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Missouri bill would require reporting, tracking of alpha-gal syndrome

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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.

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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.”

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Rep. Matthew Overcast, a Republican from Ava, presents legislation bill in the House House in February 2025 (Tim Bommel/Missouri House Communications).

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.

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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.

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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.

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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.”



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Missouri Lottery Pick 3, Pick 4 winning numbers for March 1, 2026

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The Missouri Lottery offers several draw games for those aiming to win big.

Here’s a look at March 1, 2026, results for each game:

Winning Pick 3 numbers from March 1 drawing

Midday: 0-6-1

Midday Wild: 3

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Evening: 3-1-3

Evening Wild: 7

Check Pick 3 payouts and previous drawings here.

Winning Pick 4 numbers from March 1 drawing

Midday: 4-0-5-8

Midday Wild: 3

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Evening: 8-8-4-7

Evening Wild: 3

Check Pick 4 payouts and previous drawings here.

Winning Cash Pop numbers from March 1 drawing

Early Bird: 14

Morning: 07

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Matinee: 13

Prime Time: 12

Night Owl: 03

Check Cash Pop payouts and previous drawings here.

Winning Show Me Cash numbers from March 1 drawing

05-16-23-29-34

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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

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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.

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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.



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Best Missouri Sportsbooks: Download MO Sportsbooks Today

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Best Missouri Sportsbooks: Download MO Sportsbooks Today


Here are the best Missouri sportsbooks available. Learn about Missouri sportsbooks, features, welcome offers and more in this article.

Missouri bettors rejoice, launch day for Missouri sportsbooks has arrived! You can sign up for each of these brands to claim lucrative offers and get a good feel of which of these MO sportsbooks you want to bet with now that legal wagering is here!

Best Missouri Sportsbooks Today

These Missouri sportsbooks are some of the best sportsbooks in the gambling industry. Each of these brands have been broken down below to give you the finer, need-to-know details. 

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BetMGM Missouri Sportsbook

BetMGM is under the umbrella of one of the largest gambling brands in the world – MGM Resorts. The sportsbook offers a wide range of sports, frequent promotions to existing users and a great interface for desktop and mobile. 

⭐️ Top Feature: Frequent Odds Boosts
🎁 Welcome Offer: Get up to $1,500 Back in Bonus Bet If You Lose Your First Bet
🤝 Partner: Century Casinos
💰 Payout Speed: 1-5 Days

DraftKings Missouri Sportsbook

It’s no surprise that DraftKings has launched in Missouri, given its massive presence in sports betting states. This brand is my go-to as you can find the most betting markets available on most events at DraftKings. 

⭐️ Top Feature: Tons of Betting Markets
🎁 Welcome Offer: Bet $5 Get $200 in Bonus Bets if Your First Bet Wins
🤝 Partner: Untethered License
💰 Payout Speed: 1-5 Days

bet365 Missouri Sportsbook

bet365 is the biggest sportsbook globally, and the fact that it’ll be available in the Show-Me State is great news for Missouri bettors. This is a brand that boasts a fantastic user experience, coupled with great promotions and can’t-beat odds. 

⭐️ Top Feature: Early Payouts for Most Sports
🎁 Welcome Offer: Bet $10, Get $365 in Bonus Bets
🤝 Partner: St. Louis Cardinals
💰 Payout Speed: 1-5 Days

Caesars Missouri Sportsbook

Caesars is probably the biggest name in gambling, particularly in the US, so it’s no surprise that you’ve heard of Caesars. The Caesars Sportsbook is a great choice for Missouri bettors, and the Caesars Rewards program is THE best in the industry, so don’t miss out!

⭐️ Top Feature: Caesars Rewards
🎁 Welcome Offer: $250 Bet Match
🤝 Partner: Harrah’s Kansas City, Horseshoe St. Louis, Isle of Capri Casino
💰 Payout Speed: 1-5 Days

FanDuel Missouri Sportsbook

FanDuel is king among sportsbooks given its breadth of betting markets, odds and lines. Most seasoned bettors will choose this brand given those options, not to mention a steady stream of odds boosts and no sweat bets for existing users. 

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⭐️ Top Feature: Great Betting Odds & Lines
🎁 Welcome Offer: Bet $5, Get $200 In Bonus Bets
🤝 Partner: St. Louis CITY SC
💰 Payout Speed: 1-2 Days

Fanatics Missouri Sportsbook

If you’re a fan of sports gear, you’ll love Fanatics Sportsbook! Bet with Fanatics and you can earn FanCash to use toward a new Chiefs jersey or whatever else you’d like to wear on game day!

⭐️ Top Feature: FanCash Loyalty Program
🎁 Welcome Offer: 10x$100 Bet Match in FanCash
🤝 Partner: Boyd Gaming
💰 Payout Speed: 1-3 Days

TheScore Bet Missouri Sportsbook

While not as recognizeable a brand, this sportsbook actually takes the place of ESPN BET as PENN Entertainment’s sports betting brand. TheScore Bet presents a clean interface that is also very easy to navigate.

