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Missouri lawmakers look to expand doula program based on early success

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Missouri lawmakers look to expand doula program based on early success


In the past year, Christian King, a doula based in Kansas City, has supported more than 40 mothers enrolled in Medicaid through their pregnancy, birth and postpartum.

In that role, she helps educate and support families about birth and babies, but her work also takes on a more nontraditional approach.

When one mother’s water was shut off at four weeks postpartum, King helped her find reconciliation services to turn the utilities back on. When another mom couldn’t afford car repairs, King found an organization in Raytown that provided financial assistance. She helped one client secure a car seat from the local health department and another fill her closet with baby clothes.

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King, 35, hopes that soon, “just like going to the dentist and going to the eye doctor, obtaining a doula and having a doula present is also one of those things that you just have to have on your team as part of services for maternity.”

Doulas do not deliver babies. They advocate for the physical and mental wellbeing of mothers and their families.

For the past 15 months in Missouri, anyone enrolled in Medicaid while pregnant and postpartum can have a doula by their side for free. Now, a group of bipartisan lawmakers are hoping to expand the program in an effort to continue combating the state’s poor infant and maternal outcomes.

“The statistics tell a devastating story of the lives lost that could’ve been saved if we put in the proper measures,” said state Sen. Barbara Washington, a Democrat from Kansas City who proposed one iteration of the legislation. “There are third-world countries that have better maternal mortality rates than we do.”

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The bill is estimated to cost around $300,000. While substantial amid a predicted state budget shortfall, state Rep. Becky Laubinger, a Republican from Park Hills who also filed legislation to expand the program, said she believes the long-term savings of having fewer Missourians who require medical attention will make up for the cost.

On average, 70 women die each year in Missouri during childbirth or in the first year postpartum. Of those deaths, 80% are deemed preventable.

In Missouri, women on Medicaid were seven times more likely to die within a year of pregnancy than women on private insurance, according to a 2024 report published by the state’s Pregnancy-Associated Mortality Review that looked at women who gave birth between 2017 and 2021. A 2023 March of Dimes report gave Missouri a D- for preterm births, and also pointed to doulas as a solution.

In fall 2024, the Missouri Department of Social Services issued an emergency rule authorizing Medicaid to reimburse doula services, citing “an immediate danger to the public health, safety or welfare of pregnant women in Missouri.”

Since the program’s inception, there have been about 625 participants insured through Medicaid who accessed doulas during their pregnancy and postpartum, said Baylee Watts, a spokeswoman for the Department of Social Services. As of this month, 108 doulas were enrolled in the program.

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“The department is encouraged by the level of engagement so far,” Watts said in a statement. “And views the doula benefit as an important component of broader efforts to improve maternal health outcomes across Missouri.”

Legislation filed by state Rep. Tara Peters, a Rolla Republican, has moved the farthest this year, clearing committee in February as part of a sweeping health care bill. Her bill seeks to increase the number of covered doula visits from six to 16.

The average out-of-pocket cost for a doula in Missouri is about $1,500, according to the Missouri Doula Association.

“I’ve just noticed how much extra care a doula can provide, especially for women in high need situations,” said Laubinger. “Doulas can provide some great education and support for people who maybe don’t have the extra support.”

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This support can also look like serving as an interpreter between medical professionals and pregnant people, navigating insurance, ensuring access to nutritious food or coordinating transportation to medical appointments. 

Laubinger, who previously served as executive director of Monarch Family Resource Center in Farmington, said expanding the number of covered visits can be particularly helpful for women who experience postpartum depression in the year after giving birth.

Her legislation, like Peters’, expands the number of reimbursable visits from six to 16, and includes access to doulas for prenatal, birth, postpartum and lactation support.

She said the legislation also hopes to correct some issues doulas have had getting full reimbursement after being in the room for a scheduled c-section, listed as a scheduled surgery, a classification she said muddled the reimbursement process.

The Department of Social Services previously said the reimbursements could lead to savings for the state in the coming years, including by potentially reducing the Cesarean rate. Watts said it’s too early to get an accurate look at this result.

