KANSAS CITY —Police in Kansas City are investigating another homicide.

Just before 2a.m Saturday, officers were dispatched to a shooting in the 3900 block of St. John Avenue in Kansas City, Missouri, according to KCPD Sergeant Phil DiMartino.

As officers arrived they located a man on the sidewalk, suffering from a gunshot wound. Offiers began performing life saving measures as KCFD EMS arrived on scene. Medics transported the victim to a local hospital with life threatening injuries.&nbsp;

Just before 3a.m., the victim was pronounced deceased at the hospital. This is being investigated as a homicide. The preliminary investigation revealed there was an interaction between several individuals just prior to the shots being fired and the victim being struck.&nbsp; Police have not released any suspect details or released the name of the victim.

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766854408367.png" alt="Photo Sheriff Daryl Forte'" />
 <figcaption>Photo Sheriff Daryl Forte'</figcaption>
 </figure>KANSAS CITY —Police in Kansas City are investigating another homicide.Just before 2a.m Saturday, officers were dispatched to a shooting in the 3900 block of St. John Avenue in Kansas City, Missouri, according to KCPD Sergeant Phil DiMartino.As officers arrived they located a man on the sidewalk, suffering from a gunshot wound. Offiers began performing life saving measures as KCFD EMS arrived on scene. Medics transported the victim to a local hospital with life threatening injuries.&nbsp;Just before 3a.m., the victim was pronounced deceased at the hospital. This is being investigated as a homicide. The preliminary investigation revealed there was an interaction between several individuals just prior to the shots being fired and the victim being struck.&nbsp; Police have not released any suspect details or released the name of the victim.

KCPD: Man found with gunshot wound died at the hospital

KANSAS CITY—Law enforcement investigating another homicide in Kansas City have identified the victims as 17-year-old Damon L. Gully and 24-year-old RIckey T. Young.

Just after 9a.m. Friday, patrol officers were dispatched to the 7400 block of Chestnut in Kansas City, Missouri on a reported disturbance, according to KCPD Sergeant Phil DiMartino. While en route the call was upgraded to a shooting.&nbsp;

As officers arrived they located Gully and Young in the street, suffering from gunshot wounds. KCFD EMS arrived simultaneously and performed life saving measures. Both victims were pronounced deceased on scene.&nbsp;

This is being investigated as a homicide. The preliminary investigation has revealed that there was a dispute over property, just prior to shots being fired and the victims being struck. Detectives have located several witnesses and continue to canvass the area for additional witnesses or surveillance footage. Crime scene personnel are processing the scene for any available physical evidence.&nbsp;

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766776797448.png" alt="Photo Sheriff Daryl Forte'" />
 <figcaption>Photo Sheriff Daryl Forte'</figcaption>
 </figure>KANSAS CITY—Law enforcement investigating another homicide in Kansas City have identified the victims as 17-year-old Damon L. Gully and 24-year-old RIckey T. Young.Just after 9a.m. Friday, patrol officers were dispatched to the 7400 block of Chestnut in Kansas City, Missouri on a reported disturbance, according to KCPD Sergeant Phil DiMartino. While en route the call was upgraded to a shooting.&nbsp;As officers arrived they located Gully and Young in the street, suffering from gunshot wounds. KCFD EMS arrived simultaneously and performed life saving measures. Both victims were pronounced deceased on scene.&nbsp;This is being investigated as a homicide. The preliminary investigation has revealed that there was a dispute over property, just prior to shots being fired and the victims being struck. Detectives have located several witnesses and continue to canvass the area for additional witnesses or surveillance footage. Crime scene personnel are processing the scene for any available physical evidence.&nbsp;

17-year-old among victims in deadly Kansas City gun fight

By:<a href="https://nebraskaexaminer.com/author/bernard-j-wolfson-kff-health-news/">Bernard J. Wolfson, &nbsp;KFF Health News</a>-

As Congress debates whether to extend the temporary federal subsidies that have&nbsp;<a href="https://www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire/" target="_blank">helped millions</a>&nbsp;of Americans buy health coverage, a crucial underlying reality is sometimes overlooked: Those subsidies are merely a band-aid covering the often unaffordable cost of health care.

California, Massachusetts, Connecticut and&nbsp;<a href="https://www.milbank.org/publications/beyond-public-reporting-strengthening-accountability-to-states-cost-growth-targets-and-leveraging-targets-in-health-care-oversight/" target="_blank">five other states</a>&nbsp;have set caps on health care spending in a bid to rein in the intense financial pressure felt by many families, individuals and employers who every year face increases in premiums, deductibles and other health-related expenses.

Hospitals and other health care providers are citing Republicans’ One Big Beautiful Bill Act, signed by President Donald Trump in July, as one more reason to challenge those limits.

