AGP Executive Report

Gun Violence in Kansas City: Police are investigating a fatal shooting at the 9200 block of Old Santa Fe where one teen died and two others were injured; an adult suspect was taken into custody. More KC Homicides: Earlier, another shooting on Paseo left a man dead after life-threatening injuries, and a separate mass shooting at 79th and Troost injured nine people. Road Safety: A deadly head-on crash on Highway 5 near the Niangua Bridge killed one driver and sent the other to University Hospital with serious injuries. Public Health Policy: Missouri Attorney General Liz Murrill joined a 14-state push urging the EPA to test whether the abortion pill mifepristone contaminates water supplies. Food Safety: The FDA recalled Farm Rich Pizza Cheese Crunchers in 21 states, including Missouri, over possible metal fragments. Tick-Borne Allergy Tracking: Missouri may soon track Alpha-gal syndrome (tick-bite red-meat allergy), with MU Health Care researchers saying current data gaps make it hard to identify high-risk patients. Healthcare Costs Transparency: The Trump administration warned 500+ hospitals to post pricing information or face penalties up to $2 million annually. Community Health Access: Fordland Clinic added Renita Randall, FNP, to its Kimberling City location.

Hospital Price Transparency Push: The Trump administration warned more than 500 hospitals to post basic pricing or face penalties up to $2 million a year, aiming to cut surprise costs for tests and treatment. World Cup Health Infrastructure: Kansas City and Missouri are preparing for FIFA World Cup arrivals with expanded transportation and dedicated healthcare infrastructure, with hundreds of thousands of visitors expected. Kratom Crackdown in Missouri: Missouri AG Catherine Hanaway says American Shaman will immediately suspend kratom sales and stop Missouri-targeted advertising after a settlement, citing serious opioid-like risks from 7-OH. Water Safety for Abortion Pill Traces: A coalition of state attorneys general, led by Missouri, urged the EPA to add mifepristone to its contaminant list, arguing wastewater treatment may not remove it. Public Safety Incidents: Kansas City saw multiple shootings and a fatal I-435 crash with juveniles injured, while a carbon monoxide scare at an underground complex sent 4 to hospitals after 21 were evaluated. Food Recall: FDA elevated a frozen pizza recall in 21 states over possible metal fragments. Road Safety: A Boone County I-70 work-zone chain crash sent multiple people to hospitals, and Highway 54 crashes left serious injuries.

Medicaid Work Requirements: CMS released final rules for Medicaid enrollees to prove they’re working or in approved activities, with states scrambling to update systems ahead of a Jan. 1, 2027 rollout. Hospital Price Transparency: The Trump administration warned more than 500 hospitals to post clearer pricing or face penalties up to $2 million, spotlighting gaps that can leave patients surprised by costs. Heat Safety for World Cup Fans: Missouri DHSS urged Kansas City visitors to plan for extreme heat and humidity, with tips on hydration, breaks, and watching for heat illness. Severe Weather & Tornado Damage: Storms across the Midwest and Northeast knocked out power and triggered tornadoes near Chicago, including confirmed twisters in Illinois. Rural Health Access: A Missouri report highlights how hospital closures are leaving communities with fewer emergency options, pushing care to farther locations. Community Health & Equity: Columbia Public Schools named a new chief equity officer to oversee district systems aimed at improving access and reducing achievement gaps. Public Health & Food Safety: A frozen pizza recall expanded to 21 states after FDA classified metal contamination risk. Local Safety Incidents: Missouri saw serious crashes and shootings, including a fatal crash near Camdenton and a homicide investigation in Kansas City.

Hospital Price Transparency: The Trump administration warned more than 500 hospitals to post clearer pricing or face penalties up to $2 million, aiming to curb surprise costs for tests and treatments. Public Safety in KC: Kansas City police are investigating a Northland death as a homicide after a medical examiner ruling, with no arrests reported. Violence Update: Separate KC investigations followed a weekend mass shooting that left nine injured and another homicide tied to a convenience-store altercation. Kratom Crackdown: Missouri AG Catherine Hanaway reached an agreement to stop a Kansas City-area distributor from selling kratom-derived opioid-like products, including 7-OH. Veterans’ Hearing Care: The John J. Pershing VA Medical Center in Poplar Bluff will offer cochlear implant programming starting June 17, reducing travel for follow-up care. Community Health & Environment: Rolla added floating wetlands at Ber Juan Lake with the Missouri Department of Conservation to cut algae and improve water quality. Health Tech & AI: Missouri schools and districts are scrambling to set AI guardrails as usage grows, with lawmakers pushing for AI coordinators and teacher training.

