Missouri
Missouri is ground zero for the firehose of anti-trans legislation | Erin Reed
In a packed hearing room on Wednesday, lawmakers gathered in Missouri to embark on a nine-hour marathon session, aiming to pass new legislation focused solely on one topic. The bills considered did not address the economy, healthcare, jobs or inflation, all ranked as top issues for US voters in 2024. Instead, the lengthy committee session concentrated exclusively on agenda item: transgender people in bathrooms, books, schools and doctors offices.
One bill under consideration would allow pharmacists, desk workers and nurses, among others, to refuse to dispense medication or complete paperwork for transgender patients seeking gender-affirming care. Another bill would force trans youth already receiving treatment off their medication, eliminating a grandfather clause allowing them to continue. One bill would end all legal recognition of transgender individuals in the state, echoing the recent anti-transgender laws in Russia and Hungary. Yet another bill would prohibit transgender individuals from using bathrooms of their gender identity in workplaces, potentially mandating small businesses to construct separate bathrooms for them.
The state government, controlled by Republicans, has fallen into an intense moral panic about transgender people. This year, legislators in Missouri have proposed 49 bills targeting transgender people in the first three weeks of January. Though this is higher than any other state this year, there are already 250 bills targeting trans and LGBTQ+ people across the United States – double the pace of 2023, which itself was record-breaking. There appears to be no end in sight; what started with a handful of bills targeting elite sports in 2020 has become a firehose of legislation that touches every aspect of trans people’s lives.
In Missouri, the Democratic state representative David Tyson Smith pointed out the deluge of legislation in the hearing, stating: “This is dominating the airspace. There is only so much bandwidth in this building, as you know, there’s only so much we can do and only so much time we have.”
His fellow Democratic representative Doug Mann concurred and focused on the relentless encroaching of the bills into every aspect of public life, stating: “I’m going to be honest, I do not trust that this is the end. I do not trust that if this passes, that people will be placated, that people will be happy. … Everything I have seen as a student of history, as a student from politics, as a student of government, tells me that it is going to go farther. Things are going to get worse, not better.”
The panic is not contained in Missouri, it has spread across the Republican party nationwide. Early January, the Ohio governor, Mike DeWine, vetoed a gender-affirming care ban, stating that it is parents and doctors who should make decisions about gender-affirming care. In the days following, however, the governor faced endless attacks from rightwing anti-trans media personalities such as Riley Gaines and Matt Walsh, who stated that he must be “run out of Republican politics forever”. Within a day, Republican presidential candidates joined in on the frenzy, with Donald Trump claiming that he had fallen “to the radical left” and DeSantis urging the Ohio legislature to override the veto.
The emphasis on this issue is perplexing, as poll after poll indicates that it ranks very low on the list of voters’ priorities. For example, a 2023 Fox News poll revealed that only 1% of respondents identified “wokeness/transgender issues” as a top concern. This trend is consistent in elections as well; Republicans frequently lose when focusing on this issue. In the recent November elections, school board candidates affiliated with Moms For Liberty and the 1776 Project, both known for their anti-LGBTQ+ stance, lost 70% of their races nationwide. Kentucky’s Democratic governor, Andy Beshear, who vetoed a bill banning gender-affirming care, won re-election by a larger margin than his initial victory, despite the opposition’s heavy expenditure on anti-trans campaign ads. Additional examples of political defeats linked to anti-transgender politics are evident in the Virginia legislature, the Wisconsin and Pennsylvania supreme court elections, Georgia’s 2022 Senate race and the Democratic control in Michigan, each of which featured significant money spent on anti-trans ads.
The Republican party, which at one time framed itself as the party of “personal freedom” and “parental rights”, has abandoned the rights of the parents of transgender and LGBTQ+ youth, actively working to strip away freedoms from those it disagrees with.
The party which once claimed to champion “free speech” has become the party of banning LGBTQ+ books and censoring entire college majors in fear of transgender people. The party which raised fears of “death panels deciding your medical care” has sought out to create panels designed to end medical care for vulnerable populations. Caught in a maelstrom of anti-trans hysteria, the Republican party appears to have lost its rational compass, disregarding not only electoral repercussions but also the very principles it once claimed to hold dear. This shift into absurd cruelty was most evident in Missouri on Wednesday night, when the state’s Republican party demonstrated that there are no limits to how far it will go and no principles it will hold to in its zeal to harm its transgender citizens.
