Mo Hospital Bill Shortchanges Victims and Disowns Doctors

Everything seemed right with Crystal Jefferson’s life.  She was living the American dream – a happy family, a good job, and a love for life. On October 27, 2005, she had her first child. While she was in the hospital at Missouri Baptist Medical Center in St. Louis, she experienced abdominal pain and underwent a CT scan that revealed a soft tissue mass in her stomach and fluid collection in her pelvis. Her attending radiologist recommended a follow-up study.

Crystal followed those orders and underwent a follow-up scan at Missouri Baptist on December 9, 2005. The second scan showed the same things. And again, her attending radiologist recommended a follow-up study. Crystal followed those orders and underwent a third scan – again at Missouri Baptist on January 19, 2006. This time, the radiologist gave her a clean bill of health.

Three years later, in the spring of 2008, Crystal noticed pressure in her abdominal pain. By this time, she had two young children. Tragically, testing soon revealed that the soft tissue mass first identified in 2005 was not only still present, but was in fact inoperable stage IV colon cancer – that could and should have been diagnosed at any one of the three times she was treated at Missouri Baptist in 2005. If the last Missouri Baptist doctor who saw her in January 2006 had taken appropriate action, Crystal could have easily beat her cancer. But by 2008 it was too late. She battled but passed away in 2011.

This week, the Missouri House debated whether Missouri Baptist Medical Center should be responsible for the harms and losses its doctors caused Crystal and her family?

Under the common law of agency, employers in the position of Missouri Baptist Medical Center have long been held responsible for the wrong-doing of their employees. In fact, the roots for this legal rule can be traced all the way back to Roman law – where the master was responsible for harm caused by his servant.

For an employer to be liable under the common law of agency, the central question is one of control: Does the employer set the terms of employment? Does the employer provide the facility where the work is done or the instruments through which the work is carried out? Does the employer generally set the hours worked? Is the work part of the regular business of the employer? Is the alleged employee engaged in an occupation that is identifiably distinct from that of the alleged employer?

In Crystal Jefferson’s case, Missouri Baptist said it could not be held legally responsible for the actions of its own doctors solely because it did not pay its doctors directly and that it provided a separate insurance policy for those doctors. The lawyers for Crystal’s family argued that the well-settled common law principles applied. Crystal prevailed. The Eastern District Court of Appeals allowed the claim against Missouri Baptist to proceed if Crystal could prove agency. Having lost in court, Missouri Baptist and other hospitals in Missouri decided to exercise their First Amendment rights to petition government.

The result is House Bill 452 and its Senate counterpart, both of which would eliminate the common law of agency for Missouri hospitals by stating that a hospital is only responsible for the actions of its agents that it compensates directly. Forget the factors set forth above, it’s now a one-part test. If the hospital pays its doctors through a third-party entity, then HB 452 permits the hospital to disclaim responsibility for its own physicians.

The bill negatively impacts two groups of Missourians. The first are patients. If a hospital attempted to have you sign a form document stating that, in exchange for services, you agreed that the hospital would not accept legal responsibility for the wrongdoing of any person not directly compensated by the hospital, Missouri courts — and most states — would reject that “contract” as being void against public policy. Yet HB 452 strips patients of the right to recover losses caused by substandard health care. It provides by legislative fiat that hospitals have no responsibility for the actions of any person it does not pay directly. All that’s necessary to avoid responsibility is to funnel compensation through a shell company.

Physicians are also harmed here. The attorney for Crystal’s family has a duty to help recover the full amount of the harm they suffered. If the hospital is immune, then the doctor is left to pay the entire damages. At the same time, if the hospital can be held legally responsible, there are no added damages to the case. Crystal’s children do not get to present any different evidence of the harm. They are entitled to be made whole for what has been taken from them – nothing more, nothing less.

Like many other bills in this area, it’s important to consider them in a real-world context – to put aside the talking points and Ivory Tower theorizing. For this bill, that’s really easy to do. After all, HB 452 was designed specifically to “fix” the result in Crystal Jefferson’s case.