The law is expected to reduce federal Medicaid spending by&nbsp;<a href="https://www.kff.org/medicaid/medicaid-enrollment-spending-growth-fy-2025-2026/" target="_blank">more than $900 billion</a>&nbsp;over a decade, which mathematically should help the overall health care system meet the caps. But the law is also expected to increase the number of uninsured Americans, mostly Medicaid beneficiaries, by an estimated&nbsp;<a href="https://www.kff.org/uninsured/how-will-the-2025-reconciliation-law-affect-the-uninsured-rate-in-each-state/" target="_blank">10 million people</a>. Health care analysts predict hospitals and other providers will raise prices to cover the double whammy of lost Medicaid revenue and the cost of caring for an influx of newly uninsured patients.

Whether regulators in some states will allow providers to justify higher prices and exceed the spending caps is unclear. Only&nbsp;<a href="https://www.milbank.org/publications/beyond-public-reporting-strengthening-accountability-to-states-cost-growth-targets-and-leveraging-targets-in-health-care-oversight/" target="_blank">California and Oregon</a>&nbsp;can penalize providers financially if they fail to meet targets.

“Are we going to say, ‘That’s OK’? Or are we going to say, ‘Well, you exceeded the target. We’re still going to penalize you for that’?” said Richard Pan, a former state lawmaker and a member of the California Office of Health Care Affordability’s board. “That has not yet been decided.”

The California Hospital Association, the industry’s main state lobbying group,&nbsp;<a href="https://calhospital.org/file/ohca-petition-for-writ-of-mandate/?_cldee=A8GhrcOY_cTuDPfqPGEYnuTgoZXm3szCgl31GFGm7Rb9gSK_2LWVhcwpQwK8EuuJ&amp;recipientid=contact-e10e51f96e20eb11a813000d3a375a4d-5668c9ec73c54063bd98803095e124ac&amp;esid=7bd201ea-8aa4-f011-bbd3-6045bd03d69a" target="_blank">filed a lawsuit</a>&nbsp;in October asking a state court to strike down the spending caps, which it argued fail to account for all the cost pressures hospitals face. Those pressures, it said, include an aging, sicker population; the&nbsp;<a href="https://www.dir.ca.gov/dlse/Health-Care-Worker-Minimum-Wage-FAQ.htm" target="_blank">rising cost</a>&nbsp;of labor; expensive advances in medical technology; large capital outlays on required seismic retrofitting; and changes in federal policy, including the One Big Beautiful Bill Act. The hospital group’s lawsuit also asserted that the state affordability office, by hastily imposing ill-considered cost-cutting targets, was undermining its other key mission of improving health care access, quality and equity.

California’s affordability office last year set a&nbsp;<a href="https://kffhealthnews.org/news/article/health-brief-california-annual-health-spending-caps/" target="_blank">five-year target</a>&nbsp;to cap statewide spending growth, starting at 3.5% in 2025 and declining to 3% by 2029. The annual caps apply to a wide range of health care entities, including hospitals, medical groups, insurers and other payers.

Earlier this year, it imposed much lower spending growth caps — starting at 1.8% in 2026 and declining to 1.6% by 2029 — for&nbsp;<a href="https://hcai.ca.gov/wp-content/uploads/2025/04/Update-to-Draft-Motions-Presented-April-2025.pdf" target="_blank">seven “high-cost” hospitals</a>.

“The spending caps set by politically appointed bureaucrats could force cuts that result in many Californians traveling farther for care, facing longer emergency room wait times, experiencing more overcrowding and losing access to critical services,” Carmela Coyle, the hospital association’s president and CEO, said in an October press release.

The California attorney general’s office, which will represent the affordability agency, has not yet filed a response to the hospital group’s complaint and did not respond to a request for comment.

California is not the only state taking a close look at hospital prices, which are widely considered a&nbsp;<a href="https://tobin.yale.edu/research/who-pays-rising-health-care-prices-evidence-hospital-mergers" target="_blank">primary driver</a>&nbsp;of health care costs.

“States, armed with information that points to payments to hospitals as a driver of what is way beyond affordable commercial premiums, have begun to take increasingly targeted actions focused on commercial hospital prices,” said Michael Bailit, founder of the Needham, Massachusetts-based consultancy&nbsp;<a href="https://www.bailit-health.com/team/michael-bailit.php" target="_blank">Bailit Health</a>, which has advised multiple states, including California, on ways to tame health care spending. “It is not surprising that the hospital industry is going to oppose such state actions.”

In its lawsuit, the California Hospital Association said the affordability office’s own report showed that pharmaceutical and insurance companies are largely responsible for high costs.

