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Missouri GOP blocks rape and incest exemptions to abortion ban

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Republicans thwarted an effort to add rape and incest exceptions to Missouri’s near-total abortion ban on Wednesday but were unable to push a bill to bar Planned Parenthood from receiving Medicaid reimbursements to a vote.Under Missouri law, abortion is illegal except in cases of a medical emergency when “a delay will create a serious risk of substantial and irreversible physical impairment of a major bodily function.”The Senate debated a bill Wednesday evening sponsored by state Sen. Mary Elizabeth Coleman, a Republican from Arnold, that would change Missouri law to make Planned Parenthood ineligible to receive reimbursements from MO HealthNet, the state’s Medicaid program.“This is an attempt to once and for all, make it clear in statute that… the state does not want any funds to be abused or provided to a provider who is affiliated with Planned Parenthood,” Coleman said Wednesday.But most of Wednesday’s debate was dominated by Democratic senators opposing Coleman’s bill and offering amendments seeking to add rape and incest exemptions to Missouri’s abortion ban.“Their privacy was violated. And now we’re saying that the government is going to force them to give birth to a child,” said state Sen. Tracy McCreery, a Democrat from Olivette. “It’s gone too far.“Wednesday’s showdown was the first time the Senate has debated a bill since the session began Jan. 3. Clearing the path to get it on the floor meant that a bill renewing provider taxes essential to the Medicaid system was set aside, along with proposals to make it more difficult to pass a constitutional amendment and to expand a tax credit to help pay for private school tuition.

Brian Munoz

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St. Louis Public RadioThe Planned Parenthood of the St. Louis Region & Southwest Missouri clinic last April in the Central West End.

Planned Parenthood fundingPlanned Parenthood hasn’t received any state money for nearly two years, as legal fights over past GOP defunding efforts play out in court. Planned Parenthood officials have said they’ve continued treating all patients, even without reimbursements coming in.The two Planned Parenthood affiliates operating in the state – Planned Parenthood Great Plains and Planned Parenthood of the St. Louis Region and Southwest Missouri – no longer provide abortions in Missouri.But Planned Parenthood clinics in Missouri do still provide other reproductive health care, such as cancer screenings, STI testing and treatment and contraceptives.Planned Parenthood leaders have argued that eliminating their services would land a devastating blow to the public health safety net.The Senate jumped straight to legislation defunding Planned Parenthood Wednesday out of concern that the issue would get latched onto a bill extending taxes essential to funding Medicaid.That’s what happened in 2021, forcing the legislature into special session to detangle the issues and ensure the taxes were not jeopardized.The provider taxes, known as the federal reimbursement allowance, are levies on hospitals, nursing homes, ambulance providers and pharmacies used as the required match for federal Medicaid funds.The taxes provide more than $4 billion in direct and matching funds for the $17 billion programState Sen. Lincoln Hough, a Republican from Springfield and sponsor of the provider tax extension, was first in line for debate and reluctantly set his bill aside so the Senate could debate Coleman’s legislation. He worries any restrictive language could endanger federal approval of the taxes, and so he wants to remove the expiration date so the issue doesn’t have to be debated again.“To me, it does not make sense to move forward on a path like this when we don’t have an outcome,” Hough said.Democrats opposed to Coleman’s bill forced roll calls on each exemption they offered.State Sen, Lauren Arthur, a Democrat from Kansas City, called Missouri’s abortion law “one of the most archaic and mean-spirited extreme bans in the entire country,” adding that further restricting Missourians’ right to choose their healthcare provider is “a slap in the face after people have been living under this extreme abortion ban.”

Tristen Rouse

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St. Louis Public RadioMissouri State Sen. Tracy McCreery, D-Olivette in September 2023 at St. Louis Public Radio in Grand Center. McCreery introduced two amendments that would add exemptions to Missouri’s abortion ban for victims of rape and incest.

