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Missouri lawmakers raise concerns about long waits in jail for court-ordered mental health care

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missouriindependent.com – Clara Bates – 2025-02-17 15:37:00

by Clara Bates, Missouri Independent
February 17, 2025

Leaders of Missouri’s public defender system urged lawmakers on Monday to take action to reduce the growing number of people languishing in jails across the state who are in need of mental health treatment.

As of last month, 418 people were in Missouri jails waiting to be transferred to a state mental health bed, up from around 300 at this time last year. The average wait time was 14 months, with some held longer than the maximum sentence for the crime for which they were charged.

These are Missourians who were arrested but found incompetent to stand trial and ordered into treatment designed to restore their ability to have their day in court. Competency restoration generally includes medication treatment and therapy.

Missourians waiting in jail for court-ordered mental health care reaches all-time high

The Missouri House Health and Mental Health Committee spent most of an informational hearing Monday addressing the Department of Mental Health’s competency restoration program, with a presentation by Mary Fox, the director of the Missouri State Public Defender system, and Annie Legomsky, who runs the state public defense system’s holistic defense services program. 

“When somebody sits in a jail unmedicated and uncared for,” Fox said, “their mental health can get worse and so bad that they can never be cured.” 

Legomsky and Fox urged changes to state law to increase court referrals to community-based treatment, instead of holding those charged with nonviolent, low-level offenses in jail for months.

“If we could figure out a way to take care of more of these folks in the community,” Fox said,”we’re not only saving the state money in the competence restoration process, but we’re setting them up for success when they return to the community.” 

The state can’t create beds overnight, Fox said. 

“And until we can either create the community restoration and let folks receive the treatment that way or create the beds, we don’t have a quick solution to the problem,” she said.

Many of the public defender’s office’s clients who are found incompetent have schizophrenia, intellectual disabilities or are on the autism spectrum, Fox said. 

The legislature in 2023 passed a law giving the department the authority to provide treatment on an outpatient basis if the person could be safely released and wasn’t charged with a dangerous felony. But the department told The Independent last month that only two people have participated in the program so far.

The state also passed a law giving the department of mental health the ability to treat people within jails. The programs have been slow to get up and running, and three counties are in their early days of getting the programs started, the department told The Independent. 

Legomsky said Monday that solution is “not ideal” since “the jail is not a therapeutic environment.”

The hearing was designed to inform lawmakers, not to discuss any particular legislation. 

Rep. David Dolan, a Sikeston Republican, speaks at the House Health and Mental Health committee on Monday (Tim Bommel/Missouri House Communications).

Several of the legislators serving on the committee expressed concern with the waitlist.

“We just don’t have enough beds, that’s the answer,” said state Rep. David Dolan, a Republican of Sikeston “We don’t have enough beds, and restoration within county jails is very hit and miss.” 

State Rep. Tony Harbison, a Republican of Arcadia, said small counties are footing the bill, since counties are responsible for paying for jail stays.

“Fourteen months — we’re already spending a lot of money,” he said.

Legomsky estimated that the state would save around $480 in savings per day to do community-based competency restoration as opposed to the hospital setting, not to mention the cost savings for counties currently housing those individuals in jails.

One client, Fox said, was a 78-year-old woman with dementia who tossed lit matches in a laundromat waste basket — but was held in jail for a year, waiting for a mental health bed. 

State Rep. Jo Doll, a Democrat of St. Louis, responded: “Where’s the common sense part of that? How does someone, how do you all these people see this person day after day and let someone sit there for a year?”

A handful of lawmakers asked about the potential for a public-private partnership, and whether private hospitals could be included. The public defenders said that would be a question for the department of mental health. 

Mary Fox and Annie Legomsky, with Missouri State Public Defender’s Office, testify to the House Health and Mental Health Committee on Monday (Tim Bommel/Missouri House Communications).

Others asked about states that do things better. Legomsky said Washington state limits the wait time to 14 days, and recommended time limits be established in Missouri statute.