Hospitals in some states with cost growth limits, including&nbsp;<a href="https://cthosp.org/advocacy/healthcare-legislation-and-policy/healthcare-cost-growth-benchmarking/" target="_blank">Connecticut</a>&nbsp;and&nbsp;<a href="https://www.mhalink.org/mondayreport/is-benchmark-good-too-weak-or-irrelevant/" target="_blank">Massachusetts</a>, have expressed objections similar to the ones raised in the California lawsuit. They could follow their counterparts in California if their lawsuit succeeds, said Peter Lee, who led California’s Affordable Care Act marketplace, Covered California, for&nbsp;<a href="https://www.coveredca.com/newsroom/news-releases/2021/09/16/peter-v-lee-to-leave-as-executive-director-of-covered-california-after-10-years-leading-the-nations-largest-state-based-marketplace/" target="_blank">over a decade</a>&nbsp;and is now a&nbsp;<a href="https://med.stanford.edu/cerc/about/affiliates-advisors.html" target="_blank">senior scholar</a>&nbsp;at Stanford Medicine’s Clinical Excellence Research Center.

Lee said the work of California’s affordability office and similar agencies in other states is just about the only systemwide effort being made to cut health care costs. They are basically saying, “‘Look, health care is taking money away from education, it is taking money away from the environment, it is taking money away from everything in the public sector, and in the private sector it is taking money away from wages,’” he said. “‘We don’t know how you, the health system, are going to do it, but it is your job not just to provide quality but to lower costs. Here’s the target.’”

To be sure, achieving the cost savings that California and those other states are seeking is no easy lift. It will ultimately require persuading large, financially powerful players that compete fiercely for health care dollars to adopt a different mindset and begin cooperating to reduce costs instead. And that, in many cases, will mean lower revenue.

But the status quo, as many people know all too well, means continued financial pain for millions.

In early 2020, Estevan Rodriguez, a bartender at California’s Monterey Beach Hotel, had surgery for a staph infection in his leg. The bill came to nearly $168,000. His insurance paid most of it, but he still owed $5,665, which took him two years to pay, more than $200 every month. “It may not be a lot to some people, but it was a lot to me,” Rodriguez said.

He said he dropped his Hulu subscription, switched to a lower-cost cellphone, and got cheaper car insurance. He started going to food banks rather than the grocery store, he said, and had a lot less time with his kids, because he was constantly working to pay off the hospital bill.

<a href="https://www.montagehealth.org/locations/profile/community-hospital-monterey-peninsula/" target="_blank">Community Hospital of the Monterey Peninsula</a>, where Rodriguez had his surgery, is one of the seven hospitals identified by California’s affordability office as high-cost. A&nbsp;<a href="https://hcai.ca.gov/wp-content/uploads/2025/11/OHCA-Investigative-Study-of-Hospital-Market-Competition-in-Monterey-County-1.pdf" target="_blank">study by the office</a>&nbsp;attributed high hospital prices in Monterey County to a lack of market competition “rather than higher operating costs or superior quality of care.”

The Monterey hospital referred a request for comment about its “high-cost” designation to the California Hospital Association. CHA spokesperson Jan Emerson-Shea declined to comment beyond the language of the lawsuit and Coyle’s press release statement.

Health care analysts worry the One Big Beautiful Bill Act will reduce market competition even further by stressing already weak hospitals, leading some to shut services, merge with larger health systems, or close. One study estimates&nbsp;<a href="https://jamanetwork.com/journals/jama-health-forum/fullarticle/2838483" target="_blank">338 rural hospitals</a>&nbsp;are at risk of closing nationwide.

Less competition, in addition to fewer Medicaid dollars and an increase in uninsured patients, will only strengthen the incentive of health systems with the requisite market clout to raise their commercial prices, increasing premiums for employers and individuals.

“We think commercial prices will continue to increase as health care providers, and hospitals in particular, will seek to preserve or increase their revenue,” said Rachel Block, a program officer at the Milbank Memorial Fund, a foundation that focuses on health equity.

That in turn could pose a challenge to state affordability regulators tasked with overseeing compliance with growth targets for health care spending.

California’s affordability office is required to consider mitigating factors, including changes in federal and state laws. But some of its board members have expressed skepticism about letting hospitals offset Medicaid losses with higher commercial prices.

“There’s a lot of talk about using HR 1 and other federal policies as an excuse to raise prices on commercial payers,” Ian Lewis, an affordability office board member and policy director for UNITE HERE Local 2, a hospitality workers union in the Bay Area, said at the agency’s&nbsp;<a href="https://www.youtube.com/watch?v=gEKO4RfH2Y4" target="_blank">July board meeting</a>, referring to the One Big Beautiful Bill. “There’s no more blood to be squeezed from this stone.”

<a href="https://kffhealthnews.org/about-us" target="_blank">KFF Health News</a>&nbsp;is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — an independent source of health policy research, polling and journalism. Learn more about&nbsp;<a href="https://www.kff.org/about-us" target="_blank">KFF</a>.