Rape and incest exceptions defeatedMost of Wednesday’s debate had little to do with Planned Parenthood.As Coleman’s bill was brought up for debate, McCreery introduced two amendments that would add exemptions to Missouri’s abortion ban for victims of rape and incest.“They’ve already survived enough trauma,” McCreery said. “They shouldn’t have to go to another state to get compassionate medical care.”She pleaded with her colleagues to have “an ounce of compassion” for victims.Republican senators, however, did not greet McCreery’s amendments warmly.“I can’t imagine that Missouri is going to be a better place tomorrow if we have individuals inflicting abortion on kids, because that number is zero today,” said state Sen. Bill Eigel, a Republican from Weldon Spring who is also a candidate for governor.During his State of the State address last month, Gov. Mike Parson touted that since the constitutional right to an abortion was overturned in June 2022, there had been zero abortions in Missouri. However, the governor did not account for legal abortions that happened under the state’s medical emergencies exemption.In 2023, 37 abortions were performed in Missouri, and between June and December of 2022, 15 abortions were performed in the state, according to data obtained by The Independent from the Missouri Department of Health and Senior Services.State Sen. Mike Moon, a Republican from Ash Grove who has filed legislation to impose criminal penalties on women who seek abortions, spent 12 minutes listing well-known people conceived through rape or incest after suggesting authorities shoot or castrate rapists.State Sen. Rick Brattin, a Republican from Harrisonville, agreed.“If you want to go after the rapist, let’s give him the death penalty. Absolutely, let’s do it, but not the innocent person caught in between,” he said. “That by God’s grace may even be the greatest healing agent you need in which to recover from such an atrocity.”State Sen. Barbara Washington, a Democrat from Kansas City, arguing in support of the rape and incest exemption, said her great grandmother was raped by her slave master. Washington said she is alive because of that rape, but that the rape was so traumatic for her great grandmother that she died by suicide.State Sen. Greg Razer, a Kansas City Democrat, asked if his Republican colleagues were advocating for a 9-year-old girl who is raped to be forced to give birth.“What they’re arguing is intellectually indefensible,” he said. “It makes no sense. And it’s morally indefensible.”While rape would be “mentally taxing” for anyone, said Republican state Sen. Sandy Crawford, it doesn’t justify an abortion.“God is perfect,” she said. “God does not make mistakes. And for some reason he allows that to happen. Bad things happen.”

Brian Munoz

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St. Louis Public RadioMissouri State Sens. Doug Beck, D-Affton, leans into a conversation with Mike Moon, R-Ash Grove, in May 2023 during the waning hours of the legislative session in Jefferson City.

Debate suspendedThe Senate adjourned just before 6 p.m. after voting down both of McCreery’s amendments along party lines and with an amendment still pending from Democratic state Sen. Doug Beck of Affton that would allow girls 12 and under to obtain abortions.Debate ended when Brattin tried to attach language repealing a sunset date on last year’s ban on gender-affirming medical treatments for youth.The upcoming 3rd Congressional District Republican primary provided a political undercurrent to Wednesday’s debate. Coleman, the sponsor of the Planned Parenthood bill, is an announced candidate, as is former state Sen. Bob Onder of Lake St. Louis.The legislation could provide Coleman with an advantage winning anti-abortion endorsements in the campaign.Onder was endorsed by the Missouri Right to Life PAC in his now-abandoned bid for lieutenant governor, but that endorsement doesn’t carry over to the 3rd District, Right to Life Executive Director Susan Klein said Wednesday.“Every race,” Klein said, “is looked at separately.”This story was originally published in the Missouri Independent, part of the States Newsroom.

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Poll: Support for Missouri abortion rights amendment growing

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A proposed constitutional amendment legalizing abortion in Missouri received support from more than half of respondents in a new poll from St. Louis University and YouGov.That’s a boost from a poll earlier this year, which could mean what’s known as Amendment 3 is in a solid position to pass in November.SLU/YouGov’s poll of 900 likely Missouri voters from Aug. 8-16 found that 52% of respondents would vote for Amendment 3, which would place constitutional protections for abortion up to fetal viability. Thirty-four percent would vote against the measure, while 14% aren’t sure.By comparison, the SLU/YouGov poll from February found that 44% of voters would back the abortion legalization amendment.St. Louis University political science professor Steven Rogers said 32% of Republicans and 53% of independents would vote for the amendment. That’s in addition to nearly 80% of Democratic respondents who would approve the measure. In the previous poll, 24% of Republicans supported the amendment.Rogers noted that neither Amendment 3 nor a separate ballot item raising the state’s minimum wage is helping Democratic candidates. GOP contenders for U.S. Senate, governor, lieutenant governor, treasurer and secretary of state all hold comfortable leads.“We are seeing this kind of crossover voting, a little bit, where there are voters who are basically saying, ‘I am going to the polls and I’m going to support a Republican candidate, but I’m also going to go to the polls and then I’m also going to try to expand abortion access and then raise the minimum wage,’” Rogers said.Republican gubernatorial nominee Mike Kehoe has a 51%-41% lead over Democrat Crystal Quade. And U.S. Sen. Josh Hawley is leading Democrat Lucas Kunce by 53% to 42%. Some GOP candidates for attorney general, secretary of state and treasurer have even larger leads over their Democratic rivals.

