This story is absolutely wild. And horrifying. 🧵usatoday.com/story/news/hea…
In late March, I posted a thread about Noble Healthcare. At the time, I knew they had closed, and I knew it was bad. I didn't know it was this bad. 2/
What my March thread didn't get into was that Noble didn't pay the last paycheck to employees and that they hadn't paid health insurance premiums of their employees. 3/
Along with people in that community, we've been trying to get the state to get involved.

The Attorney General's Office has said they don't have jurisdiction over wage theft. (Yes, that's @Eric_Schmitt's office - the guy running for Senate in Missouri.) #MOSEN

4/
The Missouri Department of Commerce and Insurance claims that, since the insurance companies didn't do anything wrong, they can't do anything. 5/
And the Missouri Department of Labor can investigate but cannot go after the company for stealing employee wages. (Image from an e-mail received from MO DOL.) 6/
Yup, that's right - in Missouri, workers who don't get paid by their employer have to find a private attorney to sue to get paid what they are owed - while meanwhile trying to scrape up enough money for food and housing. 7/
Oh, and by the way, if they quit their jobs because they're not getting paid, then good luck getting any help from the state with those living expenses since the Legislature thinks people should work to be eligible for state assistance. revisor.mo.gov/main/OneSectio… 8/
(Fortunately, "unsubsidized employment" counts as a work activity.) 9/
But the state did do an inspection in August of 2021. They found that "the severity and cumulative effect of these practices had the potential to place all patients at risk for their health and safety." The hospital closed it's doors 7 months later. 10/ documentcloud.org/documents/2171…
Even though it was set up to have more patients, there were three overnight patients at the time. 11/
Now, in the state's defense, DHSS did a follow-up visit in November and found the hospital "in compliance". There were two patients in the hospital at the time. 12/
Oh, and that state inspection in August? It was at the direction of the Federal government. 13/
Back to the employee pay, though: the Federal Department of Labor has been looking into that since early March. 14/ documentcloud.org/documents/2212…
So, to recap, the State of Missouri can't do anything about the employers not paying their workers, didn't investigate dangerous conditions at the hospital on their own, but the Federal government is stepping in to protect employees and patients. 15/
By the way, I wonder how the federal lawsuit against this is going? (And more importantly, why Missourians would want the federal government to stay out of their business when the state does such a poor job of protecting its citizens?) 16/end
revisor.mo.gov/main/OneSectio…

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More from @SarahUnsicker

Aug 16
Strap in for yet another thread about Medicaid problems in Missouri. I've been in office since 2017 and have only paid attention since then. But Family Support Division has had enrollment problems since quite some time before then. 1/ missouriindependent.com/2022/08/16/for…
In 2013, Missouri hired EngagePoint to implement its comprehensive, fully-integrated systems for DSS eligibility, enrollment and case management system. 2/
Missouri then went on to purchase a license for software that EngagePoint objected to. EngagePoint said the software was faulty and worked to fix it. 3/
Read 13 tweets
May 28
I want to thank @MO_Independent for this reporting. It is good and important reporting, and I thank them for shining a light on missing foster kids in Missouri.

And other states should have picked it up.
missouriindependent.com/2022/05/23/%e2…
No doubt 1,780 missing kids is bad. That is 4% of the total of foster kids during this period that went missing.

But the study was about how states report and search for missing kids.
oig.hhs.gov/oas/reports/re…
#Kansas, #Maryland, #Nebraska, #NewYork, and #Ohio each reported 7% of their foster kids went missing during the same period. SEVEN PERCENT.

A quick google search didn't show any news reporting raising concerns mentioning missing foster kids in these states.
Read 6 tweets
May 28
This week, a juvenile officer was indicted on a charge of child sex trafficking. justice.gov/usao-edmo/pr/l…
For those who don't know the Missouri family court system, a juvenile officer (JO) is the person who is responsible for recommending to a judge that a child be removed from the home and put under the state's custody.
In most states, the agency responsible for ensuring the well-being of the child (Children's Division) makes this recommendation. But in Missouri, CD does the investigation and gives recommendations to the JO, who then can petition the court to remove the child (or not).
Read 11 tweets
May 26
I discussed Missouri's trigger ban with an ER doc recently. Missouri would make it a class B felony to perform or induce an abortion "except in cases of medical emergency." That exception is an affirmative defense. But what does that mean?
That means if a doctor performs or induces an abortion they open themselves to criminal charges. "Medical emergency" is not defined and will have to be sorted out by the courts.
That can't be sorted out by the courts unless there is a case before them - i.e. a doctor has to be charged and go to trial before the courts can sort it out.
Read 8 tweets
May 26
I've seen too many takes this morning already of "why don't the Democrats DO something?" Blaming the people you support for not getting things through a system that's designed to require compromise is not helpful.
In Congress, there are not enough Democrats to force anything through without compromise. (unless they change the filibuster. That's not what this thread is about.)
Read 5 tweets

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