Missouri
Missouri has the fourth largest health professional shortage in the U.S. – Missourinet
The Show-Me State is experiencing the country’s fourth largest shortage of primary, mental, and dental health care professionals. Pat Simmons with the Missouri Department of Health and Senior Services spoke before a task force of state lawmakers, saying that treating Substance Use Disorder (SUD) requires having a strong workforce.
“Missouri exports nearly one-third of our medical students to residency programs in other states,” Simmons said. “Missouri needs over 350 residency slots so that to make it possible for our medical school graduates to stay in state.”
She said that one in seven people over age 12 who are diagnosed with SUD have received treatment.
“A recently published systematic review suggested that lack of knowledge and skill are top reasons for the physician’s reluctance to address substance use and addiction in their clinical practices,” she said. “A main driver of this reluctance is a lack of training during residency and medical school.”
Her recommendation was that lawmakers continue the Missouri Graduate Medical Education Grant Program to create additional in-state residency positions. The program was created in 2023 to increase the number of fully trained physicians in family medicine, general pediatrics, and other medical fields.
Simmons said that primary care providers are uniquely positioned to identify and treat SUD.
“Increasing residents’ exposure to addiction training increases access to evidence-based prevention treatment and recovery services for patients,” she added. “This effort working in synergy with all of the other efforts that we’ve been hearing about will help to reduce the prevalence, impact, and stigma of SUD.”
According to Simmons, over half of Missouri students, that attend and complete their residency in-state, stay in Missouri to practice.
Copyright © 2024 Missourinet
The Missouri Lottery offers several draw games for those aiming to win big.
Here’s a look at April 20, 2026, results for each game:
Winning Powerball numbers from April 20 drawing
09-17-36-47-64, Powerball: 26, Power Play: 3
Check Powerball payouts and previous drawings here.
Winning Pick 3 numbers from April 20 drawing
Midday: 6-4-7
Midday Wild: 1
Evening: 0-2-2
Evening Wild: 2
Check Pick 3 payouts and previous drawings here.
Winning Pick 4 numbers from April 20 drawing
Midday: 5-1-9-1
Midday Wild: 9
Evening: 2-5-8-0
Evening Wild: 4
Check Pick 4 payouts and previous drawings here.
Winning Cash Pop numbers from April 20 drawing
Early Bird: 12
Morning: 10
Matinee: 09
Prime Time: 03
Night Owl: 06
Check Cash Pop payouts and previous drawings here.
Winning Show Me Cash numbers from April 20 drawing
01-11-14-16-18
Check Show Me Cash payouts and previous drawings here.
Winning Powerball Double Play numbers from April 20 drawing
04-29-35-40-43, Powerball: 21
Check Powerball Double Play 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.
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.
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