Sarah Fentem

The top administrator at Missouri’s sole abortion provider testified during the last day of a hearing that state officials had become increasingly combatative in relations with the clinic during the past year.

Kawanna Shannon, director of surgical services at Planned Parenthood Reproductive Health Services, said the change in relationship was proof the clinic’s inspectors were coming to the clinic with an agenda to find problems to prove the clinic was unsafe. 

“It seemed as if they didn’t understand their own regulations, as if they didn’t understand the womens’ anatomy,” she said. “Just asking questions that never made any sense … it was as if they had never inspected us at all.”

On the first day of an administrative hearing that could determine the fate of Missouri’s sole abortion clinic, attorneys for the state questioned the safety of Planned Parenthood’s clinic and said state regulators acted with patients in mind when they did not renew its license.

The lawyers spent hours attempting to prove through witness testimony the state’s Department of Health and Human Services acted legally when it did not issue a renewed license to Planned Parenthood Reproductive Health Services in St. Louis last June.

A member of the Administrative Hearing Commission, a nonpartisan state body that resolves regulatory disputes, will decide if the department acted properly.

Doctoral students in psychology at the University of Missouri will be able to learn how to better treat and prevent addiction thanks to a $1.2 million grant from the federal government.

The funds from the Department of Health and Human Services will pay for 21 new psychology internships in areas that lack health services, more than doubling the department’s current positions.

“This will enable us to give them a little something extra,” said Laura Schopp, chair of the university’s health psychology department. “Any psychologist who is dealing with these chronic health conditions is going to come up against substance use disorders and, particularly, opioid use disorders.”

More than 12% of Missouri children are obese, but the 2018 rate held steady from the year before, according to a report from the Robert Wood Johnson Foundation.

Although obesity among Missourians age 10-17 is relatively unchanged, doctors say the stabilizing rate is a sign that public awareness campaigns and other health initiatives are working. 

“I think the fact it’s not going up is a great thing to see,” said Julie Benard, a Columbia pediatrician who specializes in treating childhood obesity. “It’s a great thing to see, at least for our initial efforts in making sure we’re at least curbing the trend of childhood obesity.”

Missouri health officials have confirmed two cases in the state of a mysterious vaping-related pulmonary illness that has sickened hundreds of people across the nation. 

Missouri officials are investigating the cases of seven other patients to determine if their symptoms match the criteria for the illness. They’re also warning consumers not to tamper with vaping products.

Patients with the illness report nausea, shortness of breath, fever and elevated heart rates. The nine Missouri patients have reported modifying pre-packaged vaping products to smoke other substances such as vitamin E or THC, said Randall Williams, director of the state Department of Health and Senior Services.

A federal judge has put a hold on Missouri’s eight-week abortion ban, but has left other provisions of the controversial law intact.

The parts of the law that prohibit abortions because of race, sex or Down syndrome diagnosis and updated requirements to pre-abortion counseling went into effect last week. Doctors say those new regulations victimize patients and compromise doctors’ medical ethics. 

On Aug. 9, Holly Uchtman and her 7-year-old son Zyler headed to their weekly appointment at Mercy Hospital in Springfield. Zyler has Duchenne muscular dystrophy, a rare, terminal disease that causes muscles to weaken and eventually stop working. For two years, Zyler had been receiving eteplirsen, gene therapy that helped his muscles keep their shape.

But that day, there was a surprise on the other side of their journey. The state had removed Zyler from Medicaid, which pays for his nearly $40,000-a-week treatment. They were turned away, and he missed his appointment.

Updated at 11:46 a.m. Aug. 23 with a comment from Secretary of State Jay Ashcroft

Opponents of Missouri’s eight-week abortion ban have dropped their efforts to gather the needed 100,000 signatures to place a referendum on the November 2020 ballot. They claim Secretary of State Jay Ashcroft did not give them enough time to do so by Wednesday, when the law will take effect.

The abortion-rights coalition No Bans On Choice and the ACLU of Missouri have instead turned their attention to making sure state officials cannot block future referendums. On Thursday, they filed a lawsuit against Ashcroft, a Republican, alleging that the laws that allowed him to delay releasing the referendum’s language violate the state’s constitution.

Updated at 12:15 p.m. on Thursday with Secretary of State Jay Ashcroft's comments

The abortion-rights group No Bans on Choice faces an "impossible" task to collect enough signatures on a petition that would allow voters to overturn a Missouri law that bans most abortions after eight weeks of pregnancy, officials from the committee said Wednesday. 