This story was originally produced by&nbsp;<a href="https://stateline.org/2025/12/26/one-big-beautiful-bill-act-complicates-state-health-care-affordability-efforts/" target="_blank">Stateline</a>, which is part of States Newsroom, a nonprofit news network which includes Nebraska Examiner, and is supported by grants and a coalition of donors as a 501c(3) public charity.

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766884539415.jpg" alt="Pixaby" />
 <figcaption>Pixaby</figcaption>
 </figure>By:<a href="https://nebraskaexaminer.com/author/bernard-j-wolfson-kff-health-news/">Bernard J. Wolfson, &nbsp;KFF Health News</a>-As Congress debates whether to extend the temporary federal subsidies that have&nbsp;<a href="https://www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire/" target="_blank">helped millions</a>&nbsp;of Americans buy health coverage, a crucial underlying reality is sometimes overlooked: Those subsidies are merely a band-aid covering the often unaffordable cost of health care.California, Massachusetts, Connecticut and&nbsp;<a href="https://www.milbank.org/publications/beyond-public-reporting-strengthening-accountability-to-states-cost-growth-targets-and-leveraging-targets-in-health-care-oversight/" target="_blank">five other states</a>&nbsp;have set caps on health care spending in a bid to rein in the intense financial pressure felt by many families, individuals and employers who every year face increases in premiums, deductibles and other health-related expenses.Hospitals and other health care providers are citing Republicans’ One Big Beautiful Bill Act, signed by President Donald Trump in July, as one more reason to challenge those limits.The law is expected to reduce federal Medicaid spending by&nbsp;<a href="https://www.kff.org/medicaid/medicaid-enrollment-spending-growth-fy-2025-2026/" target="_blank">more than $900 billion</a>&nbsp;over a decade, which mathematically should help the overall health care system meet the caps. But the law is also expected to increase the number of uninsured Americans, mostly Medicaid beneficiaries, by an estimated&nbsp;<a href="https://www.kff.org/uninsured/how-will-the-2025-reconciliation-law-affect-the-uninsured-rate-in-each-state/" target="_blank">10 million people</a>. Health care analysts predict hospitals and other providers will raise prices to cover the double whammy of lost Medicaid revenue and the cost of caring for an influx of newly uninsured patients.Whether regulators in some states will allow providers to justify higher prices and exceed the spending caps is unclear. Only&nbsp;<a href="https://www.milbank.org/publications/beyond-public-reporting-strengthening-accountability-to-states-cost-growth-targets-and-leveraging-targets-in-health-care-oversight/" target="_blank">California and Oregon</a>&nbsp;can penalize providers financially if they fail to meet targets.“Are we going to say, ‘That’s OK’? Or are we going to say, ‘Well, you exceeded the target. We’re still going to penalize you for that’?” said Richard Pan, a former state lawmaker and a member of the California Office of Health Care Affordability’s board. “That has not yet been decided.”The California Hospital Association, the industry’s main state lobbying group,&nbsp;<a href="https://calhospital.org/file/ohca-petition-for-writ-of-mandate/?_cldee=A8GhrcOY_cTuDPfqPGEYnuTgoZXm3szCgl31GFGm7Rb9gSK_2LWVhcwpQwK8EuuJ&amp;recipientid=contact-e10e51f96e20eb11a813000d3a375a4d-5668c9ec73c54063bd98803095e124ac&amp;esid=7bd201ea-8aa4-f011-bbd3-6045bd03d69a" target="_blank">filed a lawsuit</a>&nbsp;in October asking a state court to strike down the spending caps, which it argued fail to account for all the cost pressures hospitals face. Those pressures, it said, include an aging, sicker population; the&nbsp;<a href="https://www.dir.ca.gov/dlse/Health-Care-Worker-Minimum-Wage-FAQ.htm" target="_blank">rising cost</a>&nbsp;of labor; expensive advances in medical technology; large capital outlays on required seismic retrofitting; and changes in federal policy, including the One Big Beautiful Bill Act. The hospital group’s lawsuit also asserted that the state affordability office, by hastily imposing ill-considered cost-cutting targets, was undermining its other key mission of improving health care access, quality and equity.California’s affordability office last year set a&nbsp;<a href="https://kffhealthnews.org/news/article/health-brief-california-annual-health-spending-caps/" target="_blank">five-year target</a>&nbsp;to cap statewide spending growth, starting at 3.5% in 2025 and declining to 3% by 2029. The annual caps apply to a wide range of health care entities, including hospitals, medical groups, insurers and other payers.Earlier this year, it imposed much lower spending growth caps — starting at 1.8% in 2026 and declining to 1.6% by 2029 — for&nbsp;<a href="https://hcai.ca.gov/wp-content/uploads/2025/04/Update-to-Draft-Motions-Presented-April-2025.pdf" target="_blank">seven “high-cost” hospitals</a>.“The spending caps set by politically appointed bureaucrats could force cuts that result in many Californians traveling farther for care, facing longer emergency room wait times, experiencing more overcrowding and losing access to critical services,” Carmela Coyle, the hospital association’s president and CEO, said in an October press release.The California attorney general’s office, which will represent the affordability agency, has not yet filed a response to the hospital group’s complaint and did not respond to a request for comment.<h2>Hospitals’ pushback</h2>California is not the only state taking a close look at hospital prices, which are widely considered a&nbsp;<a href="https://tobin.yale.edu/research/who-pays-rising-health-care-prices-evidence-hospital-mergers" target="_blank">primary driver</a>&nbsp;of health care costs.