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Erin Reed is a transgender journalist based in Washington DC. She tracks LGBTQ+ legislation around the United States for her subscription newsletter, Erin In The Morning
Missouri
Lake of the Ozarks ranks among cleanest US lakes, study finds
This Missouri lake is among the cleanest in America
A new study tracking data from 2020 to 2025 says Missouri’s Lake of the Ozarks is the fourth cleanest lake in the country.
One of Missouri’s largest lakes is among the cleanest in the nation, according to a new report.
A study conducted by Lake.com, a vacation rental platform for properties near or on water, focused on the 100 largest lakes in the United States and their chemical data from Jan. 1, 2020, to July 15, 2025.
The lakes were tested for eight of the most commonly measured characteristics that can suggest their cleanliness, including pH, ammonia and lead.
What’s the cleanest lake in Missouri?
Lake.com rated the Lake of the Ozarks as the fourth-cleanest lake in the country.
The lake earned a 1.85 out of 10 in its pollution score, bolstered primarily by its low pH and sulfate levels, as well as its lack of lead and ammonia.
The report listed the following measurements for the lake:
- Dissolved oxygen: 7.5 mg/L
- Phosphorus: 0.01 mg/L
- Sulfate: 1.66 mg/L
- Turbidity: 2.3 NTU
- Difference from pH7: 2.3 pH
- Pollution score: 1.85/10
What did Lakes.com have to say about Lake of the Ozarks?
“With 54,000 surface acres and 1,150 miles of shoreline, more coastline than the entire state of California, it is the largest non-flood-control man-made lake in the United States. The lake’s distinctive serpentine shape, stretching 92 miles from Bagnell Dam to the lake’s western reach, earned it the nickname “The Magic Dragon.” The lake extends across four Missouri counties, Camden, Morgan, Miller, and Benton, with the city of Osage Beach at the busy southeastern junction of the main channel and the Grand Glaize arm serving as the region’s commercial hub.”
What are the cleanest lakes in the nation?
Lake.com lists these lakes as the cleanest in the nation:
- Lake Superior (Michigan/Minnesota/Wisconsin/Ontario)
- Lake Chelan (Washington)
- Lake Hartwell (Georgia/South Carolina)
- Lake of the Ozarks (Missouri)
- Lake Pend Oreille (Idaho)
- Lake Winnibigoshish (Minnesota)
- Kentucky Lake (Kentucky/Tennessee)
- Lake Norman (North Carolina)
- Lake Mead (Arizona/Nevada)
- Flathead Lake (Montana)
What are the dirtiest lakes in the nation?
Lake.com lists the following lakes as the dirtiest lakes in the nation:
- Lake Okeechobee (Florida)
- American Falls Reservoir (Idaho)
- Lake Texoma (Oklahoma, Texas)
- Eufaula Lake (Oklahoma)
- Lake Clark (Alaska)
- Lake George (Florida)
- Utah Lake (Utah)
- Oneida Lake (New York)
- Pyramid Lake (Nevada)
- Richland-Chambers Reservoir (Texas)
Missouri
First-generation-American students remind Missouri politicians why unity, freedom of speech are so important ahead of the nation’s 250th anniversary
Phoenix’s Stage 1 fire restrictions could limit where people can use fireworks ahead of Fourth of July celebrations. Phoenix leaders say professional fireworks shows are still planned, but they’re urging residents to leave the fireworks to the pros. Under the city’s updated rules, fireworks are banned on city property and within one mile of mountain preserves, desert parks and wilderness areas. Pop-up fireworks tents are appearing across the city, but police are already checking for vendors selling without permits. Anyone caught setting off fireworks illegally could face a $2,500 fine, possible jail time and even bigger costs if they start a fire.
Missouri
24 Missourians charged in national health care fraud investigation
Healthcare fraud: Hundreds charged by DOJ
Justice Department officials announced they are charging 455 defendants over schemes involving more than $6.5 billion in alleged false claims.