Secretary of State Jay Ashcroft on Wednesday released the wording for the ballot initiative after a months-long legal battle. 

American Civil Liberties Union representatives say it’s unlikely they would collect the 100,000 signatures they need to place a referendum on the ballot before the law goes into effect on Aug. 28.

Planned Parenthood and the American Civil Liberties Union are asking a federal judge to overturn a Missouri law banning most abortions at eight weeks of pregnancy. 

In a lawsuit filed Tuesday in U.S. District Court in Jefferson City, lawyers for the ACLU and Planned Parenthood Reproductive Health Services, the St. Louis clinic that provides abortion services, asked the court to overturn the law on the grounds that it is unconstitutional.

“Extreme legislators are really pushing to find any way possible to outlaw abortion in the state,” said Colleen McNicholas, chief medical officer of Planned Parenthood of the St. Louis Region and Southwest Missouri.

Updated at 3:30 p.m. July 1 with "St. Louis on the Air" audio; updated at 6:25 p.m. June 28 with details from Planned Parenthood event — Access to abortion in Missouri will continue as a state commission prepares to consider a licensing dispute over a Planned Parenthood abortion clinic in St. Louis.

On Friday, a state administrative hearing commissioner extended the organization’s license until the Administrative Hearing Commission decides how to resolve Planned Parenthood’s complaint against the state Department of Health and Senior Services. The commission set a hearing for Aug. 1.

Updated at 2:15 p.m., June 21 with comments from Missouri Gov. Mike Parson and the state health department director — The only abortion provider in Missouri has lost its license, but the clinic’s future remains unclear after a court hearing Friday morning in St. Louis.

Citing patient safety concerns, the Missouri Department of Health and Senior Services on Friday declined to renew a St. Louis Planned Parenthood clinic’s license to perform abortions. Officials said some abortions were not performed properly and failed.

Circuit Court Judge Michael Stelzer said the injunction he previously issued keeping the clinic open will remain in effect for now. It’s not known when he will make a final decision.

Abortion rights advocates are concerned the legal dispute over the last existing abortion clinic in Missouri may have already hindered access to abortion.

The license for Reproductive Health Services of Planned Parenthood of the St. Louis Region has been in jeopardy for months as state officials delayed action on its application. To compel the state to act, Planned Parenthood took state officials to court.

Circuit Court Judge Michael Stelzer has kept the license in effect while the arguments play out in court. But abortion rights advocates say the legal process as well as Missouri’s increasingly stringent abortion regulations could discourage doctors from providing the procedure in the future.

Updated at 9:45 p.m. June 10 with additional comments from Planned Parenthood  — Missouri will continue to have legal access to abortion.

A St. Louis Circuit Court judge on Monday granted Planned Parenthood a preliminary injunction that effectively keeps its license to operate a St. Louis abortion clinic open for at least 11 more days.

Judge Michael Stelzer ordered the state Department of Health and Senior Services to decide whether to renew Planned Parenthood’s annual license by June 21, when attorneys representing the organization and the state appear in court again.

The judge’s decision means Missouri’s only abortion provider will continue operating while he weighs Planned Parenthood’s objections to the way state health officials have handled the organization’s request for a new license.

Lawyers for Missouri’s only abortion provider told a St. Louis Circuit Court judge on Wednesday that it has been unable to renew the clinic’s annual license because state health officials have not followed proper procedures.

Planned Parenthood has asked Judge Michael Stelzer to issue a temporary injunction barring the state Department of Health and Senior Services from delaying or denying a renewed license to Reproductive Health Services of Planned Parenthood of the St. Louis Region.

Jamie Boyer, an attorney for Planned Parenthood, told the judge during a hearing that the department’s efforts to interview independent physicians who work at the clinic have been an obstacle.

Updated at 6 p.m., May 31 with comments from clinic officials and supporters — Missouri's only abortion provider will remain open.

A St. Louis Circuit Court judge on Friday issued a temporary restraining order that keeps the license of Planned Parenthood’s St. Louis clinic valid beyond midnight, when it expires.

Judge Michael Stelzer’s ruling keeps the clinic’s license in effect until he rules on Planned Parenthood’s request for a preliminary injunction that would bar the state Department of Health and Senior Services from denying a renewed license to Reproductive Health Services of Planned Parenthood of the St. Louis Region. A hearing is set for 9 a.m. Tuesday. 