“States, armed with information that points to payments to hospitals as a driver of what is way beyond affordable commercial premiums, have begun to take increasingly targeted actions focused on commercial hospital prices,” said Michael Bailit, founder of the Needham, Massachusetts-based consultancy&nbsp;<a href="https://www.bailit-health.com/team/michael-bailit.php" target="_blank">Bailit Health</a>, which has advised multiple states, including California, on ways to tame health care spending. “It is not surprising that the hospital industry is going to oppose such state actions.”In its lawsuit, the California Hospital Association said the affordability office’s own report showed that pharmaceutical and insurance companies are largely responsible for high costs.Hospitals in some states with cost growth limits, including&nbsp;<a href="https://cthosp.org/advocacy/healthcare-legislation-and-policy/healthcare-cost-growth-benchmarking/" target="_blank">Connecticut</a>&nbsp;and&nbsp;<a href="https://www.mhalink.org/mondayreport/is-benchmark-good-too-weak-or-irrelevant/" target="_blank">Massachusetts</a>, have expressed objections similar to the ones raised in the California lawsuit. They could follow their counterparts in California if their lawsuit succeeds, said Peter Lee, who led California’s Affordable Care Act marketplace, Covered California, for&nbsp;<a href="https://www.coveredca.com/newsroom/news-releases/2021/09/16/peter-v-lee-to-leave-as-executive-director-of-covered-california-after-10-years-leading-the-nations-largest-state-based-marketplace/" target="_blank">over a decade</a>&nbsp;and is now a&nbsp;<a href="https://med.stanford.edu/cerc/about/affiliates-advisors.html" target="_blank">senior scholar</a>&nbsp;at Stanford Medicine’s Clinical Excellence Research Center.Lee said the work of California’s affordability office and similar agencies in other states is just about the only systemwide effort being made to cut health care costs. They are basically saying, “‘Look, health care is taking money away from education, it is taking money away from the environment, it is taking money away from everything in the public sector, and in the private sector it is taking money away from wages,’” he said. “‘We don’t know how you, the health system, are going to do it, but it is your job not just to provide quality but to lower costs. Here’s the target.’”To be sure, achieving the cost savings that California and those other states are seeking is no easy lift. It will ultimately require persuading large, financially powerful players that compete fiercely for health care dollars to adopt a different mindset and begin cooperating to reduce costs instead. And that, in many cases, will mean lower revenue.But the status quo, as many people know all too well, means continued financial pain for millions.In early 2020, Estevan Rodriguez, a bartender at California’s Monterey Beach Hotel, had surgery for a staph infection in his leg. The bill came to nearly $168,000. His insurance paid most of it, but he still owed $5,665, which took him two years to pay, more than $200 every month. “It may not be a lot to some people, but it was a lot to me,” Rodriguez said.He said he dropped his Hulu subscription, switched to a lower-cost cellphone, and got cheaper car insurance. He started going to food banks rather than the grocery store, he said, and had a lot less time with his kids, because he was constantly working to pay off the hospital bill.<a href="https://www.montagehealth.org/locations/profile/community-hospital-monterey-peninsula/" target="_blank">Community Hospital of the Monterey Peninsula</a>, where Rodriguez had his surgery, is one of the seven hospitals identified by California’s affordability office as high-cost. A&nbsp;<a href="https://hcai.ca.gov/wp-content/uploads/2025/11/OHCA-Investigative-Study-of-Hospital-Market-Competition-in-Monterey-County-1.pdf" target="_blank">study by the office</a>&nbsp;attributed high hospital prices in Monterey County to a lack of market competition “rather than higher operating costs or superior quality of care.”The Monterey hospital referred a request for comment about its “high-cost” designation to the California Hospital Association. CHA spokesperson Jan Emerson-Shea declined to comment beyond the language of the lawsuit and Coyle’s press release statement.<h2>Reduced competition</h2>Health care analysts worry the One Big Beautiful Bill Act will reduce market competition even further by stressing already weak hospitals, leading some to shut services, merge with larger health systems, or close. One study estimates&nbsp;<a href="https://jamanetwork.com/journals/jama-health-forum/fullarticle/2838483" target="_blank">338 rural hospitals</a>&nbsp;are at risk of closing nationwide.Less competition, in addition to fewer Medicaid dollars and an increase in uninsured patients, will only strengthen the incentive of health systems with the requisite market clout to raise their commercial prices, increasing premiums for employers and individuals.“We think commercial prices will continue to increase as health care providers, and hospitals in particular, will seek to preserve or increase their revenue,” said Rachel Block, a program officer at the Milbank Memorial Fund, a foundation that focuses on health equity.That in turn could pose a challenge to state affordability regulators tasked with overseeing compliance with growth targets for health care spending.California’s affordability office is required to consider mitigating factors, including changes in federal and state laws. But some of its board members have expressed skepticism about letting hospitals offset Medicaid losses with higher commercial prices.“There’s a lot of talk about using HR 1 and other federal policies as an excuse to raise prices on commercial payers,” Ian Lewis, an affordability office board member and policy director for UNITE HERE Local 2, a hospitality workers union in the Bay Area, said at the agency’s&nbsp;<a href="https://www.youtube.com/watch?v=gEKO4RfH2Y4" target="_blank">July board meeting</a>, referring to the One Big Beautiful Bill. “There’s no more blood to be squeezed from this stone.”<a href="https://kffhealthnews.org/about-us" target="_blank">KFF Health News</a>&nbsp;is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — an independent source of health policy research, polling and journalism. Learn more about&nbsp;<a href="https://www.kff.org/about-us" target="_blank">KFF</a>.This story was originally produced by&nbsp;<a href="https://stateline.org/2025/12/26/one-big-beautiful-bill-act-complicates-state-health-care-affordability-efforts/" target="_blank">Stateline</a>, which is part of States Newsroom, a nonprofit news network which includes Nebraska Examiner, and is supported by grants and a coalition of donors as a 501c(3) public charity.

