The Legislature is being asked for a fourth time to increase health monitoring for people receiving in-home care and to step up the accountability from those who are paid to provide it. Senator Sarah Steelman of Rolla says in-home care providers need to keep a closer watch on those they serve and on aides who are providing the services or who are supposed to be providing them. Steelman also wants each client visited at least twice a year by a nurse, to assess their health and to make sure they’re getting the services they need. Her latest proposal is under consideration by a Senate committee.