Brian Munoz

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St. Louis Public RadioHundreds of demonstrators pack into a parking lot at Planned Parenthood of St. Louis and Southwest Missouri on June 24, 2022, during a demonstration following the Supreme Court’s reversal of a case that guaranteed the constitutional right to an abortion.

One of the biggest challenges for foes of Amendment 3 could be financial.Typically, Missouri ballot initiatives with well-funded and well-organized campaigns have a better chance of passing — especially if the opposition is underfunded and disorganized. Since the end of July, the campaign committee formed to pass Amendment 3 received more than $3 million in donations of $5,000 or more.That money could be used for television advertisements to improve the proposal’s standing further, Rogers said, as well as point out that Missouri’s current abortion ban doesn’t allow the procedure in the case of rape or incest.“Meanwhile, the anti side won’t have those resources to kind of try to make that counter argument as strongly, and they don’t have public opinion as strongly on their side,” Rogers said.There is precedent of a well-funded initiative almost failing due to opposition from socially conservative voters.In 2006, a measure providing constitutional protections for embryonic stem cell research nearly failed — even though a campaign committee aimed at passing it had a commanding financial advantage.Former state Sen. Bob Onder was part of the opposition campaign to that measure. He said earlier this month it is possible to create a similar dynamic in 2024 against Amendment 3, if social conservatives who oppose abortion rights can band together.“This is not about reproductive rights or care for miscarriages or IVF or anything else,” said Onder, the GOP nominee for Missouri’s 3rd Congressional District seat. “Missourians will learn that out-of-state special interests and dark money from out of state is lying to them and they will reject this amendment.”Quade said earlier this month that Missourians of all political ideologies are ready to roll back the state’s abortion ban.“Regardless of political party, we hear from folks who are tired of politicians being in their doctor’s offices,” Quade said. “They want politicians to mind their own business. So this is going to excite folks all across the political spectrum.”

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Democrat Mark Osmack makes his case for Missouri treasurer

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Mark Osmack has been out of the electoral fray for awhile, but he never completely abandoned his passion for Missouri politics.Osmack, a Valley Park native and U.S. Army veteran, previously ran for Missouri’s 2nd Congressional District seat and for state Senate. Now he’s the Democratic nominee for state treasurer after receiving a phone call from Missouri Democratic Party Chairman Russ Carnahan asking him to run.“There’s a lot of decision making and processing and evaluation that goes into it, which is something I am very passionate and interested in,” Osmack said this week on an episode of Politically Speaking.Osmack is squaring off against state Treasurer Vivek Malek, who was able to easily win a crowded GOP primary against several veteran lawmakers including House Budget Chairman Cody Smith and state Sen. Andrew Koenig.While Malek was able to attract big donations to his political action committee and pour his own money into the campaign, Osmack isn’t worried that he won’t be able to compete in November. Since Malek was appointed to his post, Osmack contends he hasn’t proven that he’s a formidable opponent in a general election.“His actions and his decision making so far in his roughly two year tenure in that office have been questionable,” Osmack said.Among other things, Osmack was critical of Malek for placing unclaimed property notices on video gaming machines which are usually found in gas stations or convenience stores. The legality of the machines has been questioned for some time.As Malek explained on his own episode of Politically Speaking, he wanted to make sure the unclaimed property program was as widely advertised as possible. But he acknowledged it was a mistake to put the decals close to the machines and ultimately decided to remove them.Osmack said: “This doesn’t even pass the common sense sniff test of, ‘Hey, should I put state stickers claiming you might have a billion dollars on a gambling machine that is not registered with the state of Missouri?’ If we’re gonna give kudos for him acknowledging the wrong thing, it never should have been done in the first place.”Osmack’s platform includes supporting programs providing school meals using Missouri agriculture products and making child care more accessible for the working class.He said the fact that Missouri has such a large surplus shows that it’s possible to create programs to make child care within reach for parents.“It is quite audacious for [Republicans] to brag about $8 billion, with a B, dollars in state surplus, while we offer next to no social services to include pre-K, daycare, or child care,” Osmack said.Here’s are some other topics Osmack discussed on the show:How he would handle managing the state’s pension systems and approving low-income housing tax credits. The state treasurer’s office is on boards overseeing both of those programs.Malek’s decision to cut off investments from Chinese companies. Osmack said that Missouri needs to be cautious about abandoning China as a business partner, especially since they’re a major consumer of the state’s agriculture products. “There’s a way to make this work where we are not supporting communist nations to the detriment of the United States or our allies, while also maintaining strong economic ties that benefit Missouri farmers,” he said.What it was like to witness the skirmish at the Missouri State Fair between U.S. Sen. Josh Hawley and Democratic challenger Lucas Kunce.Whether Kunce can get the support of influential groups like the Democratic Senatorial Campaign Committee, which often channels money and staff to states with competitive Senate elections.