⭐️ Top Feature: Easy to Navigate Interface
🎁 Welcome Offer: Bet $10, Get $100 in Bonus Bets
🤝 Partner: Argosy Riverside Casino, River City Casino, Hollywood Casino St. Louis
💰 Payout Speed: 1-5 Days

Circa Missouri Sportsbook

Circa Sports is widely known as having the highest limits among sportsbooks, and the same should be expected in Missouri. Typically, Circa doesn’t offer a welcome bonus, so we’ll have to see whether that changes in the Show-Me State or not. 

⭐️ Top Feature: High Betting Limits
🎁 Welcome Offer: N/A
🤝 Partner: Untethered License
💰 Payout Speed: 1-2 Days

What Sportsbooks are in Missouri?

There are plenty Missouri sportsbooks to choose from, including online, mobile and retail, here is the full list of brands where you can bet on sports in MO:

  • bet365 Missouri
  • BetMGM Missouri
  • Caesars Sportsbook Missouri
  • Circa Sports Missouri
  • DraftKings Missouri
  • Fanatics Sportsbook Missouri
  • FanDuel Missouri
  • TheScore Bet Missouri

Online Sportsbooks in Missouri

Fortunately, the full list of sportsbooks in Missouri (bet365, BetMGM, Caesars, Circa, DraftKings, Fanatics, FanDuel and TheScore Bet) all have online and mobile operations, allowing you to bet from anywhere. I prefer using mobile sportsbooks given the convenience and friendly user interface of the apps. Additionally, you can only find welcome offers on mobile sportsbooks. 

Retail Sportsbooks in Missouri

If you’re more a fan of betting in person, you’ll find the pickings quite slim in Missouri. Caesars, Fanatics and ESPN BET are the only operators who have been licensed for retail sports betting for their casino partners. In Missouri, you can only bet in person at local casinos or professional sports stadiums, depending on if those locations apply for retail licenses. Here are the current locations where you can bet on sports in person in Missouri:

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  • Ameristar Casino Kansas City (Fanatics Sportsbook)
  • Ameristar Casino St. Louis (Fanatics Sportsbook)
  • Argosy Casino & Hotel (TheScore Bet)
  • Harrah’s Kansas City (Caesars Sportsbook)
  • Hollywood Casino St. Louis (TheScore Bet)
  • Horseshoe St. Louis (Caesars Sportsbook)
  • Isle of Capri Casino (Caesars Sportsbook)
  • River City Casino (TheScore Bet)

Bet Types at Missouri Sportsbooks

Fortunately, you can place the typical bets at Missouri Sportsbooks. Here’s what you can find:

  • Moneylines
  • Parlays
  • Totals
  • Point Spreads
  • Futures
  • Prop Bets
  • Live Betting
  • Teasers

Sports to Bet on at Sportsbooks in Missouri

Similar to bet types, you can find pretty much every sport to bet on at sportsbooks in Missouri. Here are some of the more popular options, but there are bound to me countless more:

  • NFL
  • NBA
  • NHL
  • MLB
  • MLS
  • WNBA
  • Tennis
  • Golf
  • NASCAR

Sign up With Missouri Sportsbooks Today

Missouri sportsbooks are live! Now that you’ve read this article, you have a better understanding of sports betting in the state. So sign up today and make sure to claim Missouri sportsbook promos while you’re at it, where you can earn thousands in bonuses right now!



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Missouri Lottery Powerball, Pick 3 winning numbers for Feb. 28, 2026

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The Missouri Lottery offers several draw games for those aiming to win big.

Here’s a look at Feb. 28, 2026, results for each game:

Winning Powerball numbers from Feb. 28 drawing

06-20-35-54-65, Powerball: 10, Power Play: 4

Check Powerball payouts and previous drawings here.

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Winning Pick 3 numbers from Feb. 28 drawing

Midday: 6-0-6

Midday Wild: 4

Evening: 5-9-4

Evening Wild: 2

Check Pick 3 payouts and previous drawings here.

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Winning Pick 4 numbers from Feb. 28 drawing

Midday: 6-8-9-8

Midday Wild: 8

Evening: 5-2-4-9

Evening Wild: 0

Check Pick 4 payouts and previous drawings here.

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Winning Cash Pop numbers from Feb. 28 drawing

Early Bird: 07

Morning: 09

Matinee: 10

Prime Time: 12

Night Owl: 09

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Check Cash Pop payouts and previous drawings here.

Winning Show Me Cash numbers from Feb. 28 drawing

12-17-26-27-39

Check Show Me Cash payouts and previous drawings here.

Winning Powerball Double Play numbers from Feb. 28 drawing

10-15-23-28-38, Powerball: 03

Check Powerball Double Play payouts and previous drawings here.

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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

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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.



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