Proponents of the bill argue that hospitals should not be liable where they have nothing to do with the actions at issue in a case. But the facts of Crystal Jefferson’s case belie this argument. Does a hospital have anything to do with the health care delivered on its premises? Crystal Jefferson believed that it did – and so too does every Missourian who goes to a hospital expecting adequate medical care. By design, HB 452 short-changes victims and permits hospitals to disown their own doctors – and that is why I voted no.

House Passes Bill to Increase Litigation, Take Away the Rights of Ordinary People

Out-of-state plaintiffs who suffer out-of-state injuries due to the actions of out-of-state defendants do not belong in Missouri courtrooms. Nevertheless, in the past few years, creative lawyers in St. Louis figured out a way around this common-sense idea. Using an old and useful legal doctrine known as joinder, these lawyers would file suit on behalf of a single Missourian who was harmed by a defendant, and join that lone Missourian’s claim together with the claims of dozens or up to 98 other people from different states.

In November, the Eastern District Court of Appeals explained this was the result of the language of current statutes – and one judge advised, “To the extent that this practice is seen as a problem, it is within the power of the Legislature to ‘fix it.’” Accordingly, several bills have been filed this session with the stated goal of ending the “out-of-state plaintiff” problem.

Of course, nothing can be so simple. In 2008, Rahm Emanuel infamously said, “You should never let a good crisis go to waste.” Rather than simply fixing the out-of-state plaintiff problem, narrow special interests crafted legislation that overreached. Here’s how:

Fact Pattern One – Paul is hurt in a car collision in Osage County where the other driver crossed into his lane of traffic and hit him head-on. Paul is taken to a Cole County hospital. He has symptoms consistent with a closed head injury, but they go undiagnosed and he is sent home, where he collapses the next morning from a cerebral hemorrhage. 

Paul’s family hires a lawyer. Should Paul be required to file two separate lawsuits – one in Osage County against the driver of the other vehicle and another in Cole County against the hospital? What if Paul decides to only file suit against the hospital – should the hospital be allowed to bring the driver into the case to argue that the driver is the one really at fault?

Under current law in Missouri and every other state in the country, Paul only needs to file a single lawsuit against both defendants. He is not forced to waste taxpayer money on two judges, two court reporters, and two juries. The defendants are not at risk of inconsistent judgments in two different cases.

Fact Pattern Two – A major corn seed producer sells a product to farmers containing a genetic trait that is not approved for sale in foreign countries, even though the seller states that it is. Corn growers in 42 Missouri countries purchase the defective product and suffer economic losses. Should the corn growers be allowed to file a single lawsuit (with each individual plaintiff responsible for proving their own individual damages, but able to prove the defendant’s responsibility on a common basis)? Or should the corn growers be forced to file 42 different lawsuits in 42 different Missouri counties, occupying the time of 42 judges, 42 court-reporters, 42 juries and very likely requiring the defendant’s executives to give 42 separate depositions?

Under current law in Missouri and every other state in the country, the corn growers can join together to file a single lawsuit. Under the concept of joinder, taxpayer resources are conserved, the defendant is not subject to interminable litigation in multiple counties, and the parties are not subject to inconsistent judgments.

As it originally made it to the floor this week, House Bill 460 would have eliminated all in-state cross-county joinder in Missouri. In our not-so hypothetical situations, Paul’s situation would require two separate lawsuits and the corn grower case would require 42 separate cases.

On Tuesday, I filed an amendment to HB 460 to fix these two problems with the bill – and narrow its focus to the out-of-state plaintiff problem only. After a lengthy debate, it was obvious that my amendment was going to be adopted. The bill – with my amendment pending – was laid over, i.e. postponed for the day. On Wednesday morning, another member offered a substitute amendment. To that member’s credit, the substitute amendment fixed the defendant joinder problem in HB 460. As amended, Paul’s claims can still be heard as a single case. But the amendment did not fix the problem with joinder of plaintiffs.

