Missouri
Missouri bill would require reporting, tracking of alpha-gal syndrome
When Josh Hammann started having severe breathing problems in the spring of 2023, emergency room doctors were convinced he was having panic attacks.
They gave him medication to treat anxiety, but his wife, Megan, said that only made him sicker.
“Of course, that medication had alpha-gal in it,” she told The Independent.
Hammann, of Cole County, and other Missourians whose lives have been upended by alpha-gal syndrome, urged state lawmakers this week to advance a bill that would require the state to track cases and report them to the U.S. Centers for Disease Control and Prevention.
The potentially life-threatening tick-borne allergy causes people to have an immune response to mammal products — including red meat, dairy and a form of lactose in the anxiety pills Josh was prescribed. Symptoms vary from breathing problems to skin irritation and abdominal distress. And like Josh, many people with the emerging condition struggle to get a diagnosis.
The bill, sponsored by Republican state Rep. Matthew Overcast, would mandate diagnostic testing labs to report cases of the condition to the Missouri Department of Health and Senior Services within seven days of receiving a positive test. The department would be required to follow up on a random sample of cases and submit data to the federal government.
Republican state Sen. Mary Elizabeth Coleman is sponsoring an identical bill in the Senate.
Overcast, who presented a similar bill in 2025, emphasized to members of the House Health and Mental Health Committee that alpha-gal syndrome is “a public health crisis.”
“The last time I spoke to this committee, I only had three children [who] have it,” Overcast said. “Now my wife has it, and my aunt has it, and there are so many people, even in my church, that have it.”
Supporters of the bill said participating in national efforts to gather this data will help scientists study the disease and develop public health recommendations that could prevent its spread.
Ryan DeBoef, a lobbyist for the Alpha-Gal Alliance Action Fund, said that collecting data will help Missouri get federal funding to improve patient care and public awareness of alpha-gal syndrome.
The Centers for Disease Control is expected to open applications for grants of up to $1 million later this month to encourage knowledge-sharing among researchers and public health agencies, improve case tracking and educate health care providers about the condition.
“So it’s important that the states with a lot of alpha-gal are able to demonstrate that they have a lot of alpha-gal to receive that funding,” DeBoef said.
A 2023 report from the Centers for Disease Control indicated that more than 110,000 suspected cases of alpha-gal syndrome were identified between 2010 and 2022 — and that Missouri was in the center of the swath of the U.S. with the highest concentration of those cases.
Republican state Rep. Kent Haden of Mexico said alpha-gal is a “huge” problem and asked about the accuracy of diagnostic tests for the condition, questioning whether the bill “may be asking something that [the department] can’t do.”
Benjamin Casterline, a dermatologist and immunologist at the University of Missouri School of Medicine, cited data from Virginia that found the diagnostic tests to have 2% false negatives and 8% false positives.
“That’s a pretty good test,” Casterline said.
Overcast said the department has concerns about “the impact of this [bill] on their manpower.” The department estimated that they would need to hire four new staff, including two epidemiologists, to meet case tracking and reporting requirements, according to the fiscal note for the bill.
Lawmakers signaled support for the bill, which has 13 co-sponsors. Republican State Rep. Carolyn Caton of Blue Springs, one of the co-sponsors, suggested adding language to the bill that would include patients in case tracking only if they opt in.
Republican state Rep. Tony Harbison of Arcadia said collecting data on the condition’s prevalence in Missouri is “a no-brainer.”
“I see the spread of this, and this gets the conversation started toward a solution or prevention,” Harbison said.
Witnesses in support of the bill shared how alpha-gal syndrome disrupted their families’ routines and peace of mind, often requiring them to take on the burden of researching how to manage the condition.
Megan Hammann was diagnosed with alpha-gal syndrome in 2025. She found a tick on her back after a four-wheeling trip.
“We weren’t even off the four-wheelers, so [the tick] was falling from the trees,” she said.
Within a month, she started developing hives.
Hammann said she’s worried her two kids will develop the condition.
“It’s like, how can you tell your kids not to go outside?” she said. “You want them to go outside. You want them to enjoy their childhood, but then you’re terrified. Something needs to be done, and I’m hoping that this is the start of it.”