State health care affordability pushes complicated by One Big Beautiful Bill

KANSAS CITY, Mo. —Jackson County Prosecutor Melesa Johnson announced murder and assault charges against a Blue Springs man in connection with three shootings&nbsp; that left two people dead and one injured.&nbsp;

<a href="https://www.jacksoncountyprosecutor.com/DocumentCenter/View/2784/Kur-Bak---Charging-Packet-">Kur B. Bak</a>, 28, faces two counts of 1st Degree Murder, three counts of Armed Criminal Action, one count of 1st Degree Assault, and two counts of Unlawful Possession of a Firearm.

According to court records, Kansas City police responded to a shooting on Dec. 3 near Hardesty Avenue and East 26th Street, where they found the victim lying on the sidewalk suffering from multiple gunshot wounds. He was confirmed deceased on the scene.

Surveillance footage showed the victim walking when an individual, later identified as&nbsp; Bak, approached him. After a brief exchange, the victim continued walking, but the defendant followed and shot him. Bak then fired at the victim seven more times as he lay on the ground. Bak dropped a fully loaded handgun magazine at the crime scene as he fled.&nbsp;

Twenty-five minutes later, police responded to another shooting near Park Avenue and 8th Street. The victim was suffering from gunshot wounds and transported to a nearby hospital for treatment.&nbsp;

Surveillance video showed Bak exiting a vehicle and running toward the victim. The shooting occurred off camera. A short time later, Bak is captured returning to the vehicle.

Detectives found shell casings from the same firearm at both scenes. The same vehicle appeared in surveillance footage from both locations, and the Bak’s DNA was found on the magazine dropped at the first scene.&nbsp;

On Dec. 21, police responded to a shooting near Admiral Boulevard and Paseo Boulevard, where they found a victim dead in the street from gunshot trauma to the face.

Surveillance footage captured the victim walking when a vehicle pulled into a nearby parking lot. Bak, wearing a red hooded sweatshirt with yellow writing, exited and followed the victim’s same route. Minutes later, Bak was captured on video running back to his vehicle, where he removed the red sweatshirt and placed it in the passenger seat.&nbsp;

During a search of the defendant’s bedroom, detectives recovered the firearm used in all three shootings and the red hooded sweatshirt seen in surveillance footage from the third shooting.