To be fair, the other side claims it is too easy for the plaintiffs to join in St. Louis City court – that the effect of the joinder rule is that every similar case will be filed in large, liberal locations. But the rational fix for that problem is not to purposefully make our legal system less efficient. Instead, it is to create a system that is fair to all litigants and responsible to taxpayers – a system that allows cases to be joined together, but does not skew the location. Reform like that would not be difficult to enact, but the bill’s special interest proponents are not interested in an efficient or fair legal system. Instead, they seek to eviscerate the rights of ordinary Missourians by making our system less efficient and more expensive.

It’s quite the irony: tort “reformers” always claim they want to reduce litigation. But if passed in its current state, HB 460 will increase the number of lawsuits, resulting in more depositions, more motions, more hearings, more experts, more trials, and more costs for everyone. There’s nothing conservative at all about that.

House Bill 460 is a scam. Like a shady car dealer trying to sell you a lemon, the proponents are relying on the fact that some buyers won’t look into the details – and hope you’re one of them. They say one thing, but their true goal is something else – it’s take away the rights of ordinary citizens just like you.  

(To complicate matters even further, just last week the Missouri Supreme Court ruled that an out-of-state plaintiff who suffered an out-of-state injury as a result of the conduct of an out-of-state defendant could file an individual claim in Missouri courts.)

The Missouri Plan Picks a Strong Panel for the Next Supreme Court Justice

Missouri has a model system of selecting judges. Known as the “Missouri Plan,” Supreme Court and other appellate judges in our state must go through a two-part process. First, a seven-member commission nominates a panel of three applicants. Second, the governor appoints from the three.

The Missouri Plan was created in 1940 through constitutional amendment. After decades of corruption and judges chosen by a single powerful political patron (and mobster) from Kansas City named Tom Pendergast, a group of citizens led by Rush Limbaugh, Sr. removed judicial selection from politics and corruption.

The Appellate Judicial Commission is composed of the Chief Justice of the Supreme Court, three governor-appointed citizen members from different regions of the state, and three attorneys chosen via election by the Missouri Bar.

On Wednesday, the commission sent Gov. Greitens a panel of three exceptionally qualified nominees:

Judge Lisa White Hardwick is a Harvard-trained lawyer who worked for Gov. Kit Bond, as a partner at some of the state’s best business law firms, and as a Circuit Court judge in Kansas City. She has served on the Missouri Western District Court of Appeals for the past 16 years.

Judge Brent Powell graduated from the University of Missouri who has worked at one of Missouri’s best business law firms. He also worked as a local prosecutor and as a top lawyer in the United States Attorney’s office for the Western District of Missouri. In 2008, Gov. Matt Blunt appointed him Circuit Court Judge in Jackson County – where he has served the past eight years.

Finally, Ben Lipman is a partner at another great law firm and a law professor at Washington University School of Law in St. Louis. He has an outstanding reputation and decades of experience litigating First Amendment cases and a wide variety of other areas of law.

After not making the panel, many people asked how I was feeling and what I thought of the panel. To the first question, I feel great. Life is still very good – just as it was before this process began. It was an honor just to participate in the process. To a person, the Commissioners were great and thorough in their vetting.

To the second question, as it has for nearly 80 years, the Missouri Plan worked again to select a panel of three talented, deserving nominees. It is critically important to have judges who are free from the fickle winds of politics, and who will decide cases based on legal merits, not political ideology or million-dollar campaign donations.

As I navigated this process, each Commissioner asked me to compare the approach I take as a legislator with what I would do as a judge. Legislators are free to opine on what the law “ought” to be. Judges have the duty to interpret what the law “is” without regard to politics or the relative power of the parties to a case. As a legislator, I never have to vote for a bill that I believe is bad public policy. But judges are obliged to make those kinds of decisions all the time.

A case decided just this week is a perfect example. On Tuesday, the Supreme Court invalidated the effects of a bill the General Assembly passed two years ago that prohibited cities from setting a local minimum wage higher than the state minimum wage. The decision left many legislators and special interest groups gnashing their teeth with accusations of “liberal judicial activism.”

Those critics could not be more wrong. While the result of the Court’s decision aligned with liberal policy interests, the decision itself was as conservative as it gets. In fact, the question before the Court had nothing to do with the minimum wage.