Bedside cancer imaging: Researchers at Washington University in St. Louis tested a portable point-of-care PET/CT system that could guide interventional radiology procedures like biopsies and tumor ablations. Public safety in KC: Kansas City police are investigating a mass shooting near 79th and Troost that left 9 people injured; all were expected to survive, with no arrests reported. Health system transparency: The Trump administration warned more than 500 hospitals nationwide to post clearer pricing or face fines up to $2 million annually; Missouri-area hospitals were among those contacted. Opioid crackdown: Missouri Attorney General Catherine Hanaway announced an agreement to suspend in-state sales of 7-OH and other kratom alkaloids by a Kansas City-based distributor. Budget pressure: Missouri State Auditor Scott Fitzpatrick warned the state is on track for painful emergency budget cuts, saying reserves will be exhausted early in FY2028 without changes. Community health workforce: CoxHealth in Springfield celebrated 1,300+ graduates of a paid healthcare apprenticeship program. Food allergy recall: FDA updated a recall of Haagen-Dazs mini ice cream bars due to undeclared wheat, including distribution that reached Missouri.

Budget Watch: Missouri State Auditor Scott Fitzpatrick says the state is on track to exhaust its surplus and face deficit spending of more than $1.7 billion, warning Gov. Mike Kehoe may soon need emergency cuts that could hit services hard. Medicaid Access: CMS data shows 333,265 Missourians lost Medicaid coverage from Jan. 2025–Feb. 2026, with nearly 92% dropped due to paperwork problems—raising alarms as new federal work requirements and eligibility checks begin in 2027. SNAP Changes: Missouri delayed Healthy SNAP restrictions until 2027 while also cutting a program that helps families buy more fruits and vegetables. Health Care Workforce & Care: Bothwell honored a nurse educator for building a stronger nurse residency pipeline, and Burrell Behavioral Health is rebranding to Centerstone as it expands crisis support in Sedalia. COVID Test Accountability: Attorney General Brenna Bird announced a $4.87M multistate settlement with GS Labs over overpriced and delayed COVID-19 tests, including Missouri’s involvement. Public Health & Safety: Missouri Stream Teams promoted Plastic Free July for Lake Appreciation Month, while local reports highlighted crashes and a Kansas City mass shooting that injured nine.

Hospital Price Transparency Push: The Trump administration warned more than 500 hospitals nationwide—including Missouri-area facilities named in AP’s list—that they must post clearer pricing or face penalties up to $2 million a year, with enforcement expected to tighten. Road Safety Grants: The Northwest Missouri Coalition for Roadway Safety is taking applications for Show-Me Zero–aligned highway safety grants (up to $5,000) until Wednesday, June 10. Public Health Alert: A Salmonella outbreak linked to moringa supplements has expanded to 119 illnesses across 36 states, prompting FDA recall updates. GLP-1 Heart Protection: New research suggests GLP-1 drugs may lower blood-clot, ER-visit, and death risks for adults with obesity plus autoimmune disease. Substance Use Watch: Missouri Attorney General action against kratom producer American Shaman is tied to concerns over 7-OH products, with sales halted in the state. Local Health & Safety: A Linn County semi crash injured a woman and infant; a Tarkio man was seriously hurt in a motorcycle crash; and two missing toddlers in Laclede County were found safe after an overnight search.

Public Safety: Kansas City is investigating a mass shooting near 79th and Troost that left 9 people injured, with no arrests reported yet. Road Safety: A fatal crash on I-435 in Kansas City sent one passenger to the hospital dead and left the driver critically hurt, while two juvenile passengers suffered serious injuries. Health Policy & Costs: The Trump administration warned 500+ hospitals nationwide—including facilities in Arkansas—that they must post clearer pricing or face steep penalties, a move aimed at lowering surprise medical bills. Nutrition Assistance: Missouri delayed new SNAP retailer restrictions on candy and sugary drinks until Feb. 15, 2027, after grocers asked for clearer enforcement guidance. Water & Health Infrastructure: Missouri DNR awarded Maryville $52.5 million for drinking water treatment upgrades, and DNR is joining a Kansas City-area air monitoring effort for World Cup 2026 health and safety. Home Care Funding: PRN Funding expanded home care invoice factoring into Missouri (plus Ohio, Minnesota, and Florida) to help agencies access faster cash for staffing and payroll. Community Health & Activity: MU Extension’s free “100 Miles, 100 Days” challenge runs June 16–Sept. 24 to encourage movement statewide.

