Rep. George Hruza

Maddy summaryHB 917 requires most health insurance plans in the state to cover one annual whole-body skin exam for suspicious lesions without any cost-sharing (like co-pays or deductibles). This applies to plans issued or renewed after January 1, 2026, directly affecting insured individuals needing preventive skin cancer screenings. The law mandates coverage for the exam using standard medical codes, excluding certain supplemental policies like Medicare supplements or short-term plans. It aims to remove financial barriers to early skin cancer detection, aligning with federal preventive care standards.

Maddy summaryHB 922 requires both air and ground ambulance services licensed in the state to equip all ambulances with naloxone (to reverse opioid overdoses) and bleeding control kits. This mandate applies directly to ambulance service providers seeking or renewing licenses under existing state regulations. The bill amends licensing rules to explicitly include these medical supplies as mandatory equipment requirements for all licensed ambulance services. The policy change aims to improve emergency response capabilities for overdose and severe bleeding incidents during patient transport.

Maddy summaryHB 243 ensures that pregnancy cannot delay or prevent a court from granting a divorce (dissolution of marriage) or legal separation. It explicitly states that a court must proceed with the judgment regardless of whether one party is pregnant, removing pregnancy as a barrier to these proceedings. The bill affects individuals seeking divorce or legal separation who are pregnant, requiring courts to follow standard residency and procedural requirements without considering pregnancy status. This change applies to all divorce or separation cases, maintaining existing rules about residency, custody, and property division while clarifying that pregnancy alone does not block finalization.

Maddy summaryHB 664 requires Missouri state agencies to obtain legislative approval before new administrative rules take effect. Specifically, agencies must submit proposed rules to the Joint Committee on Administrative Rules, which can hold hearings and suspend rules costing over $250,000 until the full General Assembly votes on them. Rules cannot become effective until the legislature approves them via a concurrent resolution, with a 30-day waiting period after committee review. This change ensures all significant agency rules undergo direct legislative scrutiny before implementation.

Maddy summaryHB 810 designates a specific 2.5-mile segment of U.S. Highway 60 in Newton County (from Kodiak Road east to Cemetery Road) as the "Lloyd Memorial Highway." The bill requires the Missouri Department of Transportation to install and maintain signage for this highway, with all costs covered by private donations. This is a purely commemorative measure with no policy changes or direct impact on laws, regulations, or public services. It does not affect residents, businesses, or government operations beyond naming a highway segment.

Maddy summaryHB 862 modifies minimum prison terms for felony offenders in Missouri. It requires non-dangerous felony offenders with one or two prior prison terms to serve at least 50% of their sentence (or 40% if under 70), those with three or more prior terms to serve 80%, and dangerous felony offenders to serve 85% before becoming eligible for parole. The bill sets a 70-year age limit and mandates a minimum 40% sentence served, with life sentences calculated as 30 years and sentences over 75 years capped at 75 years. It also creates a sentencing advisory commission to study sentencing disparities across Missouri courts.

Maddy summaryHB 87 updates Missouri's driving while intoxicated (DWI) penalties by creating a tiered system that increases charges based on prior offenses and incident severity. For example, a first-time DWI is a class B misdemeanor, but becomes a class A misdemeanor if a minor under 17 is in the vehicle or the driver has prior convictions; causing death with a blood alcohol level of 15-hundredths or more triggers a class A felony. The bill also requires first-time offenders to serve at least two years of probation instead of receiving a suspended sentence, unless they enroll in a court-approved treatment program in their jurisdiction. This replaces the existing DWI statute to clarify penalties and sentencing conditions.

Maddy summaryHB 607 modifies Missouri's education laws to change how student attendance and academic performance are measured. It requires schools to count suspended or expelled students as "in attendance" for accountability metrics like school improvement plans and weighted daily attendance calculations. The bill mandates a new performance-based statewide assessment system focused on problem-solving and skills - not rote memorization - and creates "Outstanding Schools Waivers" for schools meeting specific performance criteria for three years, allowing flexibility in testing and operations. It also establishes alternate assessments for students with special needs and military dependents, while excluding English learner test scores until they've been in English-medium schools for three years.

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 summaryHB 1216 establishes a statewide program for collecting and recycling unused architectural paint (interior/exterior coatings sold in 5-gallon containers or less). It requires paint producers to fund and manage a recycling program through a "paint assessment fee" added to paint sales, which covers collection, reuse, and disposal costs. The program mandates that 90% of Missouri residents must have a collection site within 15 miles, with producers or a representative organization developing plans for statewide collection sites, events, or partnerships with existing hazardous waste programs. The fee must be verified by an independent auditor to ensure it only covers program costs, and producers must include educational materials about the program in paint purchases.