“Even closer to 30 days would be a huge improvement over 14 months,” she said.

Other recommendations included increasing funding for community crisis care, housing and substance use disorder treatment — wraparound services to help people become competent and remain healthy, Legomsky said. The state could also make community-based treatment the presumption for those charged with low-level, nonviolent offenses. She said the public defenders estimate around 80% of those on the waitlist are charged with low-level, nonviolent offenses, and could be treated on an outpatient basis. 

“We’re on the same side as the prosecutors, the sheriffs, the courts,” Legomsky said. “I think we all just want to find a solution.” 

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Missouri Independent is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Missouri Independent maintains editorial independence. Contact Editor Jason Hancock for questions: info@missouriindependent.com.

The post Missouri lawmakers raise concerns about long waits in jail for court-ordered mental health care appeared first on missouriindependent.com

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Interstate 44 reopens following mass traffic

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www.youtube.com – FOX 2 St. Louis – 2025-02-19 21:22:01

SUMMARY: Interstate 44 near Rolla, west of St. Louis, has reopened after a severe traffic incident involving numerous tractor trailers and long backups. First responders reported that some drivers ran out of gas while stuck in frigid conditions. Many travelers, including families journeying for graduation events, became stranded for nearly 24 hours due to multiple accidents and jackknifed trucks. The National Guard assisted in providing essentials to affected drivers. Local volunteers showcased commendable efforts, helping stranded motorists with fuel. Authorities emphasized the importance of taking precautions during winter storms, advising drivers to wait out poor conditions safely.

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First responders with the Doolittle Rural Fire Protection District were exhausted Wednesday night after spending the past day helping stranded drivers, responding to crashes and detouring motorists. FOX 2’s Jeff Bernthal reports.

St. Louis News: FOX 2 covers news, weather, and sports in Missouri and Illinois. Read more about this story or see the latest updates on our website https://FOX2Now.com

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Mo. taxpayers paying felon despite lawmaker objections

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www.ozarksfirst.com – Mark Zinn – 2025-02-19 15:36:00

SUMMARY: Republican lawmakers in Missouri are pushing to stall the budget process for the Missouri State Public Defender’s Office (MSPD) due to the employment of David Spears. Spears, a felon implicated in the 2007 murder of 9-year-old Rowan Ford, pleaded to lesser charges and served only half of his 11-year sentence before being released on parole in 2015. Critics, including House GOP leaders, argue that his employment undermines public trust and must be rectified. They support measures, including rejecting MSPD’s budget request, to hold the office accountable, emphasizing the need for justice for Rowan Ford and her family.

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Plan to shift from income tax to sales tax advances to Missouri Senate

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missouriindependent.com – Rudi Keller – 2025-02-19 14:07:00

Plan to shift from income tax to sales tax advances to Missouri Senate

by Rudi Keller, Missouri Independent
February 19, 2025

A plan to make Missouri dependent on sales tax for general revenue by eliminating the income tax is heading to the state Senate for debate after a party-line committee vote on Wednesday.

Two proposals — one to immediately change the state income tax to a flat tax of 4% and another a proposed constitutional amendment to allow the transition to sales taxes for revenue — make up the package intended to keep Republicans’ campaign promise to eliminate the state income tax.

If the constitutional amendment passes, it would put the income tax on the path to elimination.  

The fiscal note for the flat-tax bill forecasts an immediate reduction in state revenues of about $661 million and projects it will be 2067 or later before the income tax disappears.

The two proposals were each approved Wednesday on a 5-2 vote in the Senate Economic and Workforce Development Committee, with all Republicans in support and Democrats opposed.

Democratic state Sen. Barbara Washington of Kansas City said she’s worried about the impact of the immediate tax cut.

“I don’t see a clear plan as to how we make this money up,” Washington said.