Instead, Article III, section 23 of the Missouri Constitution prohibits the General Assembly from passing bills that contain more than one subject. The single subject rule exists to prevent legislative log-rolling where a provision that most legislators would oppose is attached to a completely unrelated but popular provision. It is a well-designed limit on legislative power.

The test for whether a bill violates the single subject rule is whether all of its provisions “fairly relate to, have a natural connection with, or are a means to accomplish the subject of the bill as expressed in its title.” In this case, the bill in question started as a matter “relating to community improvement districts” and ended with an amendment on minimum wage. No reasonable person can make a straight-faced argument that there’s a natural connection or any relationship at all between community improvement districts and local minimum wage ordinances. As a result, the Court struck the statute.

Critics of this opinion would prefer that the Missouri Supreme Court pretend that Article III, section 23 did not exist in our Constitution. Those critics are the judicial activists, not the Court. As I’ve written in other contexts, our Constitution is not a cheap buffet where we get to pick the parts we like and ignore the parts we don’t.

 

The answer to the single subject prohibition cases is not to curse the Court, but instead to abide by the Constitution.  Accordingly, my committee will be hearing a bill on Monday to do this the constitutional way: a single subject bill that prohibits local government from enacting minimum wage ordinances that conflict with state law.

United in St. Louis

In January, 48 Jewish Community Centers in 26 states reported receiving nearly 60 bomb threats. On Monday, vandals in St. Louis committed a senseless property crime with enormous symbolism – damaging more than 150 gravestones at a Jewish cemetery in St. Louis.

In December, I had the privilege of visiting Israel with a group of fellow legislators on a mission with the Jewish Federation of St. Louis. It was an amazing and inspiring trip. We met with Israeli businesses that had expanded in Missouri. We visited universities and social service agencies that gave us ideas for better governance here. We were pilgrims to Christian holy sites.

And we also learned about Jewish culture – including millennia of persecution. One night about midway through our visit, we visited a kibbutz (a co-op) far from a large city and came upon a statute that, without context, would not cause a second look. It was a woman with elongated arms and fingers grasping a child’s back, and the child reaching up to her shoulders.

In the 1940s, the kibbutz included many Holocaust survivors and individuals that were able to get out of Europe before the full Nazi wrath claimed their lives and the lives of their families.  Of course, not everyone escaped. During our visit we spoke to one such individual, now in her 80’s, who explained the sculptor created the statue based on a letter from a victim of the Holocaust where she explained that her arms just were not long enough to save the children. To me, the statute was symbolic of both the tragedy of the Holocaust and the hope of Israel – a place where her arms would be long enough.

I was also struck by our visit to Yad Vashem, the World Holocaust Remembrance Center in Jerusalem. The museum takes each visitor through the history of the Holocaust – and the systematic march from words and rhetoric to legal oppression to outbursts of violence to organized “re-location” to the gas chambers. The most heart-wrenching items were the little things the victims carried – their personal effects, the photographs in their wallets that showed happier times. The museum is designed to put you in that place. In one section, literally in their shoes. What would you take with you? What would you say to your loved ones? What would you have been thinking if you were in their shoes? What would you have done? Would have been willing to leave everything you knew, where you had lived your whole life, before it was too late? If you were a non-Jew, would you have had the courage to help hide and protect?

Actions, words, and symbolism matter.

It is embarrassing that something like this happened in our state. What happened next is inspirational. One course of action would be to try to ignore it. Missourians of different faiths joined hands to make things better – confronting hate with unity. On Tuesday, Rep. Stacey Newman had an impassioned moment of personal privilege on the House floor describing the hurt that she felt. On Wednesday, Gov. Greitens and Vice President Pence joined thousands of Missourians of different faiths to show defiant opposition as well as to help rebuild this sacred resting place. In these divided times, let us never forget our shared humanity and values that cross sectarian, ideological, and partisan lines.