Mass Shooting in Kansas City: Police investigated a mass shooting near 79th and Troost just after 4 a.m. Saturday, with 9 people injured; no arrests were reported and victims were expected to survive. Fatal Crash on I-435: A high-speed rollover on northbound I-435 near Eastwood Trafficway left 1 dead and 3 others—including two juveniles—with serious injuries; lanes were closed for about 3 hours. Northwest Missouri State Infrastructure: The university entered the final phase of a $105M campus modernization project, including HVAC upgrades and a shift from a steam plant to a hot-water system, with more temporary closures expected. Heat Safety & CPR: Boone Health highlighted CPR training as a heat-and-water season risk, noting response delays and the importance of acting fast during cardiac arrests. SNAP Restrictions in Missouri: Missouri is among states moving to limit SNAP purchases of items like candy and sugary drinks, with changes delayed until February 2027. Kratom Crackdown: Missouri’s attorney general action continues as a major kratom/7-OH seller agrees to stop sales in the state. Trauma Care Update: A study found pre-hospital calcium for air-transported trauma patients can reduce hypocalcemia but may raise hypercalcemia risk. Rural Health & Access: A political race for Missouri’s District 6 seat puts rural hospital closures and healthcare access front and center. Community Health Outdoors: Missouri Stream Teams invited residents to join National Rivers Month activities, including free stream cleanups and water-quality monitoring.

Measles Surge: The U.S. is on pace for a new modern high, with 2,030 confirmed cases across 38 states and D.C. as of June 4—most in unvaccinated people and many involving children—raising alarm for Missouri families and schools. World Cup Health Prep (KC): Kansas City medical teams are setting up mobile hospitals and focusing on everyday risks like colds, GI illness, and tick/mosquito exposure as crowds arrive for the tournament. Alpha-gal in Missouri: MU Health Care highlights alpha-gal syndrome, a delayed mammal-meat allergy linked to lone star ticks, with symptoms ranging from hives and stomach issues to rare severe reactions. Animal Health Threat: Texas activated an “escalated response” to the New World screwworm, warning that livestock impacts could ripple into food supply and prices beyond Missouri. Community Clinic in Schools: St. Louis is expanding a school-based clinic model that brings physicals, counseling, and hygiene support directly to students. Public Health Outdoors: Missouri Stream Teams is inviting residents to join National Rivers Month activities, including free stream cleanups and water-quality monitoring. Safety Reminder: Jefferson City firefighters warn residents not to drive through flooded roads after a rescue from submerged floodwaters. Local Crime & Health: A mass shooting on Troost Ave. left nine injured (expected to survive), underscoring the need for ongoing community safety and trauma support.

Gun Violence & Public Health: Kansas City police are investigating a mass shooting near England’s FIFA World Cup 2026 base camp at Swope Soccer Village; early Saturday morning, 9 people were shot and all injuries were reported as non-life-threatening, with victims taken to local hospitals and no suspects in custody yet. Local Emergency Preparedness: Mid-Missouri agencies are stepping up planning for World Cup-related demand, including possible spikes in medical emergencies and traffic, with Boone County focusing on coordination and training rather than sending responders to Kansas City. Community Health Costs: Moberly residents are bracing for higher water and sewer bills starting July 1, with a 3% rate increase and added payment processing fees for card users, as utility assistance funds face continued summer demand. Health & Wellness Philanthropy: The Baxter Health Foundation Bass Classic returns for a second year on Lake Norfork, with proceeds supporting aging care, cancer support, and women’s health programs. Injury & Safety: A separate Kansas City crash on I-435 left one person dead and three others, including two juveniles, seriously injured, prompting lane closures and renewed attention to road safety.

Gun Violence in KC: Kansas City police are investigating a mass shooting on Troost Avenue near 79th Street that left 9 people injured early Saturday morning; three women were found at the scene and six more were later located at hospitals. All injuries were reported as non-life-threatening, and no arrests or suspect details were released. Public Safety—More KC Shooting: Late Saturday night, another Kansas City shooting on Westport Road left two men dead; homicide detectives are still working to determine what led up to the attack. Road Safety: A fatal crash on I-435 in Kansas City sent one passenger dead and the driver and two juvenile passengers to hospitals with serious or critical injuries. Local Costs & Assistance: Moberly residents face higher water and sewer rates starting July 1, with a 3% increase and added card processing fees, while utility assistance funding concerns are also rising. Community Health & Wellness: Mid-Missouri dermatologists shared summer sun-safety tips, including choosing broad-spectrum SPF 30+ and applying before going outdoors. Health Policy—SNAP in Missouri Region: Coverage highlights how SNAP cuts are hitting nearby communities, with Kansas reporting major benefit losses after federal changes.

