summaryHB 3217 establishes detailed rules for collaborative practice arrangements between physicians and assistant physicians. It requires written agreements covering specific details like contact information, locations for prescribing, mandatory patient disclosures about seeing an assistant physician, and geographic proximity requirements (with limited rural clinic exceptions). The bill mandates regular chart reviews (10% of all cases, 20% for controlled substances every two weeks) and limits physicians to collaborating with no more than ten full-time equivalent assistant physicians or other providers. These provisions aim to standardize supervision, ensure patient safety, and clarify responsibilities for both providers.

Maddy summaryHouse Joint Resolution 187 proposes a constitutional amendment in Missouri that would allow certain advanced practice registered nurses (APRNs), such as nurse practitioners, to practice independently without a collaborative agreement with a physician after completing 2,000 documented hours of experience. The amendment prohibits geographic restrictions in collaborative agreements and limits physicians to collaborating with no more than ten APRNs. It also changes how physician residency programs are approved, permitting state accreditation without requiring national accreditation, especially for specialties with documented workforce shortages. This amendment, if approved by voters, would directly affect APRNs, physicians, and healthcare provider training in Missouri.

Maddy summaryHB 3298 establishes a new pathway for Missouri to accredit medical residency programs, allowing hospitals and health systems to sponsor state-accredited programs instead of requiring national accreditation (like ACGME). It directly affects residency programs, physicians completing training, and hospitals seeking to expand physician staffing. Key provisions include allowing shorter training durations for specialties with workforce shortages (e.g., family medicine), requiring programs to meet specific competency standards, and prohibiting hospitals or licensing boards from denying privileges or licenses based on whether a physician completed a nationally or state-accredited program. During a pilot period ending in 2029, the state board may limit approvals based on geographic need or specialty shortages to address access gaps. The bill ensures state-accredited programs must still meet rigorous training and supervision requirements equivalent to national standards.

Maddy summaryHB 3384 requires manufacturers of farm machinery (including tractors, combines, and agricultural equipment with digital electronics) to provide independent repair providers and owners with the same diagnostic information, service parts, and tools as they offer to their own authorized repair services. Manufacturers must supply these resources on "fair and reasonable terms," meaning software tools and documentation are provided at no charge (except for printed copies), without requiring authorization or internet access. The bill also mandates that manufacturers disclose any prior modifications made to a product when it is purchased. This law directly affects manufacturers of qualifying farm machinery, independent repair shops, and agricultural owners seeking to repair equipment without manufacturer restrictions.

Maddy summaryHB 3385 requires Missouri state agencies and purchasing entities to give preference to Missouri-grown or Missouri-produced agricultural products in contracts, provided they meet quality standards, are available in sufficient quantity, and cost no more than 10% more than comparable out-of-state products. The bill mandates a 5% bidding preference for qualifying Missouri products during competitive procurement processes. This preference applies to all state purchases for agencies, schools, and local governments, while still requiring standard competitive bidding. The law supplements existing state preferences for Missouri agricultural products and directs the commissioner of administration to create implementing rules for quality, delivery, and bidding procedures.

Maddy summaryThis bill proposes a constitutional amendment to Missouri's Constitution that changes wildlife enforcement rules. It requires conservation agents to obtain a warrant or get landowner consent before entering private property for enforcement, except in emergencies like immediate safety threats. The amendment also sets strict limits on seizing wildlife: agents must return it within 72 hours (or get court approval), and cannot retain it for "documentation" beyond that without judicial review. These changes directly affect landowners, conservation agents, and wildlife enforcement procedures by strengthening property rights during investigations.

Maddy summaryHB 2700, the "Missouri Kratom Consumer Protection Act," establishes safety and labeling rules for kratom products sold in Missouri. It directly affects kratom sellers (like convenience stores, kava bars, and food service establishments) and manufacturers, requiring them to register with the Department of Health, provide specific product warnings (including age restrictions, dosage limits, and health advisories), and avoid child-attractive packaging. Key provisions mandate lab testing for safety (heavy metals, pesticides), $3 million product liability insurance, child-resistant packaging compliant with federal standards, and restrictions on combining kratom with other psychoactive substances like alcohol. The bill also prohibits sales to minors and requires clear labeling of kratom content and expiration dates.

Maddy summaryHB 2768 imposes a 2% sales tax on retail purchases of industrial hemp-derived consumable products (like edibles or beverages containing ≤0.3% delta-9 THC) starting in 2027. It requires retailers to collect this tax at the point of sale, display it separately on receipts, and remit it to the state. The revenue will fund the hemp business program, directly affecting retailers, manufacturers, and distributors of these products while ensuring consumers pay the tax at checkout. The bill also defines key terms like "consumable product" and "hemp-derived cannabinoid" to clarify regulatory scope.

Maddy summaryHB 3065 modifies Missouri law to allow advanced practice registered nurses (APRNs) to administer, dispense, or prescribe certain medications under written agreements with physicians. It permits APRNs to prescribe controlled substances in Schedules III-V and Schedule II hydrocodone (with a 120-hour supply limit without refill), but excludes prescribing for sedation/anesthesia during procedures. The bill requires all agreements to include specific details like provider contact information, locations of practice, and a patient disclosure statement about seeing an APRN versus a physician. This directly affects APRNs, physicians, and patients in Missouri healthcare settings by expanding APRNs' prescribing authority within defined limits.

Maddy summaryHB 3104 modifies products liability claims by redefining "defective condition" to include manufacturing defects and design flaws that could have been avoided with reasonable alternatives. It replaces joint liability with a pure comparative fault system, meaning a plaintiff's recovery is reduced by their percentage of fault (e.g., if 30% at fault, they receive 70% of damages). The bill also clarifies that defendants can argue plaintiff fault as an affirmative defense, and each defendant pays only for their allocated share of fault, not the full amount. This directly affects manufacturers, injured consumers, and courts handling product injury cases.