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Laubinger said doulas can be a lifesaving set of eyes and ears in homes where women experience domestic violence, a leading cause of pregnancy-associated deaths in Missouri.

“The doula birth worker can also have a voice in those situations and see what’s going on outside of that medical office,” she said. “And maybe be able to provide some rescuing relief from dangerous situations for mom.”

To be eligible, doulas must be credentialed and certified through a national or Missouri-based doula training organization. From there, they will be added to a list of eligible doulas overseen by the Missouri Community Doula Council.

Sandra Thornhill, a social justice doula who has advocated in Jefferson City for better legislation for doulas, said it was beautiful to see this policy issue reach across the aisle. And she was happy to see some of the proposals pushing for increased visits, especially in postpartum.

She said it’s not a question of if doulas should be reimbursed, but of how the state honors the traditional practices and values of doulas in that process. She is wary of any policies that place community health workers under medical or state authority. Instead she hopes to see more collaborative models.

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”My concern is not with recognizing doulas in the Medicaid policy, but with how the bill structures authority and governance over that work,” said Thornhill, who describes herself as a womb warrior and policy griot. “The question is whether the policy structure strengthens community birth workers or will it place unnecessary burden or medical authority that doesn’t reflect the roots of the work.”

But she said the progress made in acknowledging and supporting doula’s work in the past few years is striking, especially as many doulas live “birth to birth” as they struggle to pay the bills. 

Prior to the state’s Medicaid reimbursement plan, The Independent spoke with several doulas who spoke of giving up wages to help families in need for free as they navigated growing their families.

“They do it because they love their people and their community so much that they’re willing to make this great sacrifice,” Thornhill said. “
However, it is not healthy. And it is not fair for the community to have to suffer like that when there are resources available to change that. But again, those resources cannot come with a slap on the wrist. They cannot come with a backlash of ‘now you’re under our thumb.’”

A representative with America’s Health Insurance Plans voiced opposition to Washington’s bill in a committee hearing last month.

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“We are very concerned about issues with education, standardization and making sure doulas are all on the same page and we know exactly how they’ve been trained,” he said. “There seems to be some resistance out there and a lot of independence within the organizations.”

Washington’s legislation also seeks to ensure health benefit plans offer coverage for midwifery services. She said this is especially crucial in rural parts of the state, where families don’t have access to nearby hospitals with maternity wards. 

“Currently, our law does not explicitly require private health plans to cover midwifery. This would close that loophole,” Washington said, adding that this change would shift power back to patients to choose their own provider, especially in rural communities “where the hospitals are closing at alarming rates.”

This story was first published at missouriindependent.com.



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Former Columbia parking manager charged after allegedly stealing $45K from city

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Former Columbia parking manager charged after allegedly stealing K from city


A former Columbia parking facilities manager was formally charged after allegedly stealing around $45,000 in coins from the city over the course of nine months, according to a probable cause statement.

James Faup, 39, was arrested in April after allegedly taking coins from a Columbia coin room multiple times and exchanging them for cash at a Coinstar machine at Walmart, according to the statement.

Faup is charged with stealing of $25,000 or more, a class C felony, according to court records. The Boone County Prosecuting Attorney’s Office formally charged Faup last week following his April arrest, and he was arraigned in court on Thursday, according to court records. He pleaded not guilty to the charge.

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The Columbia Police Department said it received a tip stating someone suspicious was dressed in a Columbia Public Works Department uniform and exchanging a large amount of coins at the Coinstar machine.

Faup allegedly admitted to stealing approximately $1,200 every time he was in the coin room, which was multiple times a month since at least June 2025, according to the probable cause statement.

Faup was convicted of stealing in 2013, when he stole money from University of Missouri parking enforcement while an employee there, according to the probable cause statement.



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Missouri property tax reform efforts fail as legislative session ends

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Missouri property tax reform efforts fail as legislative session ends


As the Missouri House began the final day of this year’s session last week, state Rep. Tim Taylor reluctantly reported that last-minute efforts to salvage a package of changes to property tax laws had failed.

For most of the past year, property taxes and how they are levied had dominated the three-term Republican’s legislative work. The change he considered key to making the system fairer had died weeks earlier in disagreements between the House and Senate.