Capitol Report – Jan. 26, 2017

Chief Justice Breckenridge Addresses the General Assembly

On Tuesday, Chief Justice Patricia Breckenridge delivered the last of the four big speeches at the start of session. I’ve never had much patience for pomp and circumstance. And with this being my seventh session, the novelty has worn off. At the same time, I have come to recognize that these civic rituals are important reminders of the impact the legislative, executive, and judicial branches of government have on people’s lives. As old-hat as they may seem, one must endure and appreciate them as symbolic odes to the great responsibilities that come with public service.

In this week’s address, among other points on which I agreed, Chief Justice Breckenridge joined Gov. Greitens’ commitment to raise Missouri state employee salaries out of the cellar, calling for “21st century wages for 21st century work.” I’ve written repeatedly here in support and persistently worked through the budget process to move this from rhetoric to reality. Even in these tight times, I’m hopeful that we can improve state employee pay.

Rejecting Politician Pay Increases

Two years ago, in better fiscal times for the state budget, I sponsored and passed HCR 4 to reject a proposed politician pay increase by Citizens’ Commission on Compensation for Elected Officials. This winter, the Citizens’ Commission proposed another pay hike. The case against it is even stronger now. This time around, Rep. Bernskoetter is handling the rejection resolution. On Tuesday, this year’s version of HCR 4 passed out of the House by a vote of 154 to 5. The Senate has until Wednesday to do the same for the resolution to take effect.

Breaking Up the St. Louis Cab Cabal

“Government works best when it determines the rules of the road, not when it seeks to determine the composition of the traffic.” That quip from law Prof. Richard Epstein is one of my favorites, and it applies across government. Broad, simple, and clear rules of general applicability are better than narrow, complex, and opaque rules with exceptions to the exception. (As I’ve said often in this space: the devil is in the details. In drafting legislation and administrative rules, it is far easier to state this general goal in the abstract than it is to accomplish it in the real world.)

This week, the House passed legislation that fits Epstein’s rule. Under current law, to operate in Missouri, transportation network companies like Uber and Lyft must comply with varying regulations in any municipality in the state in which they wish to operate. In St. Louis, the regulations are particularly ridiculous. There, incumbent cab companies control the St. Louis Metropolitan Taxicab Commission and have the power to keep new competitors out of the marketplace.

This cab cabal has the monopoly power to determine who competes against them and how. Their rulebook is 152 pages long. For a new company to enter the market, it must first obtain a Certificate of Convenience and Necessity from the board controlled by the new company’s potential competitors. Under Rule 203A, the Cab Cabal can base its decision on, among other things, “the color scheme proposed to be used” by the applicant, whether the existing cab companies are already “sufficient to properly meet the needs of the public” or “other relevant facts as the MTC may deem advisable or necessary.” In other words, the Cab Cabal can accept or deny an application for nearly any reason.

House Bill 130, sponsored by Rep. Kirk Mathews, does an end run around the cab cabal. Instead of requiring innovative new companies to kiss the rings of the various local regulators everywhere in the state, HB 130 establishes a simple statewide regulatory regime. This new statewide regulation requires companies to (1) disclose their fares in a transparent fashion, (2) inform riders of their driver’s information before a ride begins, (3) provide their riders with an electronic receipt, (4) implement and enforce a zero tolerance policy for drunk drinking, (5) require driver’s to have insurance, minimal traffic tickets in the past three years, and be at least 19 years old, (6) adopt and enforce a privacy policy protecting the personally identifiable information of riders, and (7) adopt non-discrimination policies.

Uber is active in 81 countries and 563 cities around the world. Incumbent cab companies who currently monopolize or quasi-monopolize their regions oppose them. Naturally, anytime a business enjoys monopoly or near monopoly status, it will do everything it can to maintain the status quo. This week, the Missouri House took a big step to ensure Uber and companies like it will be able to operate everywhere in Missouri. HB 130 passed overwhelmingly, 140 to 16. It’s time to bring this 21st century service into our state.

