Rep. Jo Doll

Maddy summaryHB 1941 requires health insurance plans in Missouri to count payments for non-generic medications toward a patient's annual out-of-pocket maximum. Specifically, health carriers must include costs paid by enrollees for medications where a generic version is unavailable when calculating this limit. The bill also prohibits plans from adjusting cost-sharing requirements based on the availability of cost-assistance programs for such medications. This directly affects patients using non-generic prescription drugs who would otherwise face unexpectedly high out-of-pocket expenses. The law applies to most health benefit plans starting August 28, 2026.

Maddy summaryHJR 115 proposes a constitutional amendment to create a property tax exemption for Missouri disabled veterans and their surviving spouses. It defines a "disabled veteran" as a Missouri resident honorably separated from military service with a 100% VA-certified service-connected disability, and a "homestead" as their primary residence (not exceeding 2.5 acres). The exemption would apply to real property used as a primary home, excluding portions rented for more than six months annually. This amendment requires voter approval in the 2026 general election and would replace the current property tax exemption provisions in Missouri's constitution.

Maddy summaryHB 2279 requires Missouri health benefit plans to include costs for non-generic medications in an enrollee's out-of-pocket maximum. This means if a generic drug isn't available for a prescribed medication, the full cost paid by the enrollee (or on their behalf) counts toward their annual limit on out-of-pocket expenses. The bill also prohibits plans from adjusting cost-sharing requirements based on whether a patient qualifies for drug cost assistance programs. It applies to most health plans (excluding certain union plans) starting August 28, 2026, and affects all Missouri residents enrolled in health insurance plans covering prescription drugs.

Maddy summaryHB 473 requires private employers offering paid family or medical leave to provide equivalent leave for adoption and fostering. It mandates that this leave cover the child's birth, placement, and bonding period, under identical terms and coverage as existing maternity, paternity, or family leave. The bill directly affects private employers with paid leave policies in the state, ensuring adoption and foster care leave matches the benefits for other family-related absences. This policy change standardizes leave access for adoption and fostering without adding new leave categories, aligning it with current family leave provisions.

Maddy summaryHB 471 allows pharmacists to dispense an emergency supply of insulin without a new prescription, directly affecting patients facing urgent insulin shortages. The bill amends pharmacy practice laws to explicitly include "dispensing an emergency supply of insulin" as a permitted duty under section 338.740. This provision enables pharmacists to provide immediate insulin access during emergencies, such as when a patient's prescription is unavailable or delayed. It does not change insulin prescribing rules but expands pharmacists' emergency response authority. The bill focuses on improving timely insulin access for patients in need.

Maddy summaryHB 1008 updates requirements for providing special education services to children with disabilities aged three and four. It mandates school districts and special school districts to create service delivery plans involving community agencies, ensure state funding for these services comes from a separate budget line (not general school funds), and clarify transitions from early intervention programs (Part C) at age three. The bill defines eligibility for "young children with developmental delays" (ages three to nine) and specifies that remedial reading programs do not count as special education services. It directly affects school districts, service providers, and children with disabilities aged three to four.

Maddy summaryThis bill proposes adding a constitutional amendment to Missouri's constitution requiring that marriage exist only between individuals who are 18 years of age or older. It would replace the current constitutional reference to marriage "between a man and a woman" with this age requirement, directly affecting all Missouri residents seeking marriage licenses. If adopted, the amendment would change the state's constitutional definition of marriage, making 18 the minimum age for legal marriage under state law. The bill is currently in committee referral and has not yet been voted on by the full legislature.

Maddy summaryHB 467 requires all public, private, parochial, and parish schools to conduct hearing screenings for new kindergarten and first-grade students starting in the 2026-27 school year. Schools must provide parents with screening information by August 1st and complete screenings before November 1st each year, using options like in-house staff, contracted providers, or parent-selected services. Parents may decline screening in writing or provide a recent doctor's exam (within 12 months) to exempt their child. If screenings indicate potential hearing issues, schools must refer students for further evaluation under existing state special education protocols.

Maddy summaryHB 926 modifies Missouri's Clean Indoor Air Act by establishing new definitions to clarify where smoking and vaping are prohibited. It specifically defines terms like "cigar-tobacco bar" (requiring over 50% revenue from tobacco sales to qualify for exemptions), "electronic smoking device" (excluding medical inhalers), and "enclosed area" to determine coverage. The bill directly affects businesses (bars, restaurants, health facilities), public buildings, and workplaces by defining where smoke-free rules apply. Key provisions include exemptions for certain tobacco-focused venues based on revenue verification and clear boundaries for "entryways" and "indoor areas." This bill refines enforcement language rather than introducing new prohibitions.

Maddy summaryThe bill title claims to authorize a sales tax exemption for diapers and feminine hygiene products, but the provided bill text describes existing tax exemptions for unrelated items (such as motor fuel, livestock feed, manufacturing materials, and newsprint). The text contains no provisions related to diapers or feminine hygiene products. The actual content focuses on defining exemptions for items like agricultural supplies, manufacturing inputs, and telecommunications services under Missouri's sales tax law. Since the context does not support the title's claim, a factual summary of the bill's content cannot be provided based on the given text.