Now he was telling the House that smaller changes, intended to make voters more informed and change how local tax measures are labeled, were also dead.

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He chose a quote from the renowned Russian writer Leo Tolstoy’s 1886 book “What Then Must We Do” to illustrate what happened.

“I sit on a man’s back, choking him, and making him carry me, and I assure myself and I assure others, that I feel sorry for the man,” Taylor recited. “And I wish to ease his lot by any possible means — except to get off his back.”

The local districts that rely on property taxes were too powerful a lobby to overcome, Taylor told his colleagues. 

As they campaign, Taylor said, members will go out and tell constituents, ‘‘I really, really feel sorry for you” as they complain about property assessments that are driving up their tax bills.

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“But you come to this building and you say ‘sorry, I can’t vote against my schools. By God, they need everything they can get’,” Taylor said. “Then you’re not taking into account the taxpayer … and you’re making them suffer so that you can sit there and not suffer at all.”

The problem

In 1980, Missourians approved a constitutional amendment intended to control local tax rates by making increases subject to a public vote and requiring annual rate adjustments, or rollbacks, when property values rise faster than inflation.

But the rollback requirement is a restraint on total revenue for each taxing district, not a cap on individual tax bills. There are five subclasses of property — residential, commercial, agricultural, personal and state-assessed private infrastructure — and when values in one subclass rise faster than others, the burden shifts toward those owners.

And for the past 10 years, the bulk of that shift has been toward homeowners. Total residential assessments have increased 75% since 2015, according to annual reports of the Missouri State Tax Commission. In the same period, commercial and personal property assessments have risen about 50% and agricultural land values have risen 14%.

Throughout Missouri, except in St. Louis County and the city of Gladstone, tax rates are general. All property, regardless of subclass, is taxed at the same locally determined rates.

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In St. Louis County, taxing districts look at the revenue from each subclass as a separate question. If values within that subclass rise faster than inflation, tax rates are lowered in that class only.

Called siloing, the result has meant residential property owners in St. Louis County pay a much lower rate than owners in other subclasses.

Both chambers passed bills to require siloed rates statewide. Taylor’s House-passed bill never got out of a Senate committee, while a bill passed in the Senate two weeks before the end of the session never received a House hearing.

The lack of action is frustrating, said state Sen. Joe Nicola, a Republican from Grain Valley in Jackson County.

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In 2019, assessments for some homeowners in Jackson County increased 400%. The assessments increased by one-third more in 2023, prompting an intervention by the State Tax Commission and a lawsuit, eventually dismissed, by then-Attorney General Andrew Bailey, to reverse the increases.

Riding the outrage over rapidly increasing tax bills, state Sen. Joe Nicola, a Grain Valley Republican, promised he would push for changes to provide relief. But he’s been stymied at every step, he said as the session wound down.

“Before we came into session, our caucus had a meeting, a summer caucus, and the No. 1 priority was property tax reform,” Nicola said. “We don’t have anything that’s actually going to help the people save money.”

The impasse

When property classes are considered in isolation, Taylor said in an interview with The Independent, owners get realistic market valuations for their property without fearing massive increases in the tax bill based on that value.

When all property is considered in setting rates, the relief from a rollback is diluted. For example, in Hamilton in Caldwell County, assessments for commercial property doubled or tripled but the rollbacks reduced rates by only a few cents per $100 of assessed value. 

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One property owner saw a 200% increase in value and the tax bill increased 197%.

The irreconcilable difference between the House and Senate approaches to siloing rates is what happens to rates of subclasses that do not qualify for a rollback. The Senate version, Taylor said, would have allowed taxing districts to increase rates for some property owners while reducing them for others to capture all the constitutionally allowable revenue.

“If there’s a loss, they can make that up and tack that on to another silo,” Taylor said.

That’s the way taxes are levied in St. Louis County, he said, and the shift is generally onto commercial property.

“In Howard County, there’s no commercial property,” Taylor said. “It’s all going to land in one place, because we’re not going to put it on ag land. It’s going right on the doorstep of the homeowners.”