Bak attended a SAVE KC call-in earlier this year but did not follow up for services.&nbsp;

A Jackson County judge set the defendant’s bond at $500,000 cash-only. &nbsp;

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766597285753.png" alt="Bak photo Jackson Co." />
 <figcaption>Bak photo Jackson Co.</figcaption>
 </figure>KANSAS CITY, Mo. —Jackson County Prosecutor Melesa Johnson announced murder and assault charges against a Blue Springs man in connection with three shootings&nbsp; that left two people dead and one injured.&nbsp;<a href="https://www.jacksoncountyprosecutor.com/DocumentCenter/View/2784/Kur-Bak---Charging-Packet-">Kur B. Bak</a>, 28, faces two counts of 1st Degree Murder, three counts of Armed Criminal Action, one count of 1st Degree Assault, and two counts of Unlawful Possession of a Firearm.According to court records, Kansas City police responded to a shooting on Dec. 3 near Hardesty Avenue and East 26th Street, where they found the victim lying on the sidewalk suffering from multiple gunshot wounds. He was confirmed deceased on the scene.Surveillance footage showed the victim walking when an individual, later identified as&nbsp; Bak, approached him. After a brief exchange, the victim continued walking, but the defendant followed and shot him. Bak then fired at the victim seven more times as he lay on the ground. Bak dropped a fully loaded handgun magazine at the crime scene as he fled.&nbsp;Twenty-five minutes later, police responded to another shooting near Park Avenue and 8th Street. The victim was suffering from gunshot wounds and transported to a nearby hospital for treatment.&nbsp;Surveillance video showed Bak exiting a vehicle and running toward the victim. The shooting occurred off camera. A short time later, Bak is captured returning to the vehicle.Detectives found shell casings from the same firearm at both scenes. The same vehicle appeared in surveillance footage from both locations, and the Bak’s DNA was found on the magazine dropped at the first scene.&nbsp;On Dec. 21, police responded to a shooting near Admiral Boulevard and Paseo Boulevard, where they found a victim dead in the street from gunshot trauma to the face.Surveillance footage captured the victim walking when a vehicle pulled into a nearby parking lot. Bak, wearing a red hooded sweatshirt with yellow writing, exited and followed the victim’s same route. Minutes later, Bak was captured on video running back to his vehicle, where he removed the red sweatshirt and placed it in the passenger seat.&nbsp;During a search of the defendant’s bedroom, detectives recovered the firearm used in all three shootings and the red hooded sweatshirt seen in surveillance footage from the third shooting.Bak attended a SAVE KC call-in earlier this year but did not follow up for services.&nbsp;A Jackson County judge set the defendant’s bond at $500,000 cash-only. &nbsp;

Surveillance video show suspect in deadly crime spree

MITCHELL COUNTY—Law enforcement have a kidnapping suspect in custody after a high-speed chase in north central Kansas.

On Friday, the Mitchell County Sheriff's office asked the public to be on the lookout for a black 2014 Mustang with a silver grille. "Proceed with caution, do not approach and contact law enforcement immediately."

The car and driver were involved in a kidnapping incident on US Highway 24 west of Beloit in Mitchell County, according to the sheriff's office. The victim escaped with injuries and was hospitalized with suspected serious injuries. 

The suspect and stolen Mustang left the scene and were later pursued in Osborne County.&nbsp;The suspect is believed to have been possibly involved in an incident in Jewell County prior to the Mitchell County incident.&nbsp;

The Kansas Highway Patrol and Osborne county authorities took the suspect into custody.&nbsp; The name of the suspect and possible charges have not been released.

MITCHELL COUNTY—Law enforcement have a kidnapping suspect in custody after a high-speed chase in north central Kansas.On Friday, the Mitchell County Sheriff's office asked the public to be on the lookout for a black 2014 Mustang with a silver grille. "Proceed with caution, do not approach and contact law enforcement immediately."The car and driver were involved in a kidnapping incident on US Highway 24 west of Beloit in Mitchell County, according to the sheriff's office. The victim escaped with injuries and was hospitalized with suspected serious injuries. The suspect and stolen Mustang left the scene and were later pursued in Osborne County.&nbsp;The suspect is believed to have been possibly involved in an incident in Jewell County prior to the Mitchell County incident.&nbsp;The Kansas Highway Patrol and Osborne county authorities took the suspect into custody.&nbsp; The name of the suspect and possible charges have not been released.

Sheriff: Suspect in alleged Kan. kidnapping is in custody

KANSAS CITY, Mo. —Authorities are investigating the cause of a fire at a home in Kansas City.

Just before 10:30a.m. Friday, Kansas City Missouri Fire Dept. companies were dispatched to a reported fire in the 2800 block of East 6th Street, according to Battalion Chief Riley Nolan.

 On arrival, the first company on scene reported smoke showing from a 2-story carriage house. Crews initiated an offensive interior attack, using 2 hose lines to extinguish the fire. The fire was brought under control at 10:36 a.m. Searches throughout the structure were performed and came back all clear.&nbsp;The cause of the fire is under investigation.