Reinforcing the offensive line has been a priority for the New Orleans Saints, who opened free agency by signing former Buffalo Bills left guard David Edwards to a four-year, $61 million contract. Even though the franchise has allocated plenty of resources to its offensive line, the free agency addition won’t stop them from seeking more offensive line talent.
The franchise is focused on protecting second-year quarterback Tyler Shough. If a starting offensive lineman is injured, someone must step up. Currently, Asim Richards is the only reliable backup for left tackle Kelvin Banks Jr. or right tackle Taliese Fuaga. On the interior, Dillon Radunz would make sense as a reliable replacement if someone were to go down between Edwards, center Erik McCoy, and right guard Cesar Ruiz.
Drafting a promising offensive lineman in 2026 makes sense, as the Saints hold five Day 3 picks. It’s unlikely general manager Mickey Loomis will spend early draft capital on a tackle, but a late pick is logical. Missouri’s Keagen Trost, projected for Day 3, could fit this need.
Trost, 25, recently worked out privately with the Saints, a source told Saints Wire. The Missouri standout earned a 92.4 Pro Football Focus grade in 13 games last season, ranking No. 1 among 632 eligible collegiate tackles. He also allowed just one sack in 834 total snaps.
Trost’s high grades project him in the fifth round, and he offers versatility, including potential to move inside. At his pro day, he measured 6-foot-4 and 313 pounds. The main issue is his 32 3/8-inch arms, which are shorter than teams prefer for starting tackles. He has extensive SEC experience and strong college production to back it up.
Picks No. 150 and 172 in the fifth round are logical choices for New Orleans to consider selecting Trost. Multiple teams have shown interest in him; he had five pre-draft visits and recently held virtual meetings with the Philadelphia Eagles, Dallas Cowboys, Cincinnati Bengals, and Atlanta Falcons, according to a source. While there are many highly regarded offensive linemen in this class, Trost’s versatility appears to set him apart from the others.
The Missouri Lottery offers several draw games for those aiming to win big.
Here’s a look at April 19, 2026, results for each game:
Winning Pick 3 numbers from April 19 drawing
Midday: 4-7-3
Midday Wild: 7
Evening: 8-8-3
Evening Wild: 5
Check Pick 3 payouts and previous drawings here.
Winning Pick 4 numbers from April 19 drawing
Midday: 9-0-8-0
Midday Wild: 9
Evening: 1-8-4-8
Evening Wild: 9
Check Pick 4 payouts and previous drawings here.
Winning Cash Pop numbers from April 19 drawing
Early Bird: 15
Morning: 15
Matinee: 07
Prime Time: 10
Night Owl: 06
Check Cash Pop payouts and previous drawings here.
Winning Show Me Cash numbers from April 19 drawing
08-14-24-27-28
Check Show Me Cash payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your lottery prize
All Missouri Lottery retailers can redeem prizes up to $600. For prizes over $600, winners have the option to submit their claim by mail or in person at one of Missouri Lottery’s regional offices, by appointment only.
To claim by mail, complete a Missouri Lottery winner claim form, sign your winning ticket, and include a copy of your government-issued photo ID along with a completed IRS Form W-9. Ensure your name, address, telephone number and signature are on the back of your ticket. Claims should be mailed to:
Ticket Redemption
Missouri Lottery
P.O. Box 7777
Jefferson City, MO 65102-7777
For in-person claims, visit the Missouri Lottery Headquarters in Jefferson City or one of the regional offices in Kansas City, Springfield or St. Louis. Be sure to call ahead to verify hours and check if an appointment is required.
For additional instructions or to download the claim form, visit the Missouri Lottery prize claim page.
When are the Missouri Lottery drawings held?
- Powerball: 9:59 p.m. Monday, Wednesday and Saturday.
- Mega Millions: 10 p.m. Tuesday and Friday.
- Pick 3: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Pick 4: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Cash4Life: 8 p.m. daily.
- Cash Pop: 8 a.m. (Early Bird), 11 a.m. (Late Morning), 3 p.m. (Matinee), 7 p.m. (Prime Time) and 11 p.m. (Night Owl) daily.
- Show Me Cash: 8:59 p.m. daily.
- Lotto: 8:59 p.m. Wednesday and Saturday.