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Another provision that was unacceptable would have set up a fund to assist school districts with construction costs for academic buildings, Taylor said.

It would have allowed lawmakers to appropriate general revenue to the fund and would have set up a commission to oversee how it was used. 

“We’ve never, ever seen anything like that on this side of the House,” Taylor said. “So I would have to strip that out. And I guarantee it, it’s not going to pass here.”

Smaller steps

The demise of siloing as a solution put the focus on other, more incremental changes.

Attention turned to legislation on how the tax commission determines which locations are in compliance and which are not.

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Local property valuations are monitored by the tax commission, which publishes a study of each county and can direct assessors to raise residential or commercial values it considers too low.

One idea would have lowered the range of values used in the studies from 90% to 110% of market value to 80% to 100%. 

Other ideas related to the way assessors set values. 

Currently, assessors are not supposed to increase the value of a residential property by more than 15% without an in-person exterior inspection. 

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Nicola wanted the 15% limit to be a cap on any assessment increases for residences. 

“We need to get some relief on the property taxes so people can stay in their home,” he said.

The bill that Taylor lamented in his speech to the House would have made as many changes in how tax questions appear on the ballot as it did to the way rates are set.

Instead of names like “Van-Far RI Proposition Safe Schools, Strong Community” or “Community R-VI Proposition K.I.D.S.”, two ballot names used in Audrain County in April, each ballot measure would have a letter or number designation.

The ballots would have had to describe the tax rates before and after the vote, and would have been barred from using the phrase “no tax increase” unless taxes would go up after a negative vote.

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The cost to individual taxpayers would have to be described in terms of taxes for every $100,000 of appraised value for real estate and every $10,000 of appraised value for personal property.

On tax rates, the bill had provisions that could allow them to increase. If property values fell in the year after an election to increase rates, the lost revenue could be calculated into the actual rate that could be charged.

For tax relief, the bill allowed the minimum school levy, currently $2.75 per $100 of assessed value, to be subject to rollbacks under the Hancock Amendment.

Nicola voted against the measure on this year’s ballot allowing lawmakers to replace the income tax with an expanded sales tax. He said during debate that no constituent had asked for it while most people he spoke with urged action on property taxes.

“The governor wants to phase out income taxes so he can draw businesses,” Nicola said. “But that’s not the only thing businesses look at. They look at education, they look at affordability of homes, schools. We have people moving out of Jackson County who can’t wait to get out of that county because of the property taxes.”

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The work this year will resume in 2027, Taylor said, when the House will have 51 new members and the state Senate will have 11.

“I’ve been saying since we began, at probably the very first meeting we had back in July, or whatever it was, that this is not a one-year thing,” Taylor said. “We’ve taken 40 years or better to get where we are today and so it’s not going to be changing overnight.”

This story was first published at missouriindependent.com.



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Google announces $15 billion data center in mid-Missouri

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Google announces  billion data center in mid-Missouri


ST. LOUIS, Mo. (First Alert 4) – Google announced it is bringing a $15 billion data center to mid-Missouri, located next to an already approved $35 billion data center run by Amazon.

The data centers are slated to go in Montgomery County in New Florence, 20 miles west of Warrenton along Interstate 70.

The two data centers combined would take up nearly 2,000 acres. Busch Stadium and Ballpark Village take up 28 acres, making the combined data center footprint roughly the size of 70 Busch Stadiums.

Google explained how it will be using advanced technology, hoping to limit water usage and reduce the environmental impact.

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“We look forward to expanding Google’s investments in Missouri and helping Missourians benefit from the next wave of American innovation,” said Ruth Porat, President and Chief Investment Officer of Alphabet and Google. “To deliver the upside of technology, we are investing in workforce development and energy affordability, both directly and through our partnerships with local organizations. This commitment will provide thousands of Missourians with valuable technical and trade skills, while supporting energy affordability for residents in Montgomery County and across the state.”

According to Missouri Governor Mike Kehoe, in accordance with Senate Bill 4, Google will continue to pay for 100% of the power the data center uses and any new infrastructure costs that are directly driven by its operations.

This is a breaking news story that will be updated.

Copyright 2026 KMOV. All rights reserved.



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