Missouri House votes on party lines to eliminate income tax on capital gains

The income tax is a tax on productivity, and shifting taxes to other areas will help the economy, said Republican state Sen. Ben Brown of Washington, chairman of the committee and sponsor of the two bills.

“That has a more negative impact in our society than taxes in other areas,” Brown said of the income tax.

The top marginal rate for Missouri’s income tax has declined from 6% in 2015 to 4.7% this year under a design to slowly cut it as revenue increases that began with legislation passed in 2014.

Two future tax cuts, to a 4.5% rate, are already in state law and will take effect if general revenue growth hits targets.

Income tax remains the single largest portion of state general revenue, with the individual income tax contributing 65% and the corporate income tax about 7% of the $13.4 billion received in fiscal 2024.

The tax cut bill passed in 2014 also began indexing state tax brackets, which had not been changed since the 1930s, for inflation. The top tax rate applies to taxable income of more than $8,900, which is about $23,500 in total income when the standard deduction is included.

The tie between the two measures takes effect after the switch to a flat tax and a statewide vote.

The constitutional proposal, intended to be on a ballot by November 2026, would create a mechanism for limiting the growth in state spending and directing revenue in excess of the cap to a special fund dedicated to income tax reduction.

When the special fund holds at least $120 million, the state income tax rate would be cut by one-tenth of a percentage point. In years when the reduction is authorized, every additional $60 million in the fund would add a rate cut of one-twentieth of a percentage point.

If both conditions were met for the first reduction, the rate would fall from 4% to 3.85%.

While every Republican on the committee voted for the measures, at least one showed he’s nervous about the key revenue-raising portion of the proposal — an expanded sales tax.

State Sen. Kurtis Gregory of Marshall said he couldn’t go along with any proposal that repealed sales tax exemptions enjoyed by farmers. Farmers don’t pay sales tax on fertilizer, fuel for farm vehicles and a host of other products.

“I don’t know where that sales tax rate is going to end up, but I’m just instantly looking at some of this and folks are going to be seeing a $50 to maybe $60 an acre increase in cost of production of row crops,” Gregory said.

The constitutional amendment does not directly repeal any sales tax exemption, Brown said.

“I don’t see anything that would be impacted one way or another by this bill,” he said.

It does repeal a 2016 initiative, placed on the ballot by Missouri Realtors, that barred lawmakers from imposing sales tax on any market transaction “that was not subject to sales, use or similar transaction-based tax on January 1, 2015.”

Along with preventing any effort to tax services such as mechanic’s labor or tax accounting, the amendment protected from repeal exemptions to the sales tax on tangible goods in law at the time, such as prescription drugs and the general revenue portion of sales tax on groceries.

Retail sales in Missouri are taxed at 4.225% for state purposes — 3% for general revenue, 1% for public schools, 0.125% for the Department of Conservation and 0.1% for state parks and soil conservation. Local option sales taxes are in addition to the state tax and push the total rate in some areas above 10%.

Brown’s proposal would allow a state tax of up to 4% — 3.775% for general revenue and schools plus the conservation and parks taxes. The tax would be applied to “all sellers for the privilege of selling tangible personal property or rendering taxable services at retail in this state” and take effect with the signing of a bill expanding sales tax to items exempted prior to Jan. 1, 2015.

The constitutional amendment does target one service with a special, higher tax. Lobbying firms would be required to pay a 6% sales tax on top of the general sales tax of up to 4%.

Missouri Realtors, who have shown substantial financial strength in campaigns, will oppose any effort to weaken the provisions added to the constitution in 2016, said Bobbi Howe, president of the Realtors

“Adding new taxes to services Missourians use every day,” Howe said, “is not sound policy and it unfairly impacts those least able to pay.”

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Missouri Independent is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Missouri Independent maintains editorial independence. Contact Editor Jason Hancock for questions: info@missouriindependent.com.

The post Plan to shift from income tax to sales tax advances to Missouri Senate appeared first on missouriindependent.com

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