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As Illinois receives praise for its cannabis equity efforts, stakeholders work on system’s flaws

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Medical marijuana patients can now purchase cannabis grown by small businesses as part of their allotment, Illinois’ top cannabis regulator said, but smaller, newly licensed cannabis growers are still seeking greater access to the state’s medical marijuana customers.Illinois legalized medicinal marijuana beginning in 2014, then legalized it for recreational use in 2020. While the 2020 law legalized cannabis use for any adult age 21 or older, it did not expand licensing for medical dispensaries.Patients can purchase marijuana as part of the medical cannabis program at dual-purpose dispensaries, which are licensed to serve both medical and recreational customers. But dual-purpose dispensaries are greatly outnumbered by dispensaries only licensed to sell recreationally, and there are no medical-only dispensaries in the state.As another part of the adult-use legalization law, lawmakers created a “craft grow” license category that was designed to give more opportunities to Illinoisans hoping to legally grow and sell marijuana. The smaller-scale grow operations were part of the 2020 law’s efforts to diversify the cannabis industry in Illinois.Prior to that, all cultivation centers in Illinois were large-scale operations dominated by large multi-state operators. The existing cultivators, mostly in operation since 2014, were allowed to grow recreational cannabis beginning in 2019.Until recently, dual-purpose dispensaries have been unsure as to whether craft-grown products, made by social equity licensees — those who have lived in a disproportionately impacted area or have been historically impacted by the war on drugs — can be sold medicinally as part of a patient’s medical allotment.Erin Johnson, the state’s cannabis regulation oversight officer, told Capitol News Illinois last month that her office has “been telling dispensaries, as they have been asking us” they can now sell craft-grown products to medical patients.“There was just a track and trace issue on our end, but never anything statutorily,” she said.

Dilpreet Raju

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Capitol News IllinoisThe graphic shows how cannabis grown in Illinois gets from cultivation centers to customers.