Gender-affirming care access: A New Mexico woman says even with legal protections, primary care doctors sometimes won’t continue hormone regimens without endocrinology visits—leaving patients facing months-long gaps or risky workarounds. Public health & safety: Kansas City police are investigating a Troost Avenue shooting that left nine adults injured, all with non-life-threatening wounds. Maternal health: Boone Health hosted a Mid-Mo Baby Expo for about 400 first-time parents with hands-on newborn safety, lactation, and postpartum mental health resources. Nutrition assistance: A Kansas report says nearly 22,000 Kansans lost SNAP benefits after the “One Big Beautiful Bill,” raising fears that people will “fall through the cracks.” Road injuries: A St. Louis County I-64 chain-reaction crash injured three; separate Missouri crashes in Warren and Morgan counties killed one each and sent others to hospitals. Animal health: Missouri activated its New World Screwworm response plan after the pest was detected in Texas, coordinating with state and federal partners.

Maternal & infant health: Boone Health hosted the MidMo Baby Expo in Columbia with seminars on lactation, first aid, pelvic floor therapy, and postpartum mental health, plus clinicians encouraging new parents to keep up with checkups and screenings. Public health & safety: Missouri’s Healthy SNAP launch has been pushed to Feb. 15, 2027, extending the timeline for the state’s waiver work to steer benefits toward healthier foods. Addiction prevention: Missouri AG Catherine Hanaway says Kansas City-based CBD American Shaman will immediately suspend in-state sales of kratom and 7-OH after a lawsuit over “deceptive” marketing. Food & nutrition: A new report warns that many Americans may be eating too much protein; experts note excess intake can raise risks for some people, including heart and metabolic concerns. Animal health: Missouri activated a New World Screwworm response plan after USDA confirmed the pest in a Texas calf. Community health & recovery: A year after a major St. Louis tornado, a Washington University iHeard STL survey finds widespread dissatisfaction with recovery efforts. Injury & trauma: A motorcycle crash in Hannibal left two seriously injured, while a Versailles man died in a Morgan County crash.

Maternal care upgrade: SSM Health says it’s building a new maternal and newborn specialized care center at Cardinal Glennon to keep mothers and babies together—even when a newborn needs intensive care. Nutrition policy: Missouri is delaying the Healthy SNAP initiative to Feb. 15, 2027, giving DSS more time to work with local grocers and partners on the “healthier foods” waiver. Public health—food choices: A University of Missouri expert warns that Americans often eat far more protein than needed, and excess intake may raise risks like heart disease and type 2 diabetes. Community health—heat safety: Missouri’s Summer Safety Day urges residents to plan for hotter, more humid weather and focus on frequent water breaks as heat index values near 100° approach. Substance safety: Missouri AG Catherine Hanaway says Kansas City-based American Shaman will suspend in-state sales of kratom and 7-OH after allegations of misleading “free sample” marketing. Outdoor health: Missouri is seeing high tick activity, with officials pointing to warm, humid conditions and recommending protective clothing and permethrin-treated gear. Animal health threat: USDA confirmed New World screwworm in Texas; Missouri’s veterinary and public health partners are preparing for possible re-emergence. Road safety: A Parkville man faces manslaughter charges after prosecutors say he was driving over 100 mph when a crash killed a passenger.

Data Center Regulation: Missouri lawmakers failed to pass data-center rules before the May 15 session end, leaving communities to rely on patchwork local moratoriums and contentious elections as hyperscale builds surge. Reproductive Health Access: A Planned Parenthood affiliate says it’s letting some women obtain “just in case” abortion pills via in-person or remote appointments, while Missouri coverage also highlights how telehealth access can be lifesaving for domestic violence survivors. Water & Health: Google pledged to replenish more water than it uses at its data centers by 2030, including infrastructure upgrades and watershed protections. Workforce Safety for Drivers: The FMCSA is seeking public comment on 11 epilepsy-related commercial driving exemptions, weighing safety on interstate roads. Cancer Research: St. Louis-area experts are featured in coverage of new leukemia/lymphoma approaches at EHA 2026, including CELMoDs and bispecifics. Community Health & Youth: Missouri’s 4-H Teen Conference drew 218 youths for leadership and service, including donations for MU Children’s Hospital. Local Care System Changes: Community Health Systems completed the sale of four Arkansas hospitals to Freeman Health System. Public Health Education: Missouri’s Department of Conservation is offering a “From Field to Classroom” workshop for K-12 educators to bring outdoor learning into schools.