Rep. Matthew Overcast

Maddy summaryHB 1240 repeals outdated "certificates of need" requirements for healthcare facilities and replaces them with new rules. It requires hospitals and long-term care facilities to mandate identification badges displaying personnel licensure, and mandates managed care organizations to reimburse facilities at Medicare rates for covered services provided to residents. The bill ensures residents in long-term care facilities (including continuing care retirement communities) can access care through their managed care plan without facility-imposed fees or barriers. These changes directly affect hospitals, long-term care facilities, managed care organizations, and residents receiving care in these settings.

Maddy summaryHB 951 legalizes personal therapeutic use of psilocybin for adults 21+ with specific conditions (end-of-life care, PTSD, major depression, substance use disorders, or other FDA-registered clinical trial-approved conditions). It requires documentation from a physician in a bona fide patient relationship, a trained facilitator (with 30+ hours of approved training), lab testing of psilocybin, and limits use to 150mg annually. The bill protects users, facilitators, and providers from legal penalties for compliant use and ensures confidentiality of patient information. It does not permit commercial sales or public use, focusing solely on regulated personal therapeutic applications.

Maddy summaryHB 194 prohibits abortions after a fetal heartbeat is detected, requiring physicians to confirm heartbeat presence (using standard medical practice) before performing most abortions, except in medical emergencies. It modifies state law to define "unborn children" as having rights from conception and mandates detailed abortion reporting, including heartbeat detection results. The bill allows private civil lawsuits against doctors, clinics, or insurers who perform or facilitate abortions without heartbeat confirmation, with penalties of $10,000 per violation. It directly affects healthcare providers performing abortions and insurers covering such procedures, while prohibiting state enforcement of the law.

Maddy summaryHB 763 expands prescribing authority for certified advanced practice registered nurses (APRNs) in Missouri. It allows APRNs with a board-certified controlled substance prescriptive authority to prescribe Schedule III-V controlled substances and limited Schedule II medications (like hydrocodone for hospice patients), with prescriptions capped at a 120-hour supply without refill. The bill requires written collaborative practice agreements with physicians, specifies locations where APRNs may prescribe, and mandates patient disclosure statements about their care team. This directly affects APRNs, their collaborating physicians, and patients receiving care in settings like hospice or rural clinics, while maintaining restrictions on self-prescribing and certain high-risk medications.

Maddy summaryHB 111 declares that human life begins at conception and grants unborn children legal rights to life, health, and well-being comparable to other persons under state law. It requires state laws to be interpreted as recognizing these rights for unborn children at every stage of development, from conception until birth, unless overridden by federal law or specific state statutes. The bill explicitly states it does not create legal liability against women for not following prenatal care guidelines. This legislation directly affects legal interpretations of rights for unborn children and would require state statutes to align with these provisions.

Maddy summaryHB 1406 revises the structure and duties of Missouri's Alzheimer's State Plan Task Force, expanding membership to 21 representatives including individuals with early-stage Alzheimer's, family caregivers, healthcare professionals, and community sector leaders. The task force must assess state programs, update an integrated state plan, and develop recommendations to address Alzheimer's challenges - such as reducing health disparities, improving dementia training for healthcare workers, and increasing diagnostic rates - while coordinating with federal entities. It is required to submit an initial report to the governor and legislature by January 1, 2023, followed by annual updates and comprehensive reports every five years until the bill expires in 2032. This legislation directly affects Missouri's approach to Alzheimer's care planning, aiming to improve services for residents and caregivers through structured state-level coordination.

Maddy summaryHB 423 requires court reporters in Missouri to be certified by the Board of Certified Court Reporter Examiners to legally provide court reporting services for pay. The bill prohibits unlicensed practice, using titles like "court reporter" without certification, and signing transcripts without personally reporting proceedings. Violations are punishable as a misdemeanor, and the law applies to both individual court reporters and court reporting firms operating within Missouri.

Maddy summaryHB 67 creates a standardized process for volunteer fire protection associations to collect annual dues from property owners within their service areas. It requires county assessors to provide property owners with a verification form (included with annual property tax notices) to confirm whether a residence or business exists on their parcel, allowing them to pay dues directly through the form. County collectors will handle the dues collection, deducting a 5% administrative fee, and must forward the remaining funds to the fire association. Associations must also file annual reports with county clerks by December 15th, detailing board members, dues amounts, and payment recipients. This bill primarily affects property owners in fire association service areas and the associations themselves.

Maddy summaryHB 975 requires individuals filing asbestos exposure lawsuits (after August 28, 2025) to first file all possible claims with asbestos trusts and provide court-approved documentation proving they’ve exhausted trust compensation options. It directly affects people suing over asbestos-related health issues, excluding firefighters, paramedics, and EMTs. Key provisions include submitting sworn statements detailing all trust claims, sharing all related materials (medical records, exposure history), and updating filings if new trust claims arise. The bill ensures trust claim documents are admissible in court and mandates that lawsuits cannot proceed to trial until all required trust claims are filed and verified.

Maddy summaryHB 66 requires Missouri counties to seek voter approval via ballot measure before imposing new countywide sales taxes. It limits new tax rates to 1% (increasing to 1.5% after August 2025) and restricts funding to specific purposes like law enforcement (for rates above 1%), prohibiting use for stadiums, most zoological facilities, or general operations. The bill also mandates how tax revenue must be distributed - such as 3/8 to counties and 5/8 to cities in large first-class counties - and requires counties to notify voters if they repeal such taxes. This directly affects all 114 Missouri counties and their residents who vote on tax proposals.