Welcome Gov. Greitens, Thank You Jay Nixon, Time to Get to Work

Gov. Eric Greitens

On Monday, it was my great honor to watch Gov. Eric Greitens inauguration on the Capitol steps. I’m not much one for pomp and circumstance, but was awed by the ceremonial peaceful transition of civil authority – and the theater that came with it. Against the backdrop of two of the largest flags I’ve ever seen and with a B2 bomber flying overhead, Gov. Greitens took the oath to uphold and defend our federal and state constitutions and to demean himself faithfully in office.
“Missourians don’t much value big talk,” Gov. Greitens told us. “Our state’s great history reminds us that Missourians have always understood that big achievements demand hard work. “Show me” doesn’t mean “Give me.” It means “prove it can be done, and we will do it.” Gov. Eric Greitens.
It’s time to roll up our sleeves and get to work.
Gov. Jay Nixon
For the past six years, I have been one of Gov. Nixon’s fiercest critics in the General Assembly.  Occasionally I’d use this column for praise., but my criticisms were often harsh – sometimes too harsh. When Gov. Nixon walked off the public stage Monday, so did my criticisms. The slings and arrows of public service can be rough. If you’re going to be around for a while, you must develop alligator skin.
It is popular to deride “career politicians” but the fact is that Jay Nixon spent 28 consecutive years in government service. At any point in time over the last 20 years, he could have said, “Enough. I can make four to five times more money in the private sector and won’t have to deal with harsh critics in the newspaper (or the legislature).”  Gov. Nixon chose service. For that, he has mine and deserves every Missourian’s deep appreciation.
Ethics Reform – Gift Ban
This session marks the third in a row in which I am dedicated to improving our state’s ethics laws. In the first go-round, I filed five ethics bills. The most important would have closed the revolving door from legislator to lobbyist, limit gifts from lobbyists to legislators, and prohibited members of the General Assembly from serving as paid political consultants for other legislators. Every bill died in the Senate.
In year two, we passed the first substantive ethics reform in modern Missouri history – requiring a cooling off period before a legislator can become a lobbyist, prohibiting legislators from moonlighting as political consultants, and banning the use of campaign funds as exotic investment accounts. Unfortunately, the gift ban bill died again. When it did, Speaker Todd Richardson pledged that it would be the first bill we passed this year.
In the first week of session, we took the steps necessary to fulfill Speaker Richardson’s promise.
On Thursday, we “perfected” House Bill 60, sponsored by Rep. Justin Alfermann by a vote of 142 to six.  Rep. Alfermann’s bill enacts a total ban on lobbyist gifts. On Monday of this week, I expect that the House will formally send the bill to the Senate for consideration.
Embracing Innovation
On Monday, thanks to quick action by the City Council, hundreds of Uber drivers were here to provide rides to those attending the inauguration. For one day, it was free (leading my wife to consider testing the limits – could she request an Uber with car seats to ferry our four children around the city all day?). It was also popular – as it is throughout the country.
Unfortunately, many local governments in Missouri have prohibited Uber and other ride-sharing companies from operating in our state. Under the guise of public safety, they have allowed entrenched business interests to stifle competition. The situation is at its worst in St. Louis, where the Metropolitan Taxicab Commission governed by and for taxi-cab companies, set all of the rules and regulations for its own industry – from who gets to compete down to the details of the color schemes their cabs employ and uniforms their drivers wear.
It is a regulatory scheme reminiscent of a bygone era when the government attempted to control certain sectors of the economy down to the very smallest detail.  For example, the Interstate Commerce Commission was an agency created in 1887 to regulate railroad, trucking, bus, and telephone rates. It was necessary at the time because of monopoly power enjoyed by railroads. And it was rightfully repealed in 1995.
Missouri should encourage innovation, not squash it. Rather than allow local governments and taxi-cab companies to shut out competition, we should pass broadly applicable safety rules that allow for new technologies. Our laws should be updated to keep pass with technology and a modern economy.
Last year, the Missouri House passed legislation to create a statewide regulatory structure that would allow Uber to operate here under reasonable rules and regulations. It died in the Senate. Much like the gift ban legislation, it is back again this year, and moving quickly. It passed through the General Laws Committee Tuesday by a vote of 12 to one.

