House Bill 21 Archives

What we’re watching this week in Missouri Legislature: federal stimulus funding, state budget and workers compensation issues (AUDIO)

April 12, 2021 By Brian Hauswirth

Testimony involving stimulus dollars under the federal “American Rescue Plan Act of 2021”, alternatives to Medicaid expansion and workers compensation for firefighters and first responders will highlight this week in the Missouri Legislature in Jefferson City.

State Rep. Doug Richey (R-Excelsior Springs) speaks on the Missouri House floor in Jefferson City on March 18, 2020 (file photo courtesy of Tim Bommel at House Communications)

The 2021 session has about a month to go. The last day of session will be Friday, May 14.

A brand-new Missouri House Subcommittee on Federal Stimulus Spending will meet for the first time Monday morning in Jefferson City. They’ll gavel-in at 11 a.m. Committee Chairman State Rep. Doug Richey (R-Excelsior Springs) is humbled by the appointment.

“It is a committee that will be doing some very important work in terms of vetting both the priorities and the need for these federal stimulus dollars that are yet to even be received,” Richey says.

The subcommittee will hear testimony on Monday about capital improvement needs that could be eligible for federal stimulus funds under the Rescue plan. President Joe Biden (D) signed the bill, and House Budget Committee Chairman Cody Smith (R-Carthage) has said that he expects Missouri to receive billions of dollars in federal funding.

“There will be opportunity for several one-time appropriations for capital improvements and deferred maintenance that we know exist throughout the state,” says Richey.

He tells Missourinet that examples include universities, public safety, mental health and hospitals and state buildings.

Chairman Richey is emphasizing the importance of due diligence. He tweeted Saturday that “the American Rescue Plan isn’t funded by tax payer dollars, it’s funded by tax payer indebtedness.”

The Medicaid expansion issue will also come up again this week in the Legislature.

The Missouri House Budget Committee is expected to vote Tuesday on a budget blueprint from Chairman Smith, a plan which directs dollars slated for Medicaid expansion for other programs, including MO HealthNet. That’s the state Medicaid program.

Smith outlined the plan last week. House Bill 21, an eight-page bill, is just over $1 billion. $894 million of that would come from federal funds.

Funding includes $26 million for programs like respite care, adult day care and home-delivered meals. Chairman Smith testifies the funding also includes $88.2 million for funding long-term care services for care in nursing facilities. HB 21 also includes $18 million for k-12 public school transportation, and $2 million for adult high schools. It also includes $11.6 million for treatment for alcohol and drug abuse, and $2.2 million for youth community programs. It also provides about $1 million in additional funding for the State Public Defender System.

State Rep. Robert Sauls (D-Independence) speaks on the Missouri House floor in Jefferson City on March 31, 2021 (photo courtesy of Tim Bommel at House Communications)

House Democrats on the Budget Committee are expected to oppose the plan, saying that 53 percent of Missouri voters approved Medicaid expansion in August. Regardless of the committee vote, the issue will almost certainly be debated again on the House floor soon.

The Missouri House Public Safety Committee will meet Tuesday morning to hear legislation from State Rep. Robert Sauls (D-Independence), which involves workers compensation for firefighters and first responders.

“This is a bill that protects those who protect us. The firefighter cancer presumption bill creates a presumption that if a firefighter develops cancer, he or she got it as a result of the hazardous toxins of which he or she was regularly exposed. There is also a component to PTSD for first responders. I am proud of this bill and it is far overdue,” Sauls tells Missourinet.

Sauls’ House Bill 863 would allow Missouri firefighters and first responders to receive workers compensation for diseases of the heart or cardiovascular system, any infectious diseases, diseases of the body systems or organs from carcinoma, and diseases of the lungs or respiratory tract.

Across the Capitol Rotunda in the Missouri Senate, the chamber is expected to take up legislation involving mechanical contractors early this week. Senate President Pro Tem Dave Schatz (R-Sullivan) tells Missourinet he expects his Senate Bill 11 to hit the floor on Monday.

Schatz’s bill is called the “Missouri Statewide Mechanical Contractor Licensing Act.” Under the bill, the statewide mechanical license for mechanical contractors would be regulated by the Division of Professional Registration, within the state Department of Commerce and Insurance. The bill creates the Office of Mechanical Contractors, within the division.

Pro Tem Schatz also says education reform legislation could go to the Senate floor this week.

Click here to listen to Brian Hauswirth’s full four-minute interview with Missouri House Subcommittee on Federal Stimulus Spending Chairman Rep. Doug Richey (R-Excelsior Springs), which was recorded on April 9, 2021:

Missouri’s House Budget Committee chair outlines alternative to Medicaid expansion; Kirk Mathews is Acting Medicaid director

April 6, 2021 By Brian Hauswirth

Missouri’s House Budget Committee learned new details Tuesday in Jefferson City about a budget blueprint from the committee chair to direct dollars slated for Medicaid expansion for other programs, including MO HealthNet. That’s the state Medicaid program.

Missouri House Budget Committee Chairman Cody Smith (R-Carthage) speaks on the House floor in Jefferson City on April 1, 2021 (photo courtesy of Tim Bommel at House Communications)

House Democrats are expected to oppose the plan, saying Missouri voters approved Medicaid expansion in August.

Budget Committee Chairman Cody Smith (R-Carthage) and the House Appropriations director presented House Bill 21, which is an eight-page bill. It’s just over $1 billion, with $894 million of that coming from federal funds.

“This is an appropriation, a rate increase, that again as you (the House Appropriations director) noted, it’s written as a one-time increase. I think it’s up for up for question as to whether or not this should be a general revenue increase, or perhaps an f-map increase,” Smith testifies.

He says this involves a one-time nursing facility rate increase of about $10 per day.

While Chairman Smith opposes Medicaid expansion, his plan would provide an additional $735 million to the MO HealthNet Division for transitional payments. House Appropriations Director Glenn Fitzgerald testifies this is a brand-new proposal.

“This is 735-and-a-half million (dollars) federal funds for transitional payments related to Medicaid reform,” Fitzgerald testifies.

Then-State Rep. Kirk Mathews (R-Eureka) speaks on the Missouri House floor in Jefferson City on April 7, 2016 (file photo courtesy of Tim Bommel at House Communications)

HB 21 also includes $18 million for k-12 public school transportation, and $2 million for adult high schools. It also includes $11.6 million for treatment for alcohol and drug abuse, and $2.2 million for youth community programs. It also provides about $1 million in additional funding for the State Public Defender System.

There was no testimony in support or in opposition to Smith’s bill on Tuesday. Chairman Smith tells the audience that he hopes for a mark-up on either Thursday or Monday. This is a short week in Jefferson City, due to the Easter break.

Medicaid is a federal and state program that assists with medical costs for residents with limited incomes. 53 percent of Missouri voters approved Medicaid expansion in August, although it failed in 105 of the state’s 114 counties. Rural House members from those districts have led the opposition to funding Medicaid expansion.

House Democrats and Amendment Two supporters say Missouri voters have spoken. They say Medicaid expansion will help the working poor by expanding the program for residents between the ages of 19 and 64 with an income level at or below 133 percent of the federal poverty level.

The House voted to give final approval last week to a $34.1 billion state operating budget, which does not contain funding for Medicaid expansion.

We also learned during Tuesday’s one-hour hearing that former State Rep. Kirk Mathews (R-Eureka) is serving as the interim director at Missouri Medicaid, with Director Todd Richardson out on leave.

Mathews has been MO HealthNet’s chief transformation officer. He was first elected to the Missouri House in 2014 and and served two terms, from 2015-2018.