No notice has been posted, but Johnson’s verbal guidance comes almost two years after the first craft grow business went online in Illinois.It allows roughly 150,000 medical patients, who dispensary owners say are the most consistent purchasers of marijuana, to buy products made by social equity businesses without paying recreational taxes. However — even as more dispensaries open — the number available to medical patients has not increased since 2018, something the Cannabis Regulation Oversight Office “desperately” wants to see changed. Johnson said Illinois is a limited license state, meaning “there are caps on everything” to help control the relatively new market.Berwyn Thompkins, who operates two cannabis businesses, said the rules limited options for patients and small businesses.“It’s about access,” Thompkins said. “Why wouldn’t we want all the patients — which the (adult-use) program was initially built around — why wouldn’t we want them to have access? They should have access to any dispensary.”Customers with a medical marijuana card pay a 1% tax on all marijuana products, whereas recreational customers pay retail taxes between roughly 20 and 40% on a given cannabis product, when accounting for local taxes.While Illinois has received praise for its equity-focused cannabis law, including through an independent study that showed more people of color own cannabis licenses than in any other state, some industry operators say they’ve experienced many unnecessary hurdles getting their businesses up and running.The state, in fact, announced last month that it had opened its 100th social equity dispensary.But Steve Olson, purchasing manager at a pair of dispensaries (including one dual-purpose dispensary) near Rockford, said small specialty license holders have been left in the lurch since the first craft grower opened in October 2022.“You would think that this would be something they’re (the government) trying to help out these social equity companies with, but they’re putting handcuffs on them in so many different spots,” he said. “One of them being this medical thing.”Olson said he contacted state agencies, including the Department of Financial and Professional Regulation, months ago about whether craft products can be sold to medical patients at their retail tax rate, but only heard one response: “They all say it was an oversight.”This potentially hurt social equity companies because they sell wholesale to dispensaries and may have been missing out on a consistent customer base through those medical dispensaries.Olson said the state’s attempts to provide licensees with a path to a successful business over the years, such as with corrective lotteries that granted more social equity licenses, have come up short.“It’s like they almost set up the social equity thing to fail so the big guys could come in and swoop up all these licenses,” Olson said. “I hate to feel like that but, if you look at it, it’s pretty black and white.”Olson said craft companies benefit from any type of retail sale.“If we sell it to medical patients or not, it’s a matter of, ‘Are we collecting the proper taxes?’ That’s all it is,” he said.State revenue from cannabis taxes, licensing costs and other fees goes into the Cannabis Regulation Fund, which is used to fund a host of programs, including cannabis offense expungement, the general revenue fund, and the R3 campaign aiming to uplift disinvested communities.For fiscal year 2024, nearly $256 million was paid out from Cannabis Regulation Fund for related initiatives, which includes almost $89 million transferred to the state’s general revenue fund and more than $20 million distributed to local governments, according to the Illinois Department of Revenue.Medical access still limitedThe state’s 55 medical dispensaries that predate the 2020 legalization law, mostly owned by publicly traded multistate operators that had been operating in Illinois since 2014 under the state’s medical marijuana program, were automatically granted a right to licenses to sell recreationally in January 2020. That gave them a dual-purpose license that no new entrants into the market can receive under current law.Since expanding their clientele in 2020, Illinois dispensaries have sold more than $6 billion worth of cannabis products through recreational transactions alone.Nearly two-thirds of dispensaries licensed to sell to medical patients are in the northeast counties of Cook, DuPage, Kane, Lake and Will. Dual-purpose dispensaries only represent about 20 percent of the state’s dispensaries.While the state began offering recreational dispensary licenses since the adult-use legalization law passed, it has not granted a new medical dispensary license since 2018. That has allowed the established players to continue to corner the market on the state’s nearly 150,000 medical marijuana patients.But social equity licensees and advocates say there are more ways to level the playing field, including expanding access to medical sales.Johnson, who became the state’s top cannabis regulator in late 2022, expressed hope for movement during the fall veto session on House Bill 2911, which would expand medical access to all Illinois dispensaries.“We would like every single dispensary in Illinois to be able to serve medical patients,” Johnson said. “It’s something that medical patients have been asking for, for years.”Johnson said the bill would benefit patients and small businesses.“It’s something we desperately want to happen as a state system, because we want to make sure that medical patients are able to easily access what they need,” she said. “We also think it’s good for our social equity dispensaries, as they’re opening, to be able to serve medical patients.”Rep. Bob Morgan, D-Deerfield, who was the first statewide project coordinator for Illinois’ medical cannabis program prior to joining the legislature, wrote in an email to Capitol News Illinois that the state needs to be doing more for its patients.“Illinois is failing the state’s 150,000 medical cannabis patients with debilitating conditions. Too many are still denied the patient protections they deserve, including access to their medicine,” Morgan wrote, adding he would continue to work with stakeholders on further legislation.Capitol News Illinois is a nonprofit, nonpartisan news service covering state government. It is distributed to hundreds of newspapers, radio and TV stations statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation, along with major contributions from the Illinois Broadcasters Foundation and Southern Illinois Editorial Association.

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