An Historic Majority and Increased Responsibility

Excitement and optimism abound in your state capitol. For the first time in Missouri history, our state is governed by a super-majority of Republicans in the legislature – and in the governor’s mansion. In past years, the operative number for controversial legislation was 109 – the number of votes needed to override a veto. Now the number is 82, a simple constitutional majority.

On Wednesday, I was honored to second the nomination of my friend, Todd Richardson from Poplar Bluff, to serve as Speaker for another two years. Elected by acclamation, Speaker Richardson made the case for a bold agenda to make Missouri competitive in an ever changing economy.

Many things impossible under Gov. Nixon are suddenly a reality with right-to-work (you don’t have to be a union member as a condition of employment) being the obvious first on the list. On the opposite end of the spectrum, special interest sales tax exemptions and giveaways appear dead – like public funding for stadiums.

The big-ticket items will gather most of the media attention. But the “little things” matter just as much. Every piece of legislation we pass matters to someone – more often than not, they matter a great deal. That simple truth is occasionally adrift within the sea of legislation we consider every session.

Elected office empowers us with a sacred public trust It is vitally important we ensure the legislative process is deliberative. No mistakes should be the mantra. Accordingly, the House has re-tooled the legislative process, flattening the multi-tiered maze of committees to reduce redundancy and inconsistent legislation.

I have been appointed Chair of one of the two “Rules” committees. My committee will review legislation from  twelve substantive areas: Conservation and Natural Resources, Elections, Elementary and Secondary Education, Health and Mental Health Policy, Higher Education, Local Government, Pensions, Professional Registration and Licensing, Transportation, Utilities, Ways & Means (taxes), and Workforce Development.  It’s a big task, but I’ll have a lot of help. The committee members are among the sharpest in the House.

Stadium Funding Dead on Arrival

What a difference a year makes. Gov. Nixon spent a little over a year attempting to divert your tax dollars to build a new football stadium in St. Louis. Last week, Gov-elect Greitens categorially ruled-out public funding for professional sports facilities, in particular a proposed new soccer stadium in St. Louis, pointing out the obvious – it’s “welfare for billionaires.” In response, one of the potential owners of the new team said it was “disappointing considering he doesn’t understand our business proposal and potential return on investment for the state.”

In fact, here’s what’s disappointing – that wealthy team owners, real estate developers, and elected officials all over the country regularly dupe taxpayers with claims that stadiums are a good investment for taxpayers. Among economists, there is nearly universal recognition that subsidized stadiums are a bad deal.  As Stanford economist Roger Noll has explained, “NFL stadium do not generate significant local economic growth, and the incremental tax revenue is not sufficient to cover any significant financial contribution[.]”

And here’s another thing to consider: the state only receives sales and income taxes on top of the revenue earned by an enterprise like a soccer team. If there’s such a great ROI for additional money invested, then private investors will invest their own money in the project.

Re-Filed Parental Leave for State Employees

Good legislation often takes several years to pass. Last year, I filed a bill to give state employees who are new parents parental leave. It passed as an amendment on a House bill, but did not ultimately pass. This year, I’ve filed House Bill 325 to do the same thing.

We are a pro-life, pro-family state. I believe state government should lead by example here and provide our new parents with valuable time off to be with their newborns. Since last year, House Speaker Todd Richardson has come out in support of the idea. I’m looking forward to working again to make this state law.

Increased Security at the Capitol

Starting this Tuesday, visitors to the Capitol will see increased security. State employees who work in the building or are there frequently will get cards to bypass security, and school children will be allowed to pass without going through metal detectors, but everyone else will have to go through a metal detector.

The operational details will matter a great deal here. We must ensure that the people who work and visit the capitol are safe. And we must also ensure that people are able to exercise their First Amendment rights to petition government in a way that doesn’t take an hour just to enter.

I wish we lived in a world where security at public buildings was not necessary. However, just two years ago, a person stabbed a man he believed to be Gov. Nixon. Nearly every other large public building like the Capitol has more security. For example, visitors to the Cole County Courthouse must pass through a metal detector. So as with many people, I don’t necessarily like the fact that there will be increased security, but it’s reality that some upgrades are a good idea.