- Powerball Double Play: 9:59 p.m. Monday, Wednesday and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by a Missouri editor. You can send feedback using this form.
WHEATLAND, Mo. — It was all Kerry Madsen on Saturday night at Lucas Oil Speedway as the 54-year-old native of Australia, who’s now based in Knoxville, Iowa, picked up his first Interstate Batteries High Limit Sprint racing victory.
Madsen led all 30 laps to earn the $12,000 prize. He outdistanced runner-up Sue Lynch by 2.79 seconds with Tanner Holmes finishing third.
“The car’s been super quick every time we’ve hit the track,” Madsen said, noting several competitive runs in the early portion of the High Limit schedule. “The car’s been quick every night, which gives you a lot of confidence.
“We haven’t drawn well in dashes and had some little stuff going on. We drew a good one (tonight) and the car was good and we got the job done. I’m pretty happy.”
That changed this time as Madsen beat Holmes in the dash, to claim the pole position for the feature.
Madsen said his young crew chief Ty Wolfgang has “done a great job” getting in sync with him. Communication has been a big key.
“I know it sounds weird, but just hanging out together,” Madsen said of the driver-crew chief chemistry. “Dinner and a beer and just talk about racing. You do that and it might be a Wednesday night, but something clicks. He’s been real receptive with that stuff and that’s great.”
Madsen, a former Knoxville Nationals 360 winner, paced the early going after starting from the pole, with Holmes in close pursuit. Action slowed on lap six with Chase Randall and Danny Samms III tangling in turn two for the first and only yellow of the event.
Lynch moved into second on the restart as Madsen opened a 1.5-second lead by lap nine as Holmes dropped to third. Madsen’s margin swelled to nearly two seconds by lap 11 – but Lynch tracked down the leader and cut the deficit to a half-second at the halfway mark on lap 15.
As the race continued until green-flag conditions, Madsen settled into a one-second advantage as Lynch and Holmes tried to keep pace. Madsen poured it on in the late stages, cruising to the checkers by nearly three seconds over Lynch.
“Hopefully we can keep rolling like this all year. Obviously, you can’t win every night, but being quick and running well is going to be awesome,” Madsen said.
Lynch, 28 from Cowansville, Pa., said the team found some steering issues and gave him a fast car. It just was not fast enough to stay with Madsen on Saturday night.
“We were battling steering issue in the dash and it was pretty obvious,” Lynch said. “We just didn’t have time to change it and we just tried to make it the best we could. Really the car was super good. The guys busted their butt all night. It’s a testament to the team. We’re working hard and hopefully one spot better real soon.”
Holmes, a 22-year-old from Jacksonville, Oregon, came home third with Daison Pursley fourth, Hank Davis fifth and Rico Abreu charging from 11th to sixth.
“Our best night of the year,” Holmes said. “We’ve got to race a little bit during a break with High Limit these last few weeks. Some of those nights when we got our teeth kicked in taught us a lot.”
Fast overall qualifier was Sye Lynch at 13.342 seconds out of Group A. Aaron Reutzel led Group B with a lap of 13.469 seconds. Both were well off the track record for 410 Sprints held by Rico Abreu at 12.829 seconds on June 29, 2024.
The finish:
Feature: 1. 55-Kerry Madsen[1]; 2. 42-Sye Lynch[3]; 3. 13-Tanner Holmes[2]; 4. 9-Daison Pursley[4]; 5. 17GP-Hank Davis[5]; 6. 24-Rico Abreu[11]; 7. 7BC-Tyler Courtney[12]; 8. 77-Giovanni Scelzi[6]; 9. 19-Brent Marks[9]; 10. 26-Justin Peck[10]; 11. 88-Tanner Thorson[15]; 12. 21-Brian Brown[14]; 13. 28-Jace Park[23]; 14. 87-Aaron Reutzel[7]; 15. 19JR-Joel Myers Jr[20]; 16. 45X-Rees Moran[21]; 17. 5-Brenham Crouch[19]; 18. 44-Chris Martin[8]; 19. 19H-Kaleb Johnson[22]; 20. 87X-Logan Seavey[17]; 21. 36-Jason Martin[16]; 22. 9R-Chase Randall[18]; 23. 24D-Danny Sams III[13]; 24. 2-Miles Paulus[24]
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