Rep. Gregg Bush

Maddy summaryHB 1827 expands who can certify eligibility for Missouri disabled license plates and placards by adding licensed occupational therapists to the list of "other authorized health care practitioners" under Section 301.142. This change directly affects individuals seeking disabled placards (who now have more healthcare providers able to issue the required certification) and licensed occupational therapists (who gain authority to provide these certifications). The bill modifies the definition to include occupational therapists licensed under Chapter 324, allowing them to issue physician's statements for conditions they are legally authorized to diagnose and treat, while maintaining existing requirements for the certification format and content.

Maddy summaryHB 3452 requires health insurance plans sold in the state to cover specific preventative health services without cost-sharing (like copays or deductibles) starting January 1, 2026. It mandates coverage for evidence-based services rated A or B by the U.S. Preventive Services Task Force, CDC-recommended immunizations, and preventative care outlined in Health Resources and Services Administration guidelines. The law allows limited exceptions, such as applying high-deductible plan requirements to certain services or imposing cost-sharing for out-of-network providers. This directly affects health insurers and policyholders by ensuring no out-of-pocket costs for these recommended preventative services.

Maddy summaryHB 3178 requires all rules and regulations governing library programs receiving state funding to comply with the First Amendment, Missouri’s free speech protections, and anti-discrimination laws. This applies directly to every public library in Missouri that receives state financial support. Existing rules must be reviewed for compliance by August 2028, and new rules must meet these standards from the start. The law ensures library policies align with constitutional free speech and civil rights requirements without altering existing funding mechanisms.

Maddy summaryHB 2645 limits how pharmacy benefits managers (PBMs) can charge patients for prescription drugs. It prohibits PBMs from requiring patients to pay more at checkout than the cash price or their insurance copayment, and allows pharmacists to discuss cheaper drug alternatives without PBM restrictions. The bill also requires PBMs to disclose conflicts of interest to health plans and prohibits them from holding pharmacies responsible for unknown claim fees. It excludes Medicare Part D and self-funded employer health plans from these rules. The law applies to all other health benefit plans and pharmacy claims in the state.

Maddy summaryThis Missouri House bill (HR 3879) authorizes a committee selected by the Speaker to introduce articles of impeachment against Secretary of State Denny Hoskins. It alleges he violated Missouri's constitution by unlawfully refusing to verify signatures on a referendum petition challenging a gerrymandered congressional map and by directing election officials to implement the new districts despite a constitutional requirement for voter approval. The bill cites his actions as misconduct, willful neglect of duty, and oppression in office under Article VII, Section 1 of the Missouri Constitution. The impeachment process would begin only if a committee finds "good cause" after investigation.

Maddy summaryHB 3016 establishes new rules for landlord-tenant relationships in most rental properties. It sets a two-person-per-bedroom occupancy limit (with exceptions for children), requires written leases for all rentals, and mandates one month's written notice for terminating month-to-month agreements. The bill specifically prohibits landlords from retaliating against tenants who report housing code violations, join tenant groups, or complain about unsafe conditions, and adds 60-day notice requirements for mobile home lot lease terminations. These changes directly affect renters, landlords, and housing courts across the state.

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.

Maddy summaryHB 2917 creates a "Senior Tenant Bill of Rights" for renters aged 60 or older. It requires landlords to provide written leases before move-in, give 30-day renewal notices, maintain safe housing, disclose all fees upfront, and follow clear rent increase guidelines. Seniors can report violations to adult protective services, which will assist with complaints and connect them to legal aid resources. The bill directly affects landlords renting to seniors and aims to standardize tenant protections for this age group.

Maddy summaryHB 3131 requires that for all emergency calls classified as mental-health related, law enforcement must respond with a behavioral health specialist (such as a psychologist, social worker, or counselor) alongside the officer. This applies unless dispatch or on-scene assessment indicates an immediate threat of violence, in which case officers may initially secure the scene without the specialist but must bring them in once the scene is safe. The bill mandates standardized dispatch protocols to identify mental-health calls and assign co-response teams, directly affecting Missouri law enforcement agencies and emergency dispatch centers. It aims to improve crisis response by ensuring trained behavioral health professionals are part of the initial emergency team for mental health calls.

Maddy summaryHB 2090 requires most Missouri landlords to offer tenants the voluntary option to have their on-time rent payments reported to credit bureaus. Landlords must provide a written election form detailing the option, fees (capped at $10/month or actual cost), and the right to opt out for six months. The law applies to most residential landlords but excludes single-property owners of buildings with 15 or fewer units. Tenants must pay any required fee separately from rent, and failure to pay may temporarily halt reporting for six months. The requirement begins for new leases on or after February 1, 2027.