Jay Barnes – Standing Up for Us

Jay Barnes – A True Taxpayer Advocate

Everything is Different – and the Same

No two sessions are the same. Each feels slightly different. But beneath the issues of the hour, permanent qualities remain. True character is revealed under the Capitol’s power and pressure, and this is most evident in the last few weeks of every session.

Threats, promises, and horse-trading are the order of the week. In Churchill’s phrasing, it’s the worst of all forms of government, except all the others. It’s ugly and beautiful. In your state Capitol, it’s all crammed in to three furious days in May. And this last week was no different.

With the dust now settled, I believe this was a successful session. Here are some highlights:

Ethics Legislation

On opening day, Speaker Todd Richardson pledged that the House would make ethics a priority. And we delivered. We sent five ethics bills to the Senate in the first three weeks. Unlike past years, we kept each bill narrow so the total package would not collapse of its own weight. In the end, the Senate failed to pass a lobbyist gift ban, which is disappointing. We did, however, (1) close the revolving door from legislators to lobbyists, (2) ban the practice of using campaign funds as a personal hedge fund, and (3) prohibit legislators from using their position to profit as a campaign consultant.

Telehealth Legislation

The telehealth legislation I have sponsored the past two sessions was added as an amendment to Senate Bill 579, which now sits on Gov. Nixon’s desk. This bill brings Missouri’s Medicaid system into the modern age by allowing for reimbursement of health care providers who provide their services using modern communication technologies. Thus, we increase access to care in rural counties and save money. The bill also makes Missouri the forty-seventh state to authorize telehealth services in the private sector. Finally, the bill establishes a statewide home tele-monitoring program in Medicaid that has proven in pilot projects to reduce hospital re-admissions for Medicaid patients – and, as a result, improve the quality of their care and save taxpayer money.

A+ Scholarships for All Qualified Students

What would you think if students who went to parochial and other private schools were not eligible for in-state tuition at our state’s four year colleges and universities? Most people would think that absurd. Yet, that’s exactly the case for our community and technical colleges. Students at public high schools are eligible for A+ Scholarships to two years colleges if they maintain a decent GPA, have good attendance, and complete community service projects. Under current law, private school students are not eligible for these scholarships even though they and their parents are taxpayers and the money goes to public colleges. In the last two weeks of session, a trio of House members (myself, Rep. Justin Alfermann, and Rep. Travis Fitzwater) started hanging amendments on education bills that expand A+ to everyone who qualifies, and I’m pleased to say that it’s on Gov. Nixon’s desk on two different bills.

Expungement Legislation

On Wednesday, the House passed legislation by a vote of 143 to 12 to allow for the expungement of non-violent criminal records for Missourians who have fully served their sentences and stayed out of trouble for an extended period of time after their sentence was completed. The bill was supported by prosecutors, law enforcement, criminal defense lawyers, and the Missouri Bar. I will write in more depth about it in future years, but as the House handler, this legislation may have more positive impact on the lives of more Missourians than any bill that will pass during my service.

I will cover more in future columns, but for the next few weeks I will enjoy a break from thinking about legislation. Every so often I take the time in the early morning to sit at my desk in the House chamber before anyone else arrives. It is quiet and perfect for reflection on the legislature’s awesome responsibilities and the role of each individual legislator.

Our great historian and journalist Bob Priddy wrote earlier this year that the end of session marks the time when “graduating” legislators become mere “pictures on the walls in the hallways, pictures that thousands of people pass by every day – and will pass by every day for generations to come – without looking, or, if looking, find no meaning in the images.”

Priddy is right. State legislators don’t have legacies. Despite the egos and arrogance of the present, no individual legislator is “important” in any permanent public sense. But what we actually do will endure. The bills we pass (or kill) will impact the daily lives of more than six million Missourians.

The people we impact will never know our names, but they will have to live with the rules we created – and so will we. In six years, I’ve kept this in mind every day and pledge that I will continue to do so moving forward. Legislators are not “special” and should not be made to feel as much. It’s also why I believe ethics reform legislation is so important, and will continue to push for it next session.

As always, it remains a tremendous honor and privilege to serve as your state representative. Thank you for reading.