Updated 6 p.m., May 30

Lawyers for Planned Parenthood on Thursday told a St. Louis Circuit Court judge that Missouri health officials have delayed renewing a license to the state’s sole abortion provider by continually asking for additional information.

In a hearing, Planned Parenthood’s lawyers asked Judge Michael Stelzer to issue a temporary restraining order barring the state Department of Health and Senior Services from denying to renew the license for its St. Louis clinic. That license expires at midnight Friday.

Judge Michael Stelzer did not make a decision on Thursday, but could do so by late Friday. If the judge does not rule, Reproductive Health Services of Planned Parenthood of the St. Louis Region — Missouri’s only licensed abortion provider — would close.

Updated 6 p.m., May 30

Lawyers for Planned Parenthood on Thursday told a St. Louis Circuit Court judge that Missouri health officials have delayed renewing a license to the state’s sole abortion provider by continually asking for additional information.

In a hearing, Planned Parenthood’s lawyers asked Judge Michael Stelzer to issue a temporary restraining order barring the state Department of Health and Senior Services from denying to renew the license for its St. Louis clinic. That license expires at midnight Friday.

Judge Michael Stelzer did not make a decision on Thursday, but could do so by late Friday. If the judge does not rule, Reproductive Health Services of Planned Parenthood of the St. Louis Region — Missouri’s only licensed abortion provider — would close.

Lawyers for Planned Parenthood will ask a St. Louis Circuit Court judge to block Missouri health officials from using an investigation into a patient’s complaint to close the state’s only licensed abortion provider.

Planned Parenthood went to court Wednesday to prevent the state Department of Health and Senior Services from denying a renewed license to Reproductive Health Services of Planned Parenthood of the St. Louis Region. But Judge Michael Stelzer rescheduled the hearing for Thursday, a day before the clinic’s license expires.

In their request for a restraining order, the organization’s lawyers also asked Stelzer to bar state health officials from interviewing seven doctors at the St. Louis clinic.

About 60 percent of the approximately 70,000 Missourians purged from the state’s Medicaid program in 2018 lost coverage because they failed to reply to a mailed renewal form, according to state data.

The Missouri Department of Social Services started using an automated system to determine residents’ Medicaid eligibility last year. If the system couldn’t find their information, the state mailed enrollees renewal forms to complete and return.

Some health experts and state officials are concerned people otherwise eligible for the program are living without insurance because they never received the mail.

Missouri’s health department has already fielded more than 400 pre-applications from potential marijuana growers and sellers.

The Missouri Department of Health and Senior Services, which will administer the state’s medical marijuana program, won’t begin accepting formal applications for dispensaries, cultivation facilities and manufacturing plants until summer.

That hasn’t stopped potential businesses from paying more than $3 million in application fees to the state.

Controversial changes to Missouri's home health-services program by former Gov. Eric Greitens and the Republican-controlled legislature saved one fourth of the $43 million lawmakers had expected, according a state audit.

The Republican governor and state lawmakers didn’t take rising costs and sicker patients into account, concluded the report from State Auditor Nicole Galloway, a Democrat. 

Missouri Gov. Mike Parson thinks the state is “long overdue” for a statewide prescription-monitoring database for doctors.

Parson, a Republican, said Wednesday he hopes state legislators will pass a bill legalizing such a program next year. Missouri remains the only state without such a database, which proponents say helps cut down on opioids being sold on the street.

Parson made his remarks during a St. Louis stop on a weeklong statewide tour focusing on health issues. He met with state health officials and St. Louis Mayor Lyda Krewson to discuss Missourians’ addiction to opioids. The drugs in 2017 killed 760 people in the St. Louis region alone, and 951 in the entire state. One in every 65 deaths in Missouri that year was due to an opioid overdose, according to the the state’s health department.

A visitor to the new wing of the Mercy hospital in Festus can likely tell immediately where the old building ends and the new part begins. The atrium still smells of fresh paint, and instead of dark, winding hallways, windows let in natural light.

Builders designed it to be prettier and more user-friendly. But Mercy Hospital Jefferson is safer, too.

Rural hospitals are more likely to close in states such as Missouri that have not expanded Medicaid.

A recent report from the pro-Affordable Care Act organization Protect Our Care analyzed 84 rural hospital closures since 2010. It found 90 percent of those hospital closures were in states that had not expanded Medicaid coverage. Missouri remains one of the 14 states that hasn’t amended its program to cover people who earn up to 138 percent above the poverty line.