Medical malpractice insurance costs should become a matter of debate in the House again this week. The House last week debated a tort reform bill for a day, before moving on to other issues. No vote has been taken yet. The bill’s sponsor, Representative Richard Byrd of Kirkwood, says the legislature needs to act on a serious problem. Byrd wants to cap the amount of money juries award in medical malpractice cases and he wants to restrict where those cases can be tried, keeping many of them out of St. Louis and Kansas City where traditionally juries award larger monetary damages.