Fox – Fox 9
The U.S. Department of Justice has charged more than 450 people — including more than two dozen Missouri residents — in connection with global health care fraud schemes totaling a record $6.5 billion.
The DOJ wrote in a news release on June 23 that the alleged fraud and opioid abuse schemes involved 455 people across 45 states who submitted false claims to Medicare, Medicaid and other health care programs and “caused significant patient harm, including death.” Ninety doctors and other licensed medical professionals are among those charged in the schemes.
In all, 56 federal districts and 50 state Medicaid Fraud Control Units participated in the investigation ― the most in the DOJ’s history.
“Health care fraud steals from taxpayers, exploits vulnerable patients, and puts lives at risk,” U.S. Department of Health and Human Services Secretary Robert F. Kennedy, Jr. said. “Today’s historic enforcement action sends a clear message: if you use our health care system to enrich yourself at the expense of patients or the American people, we will find you, we will prosecute you, and we will hold you accountable.”
Luxury cars, fine art and a hotel in the Philippines
Since June 8, hundreds of defendants have been arrested in connection with the schemes, in what the DOJ is calling the 2026 National Health Care Fraud Takedown.
In one case in Arizona, Acting Attorney General Todd Blanche said a corporate executive allegedly took $1 billion in taxpayer funds after billing for wound grafts and charging more than $1 million per patient. The money was later allegedly used to buy million-dollar homes, luxury cars and even build a hotel in the Philippines.
In another case in Florida, three defendants were charged for their roles in an $118 million allograft fraud scheme where a nurse practitioner allegedly used the proceeds to fund their lavish lifestyle, including a luxury box at an NFL stadium and over $400,000 in fine art.
How many Missourians have been charged in the 2026 National Health Care Fraud Take Down?
Twenty-four Missourians have been charged in the state for their alleged participation in health care fraud, with three others being charged out of state. The most common charges include “false statement to receive a health care payment” and “stealing by deceit in connection with Medicaid fraud.”
Two of the complaints allege that the accused parties fraudulently pocketed more than $100,000.
- Michelle Terry, 48, of Saint Peters, was charged with Medicaid fraud and stealing. Terry, who owns an adult daycare center, is accused of submitting false claims for purported services to four Medicaid recipients from May 2023 to September 2024, collecting $114,480.32 in Medicaid funds in the process.
- Chontell Wilkes, 34, and Sandra Wilkes, 55, of St. Louis, were charged with Medicaid fraud and stealing. The pair owns Smiles Adult Day Care, and are accused of submitting 1,418 false claims for adult day care services that were not provided. Through this scheme, Medicaid paid the Wilkeses more than $121,362.20 for services not provided.
In total, the cases cost the state more than $613,000, Missouri Attorney General Catherine Hanaway said in a news release.
What is health care fraud?
The U.S. Federal Bureau of Investigation states that health care fraud is defined as intentionally deceiving the health care system to receive illegal benefits or payments. It can be committed by medical providers, patients and other individuals.
What are the most common types of health care fraud?
The FBI lists the following as some of the most common types of health care fraud committed by medical providers:
- Double-billing: Submitting multiple claims for the same service.
- Phantom billing: Billing for a service visit or supplies that the patient never received.
- Unbundling: Submitting multiple bills for the same service.
- Upcoding: Billing for a more expensive service than the patient actually received.
Common types of fraud committed by patients and other individuals include:
- Bogus marketing: Convincing people to provide their health insurance identification number and other personal information to bill for non-rendered services, steal their identity, or enroll them in a fake benefit plan.
- Identity theft/identity swapping: Using another person’s health insurance or allowing another person to use your insurance.
- Impersonating a health care professional: Providing or billing for health services or equipment without a license.
Common types of fraud involving prescriptions included:
- Forgery: Creating or using forged prescriptions.
- Diversion: Diverting legal prescriptions for illegal uses, such as selling your prescription medication.
- Doctor shopping: Visiting multiple providers to get prescriptions for controlled substances, or getting prescriptions from medical offices that engage in unethical practices.
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