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766781110710.png" alt="" />
 <figcaption></figcaption>
 </figure>KANSAS CITY, Mo. —Authorities are investigating the cause of a fire at a home in Kansas City.Just before 10:30a.m. Friday, Kansas City Missouri Fire Dept. companies were dispatched to a reported fire in the 2800 block of East 6th Street, according to Battalion Chief Riley Nolan. On arrival, the first company on scene reported smoke showing from a 2-story carriage house. Crews initiated an offensive interior attack, using 2 hose lines to extinguish the fire. The fire was brought under control at 10:36 a.m. Searches throughout the structure were performed and came back all clear.&nbsp;The cause of the fire is under investigation.

Fire damages 2-story carriage house in Kansas City

Luke Karg is the only Missouri student to qualify for the high school national bass fishing championship five times, including as an incoming freshman

BY:&nbsp;<a href="https://missouriindependent.com/author/rebecca-rivas/">REBECCA RIVAS</a> <a href="https://missouriindependent.com/briefs/missouri-senate-committee-advances-bill-to-ban-texting-while-driving/">Missouri Independent</a>

<a href="https://missouriindependent.com/briefs/missouri-senate-committee-advances-bill-to-ban-texting-while-driving/"></a>The water on Truman Lake was colder and muddier than normal this April, making for some tough fishing conditions.&nbsp;

Luke Karg, of House Springs, had one last shot before graduating to win the Missouri TBF High School Trail Super Tournament for bass fishing – which he and his then 16-year-old fishing partner, A.J. Massa, had won the year before.

It’s the last tournament of the season for the Missouri student program of The Bass Federation, and it’s also the final opportunity to earn enough points to be named Team of the Year — the top-scoring duo in the state.

“The tournament itself meant a lot to us, with it being our last state tournament together,” Karg said. “It was very tough. There was, at most, two inches of visibility in the water, but a lot of fishing is just adapting to the changes.”

Karg and Massa headed out on the water for two days for eight hours each. At the end of each day, they weighed their top five fish.&nbsp;

“The first day, they caught almost enough bass to win the tournament,” said Gary Foree, Karg’s mentor and family friend, who is a former professional fisherman. “They had almost 19 pounds, which is insane. There hasn’t been a tournament in three years over 17 pounds on Truman Lake.”

They brought in 16 pounds on the second day, which would have brought their total up to nearly 35 pounds. But unfortunately it didn’t count. Their boat malfunctioned, making them miss the weigh in.&nbsp;&nbsp;

“It was pretty heart-wrenching,” Karg said. “It was one of our best bags as a team on one of the most difficult days.”

Karg and Massa ended up taking second place at Truman Lake with one day’s worth of fish, and they still had enough points to be named Team of the Year, just as they were last year.

Karg has been part of the Team of the Year five years in a row, including as an incoming high-school freshman.&nbsp;

That title also sent the team to the TBF Student Angler Federation High School National Championship, which was held at Oklahoma’s Grand Lake O’ the Cherokees in June.&nbsp;

Only the top two high-school teams from each state can compete, and Karg is the only person in Missouri to have qualified for that opportunity five years in a row, according to officials for the national championship.

“To be one of the top two teams in Missouri for five consecutive years is pretty freaking amazing,” said Karl Buck, who previously led the federation’s high school program in Missouri and was also Karg’s team leader. “I’m just so proud it’s unbelievable. I mean, I can’t believe that I was involved in his upcoming as a fisherman.”

Karg began competitive fishing when he was 12 and participated in dozens of individual and team tournaments as a teen. Through it all, he struggled with an autoimmune illness that made him miss numerous days from school, he said, but he’s proud he still managed to graduate on time in May and continue fishing.

While it was grueling standing on a boat for hours under the hot sun, Karg said the national championship was exhilarating because some of the world’s top fishermen were watching.&nbsp;

“It’s the biggest tourn of the year, and a lot of people only get to go to it once, if even,” Karg said. “It really could be the biggest tournament of your life.”

Karg has loved to fish ever since he could hold a rod, said his father Rick Karg. Even as early as 5, he said Karg could catch fish when the adults around him were coming up empty.&nbsp;

“There’s a magic,” Rick said. “My scientific brain says, ‘Is there like a vibration from his heartbeat that travels down the line because he’s got his finger touching it, that the fish like?’”&nbsp;

Foree met Karg because of a life-changing promise he made to Karg’s mother, Becky Rumley.

Rumley was the nurse administering Foree’s chemotherapy treatment at St. Claire Hospital, and one day, she told him how much her nine-year-old son loved to fish. At the time, Foree thought he only had a few months to live.

“I ended up telling her that if I survive this, I’ll take him to Lake of the Ozarks and get him a five pounder because I used to be a [fishing] guide on the lake,” he said.

Foree did pull through, and when they went out fishing, Karg didn’t just catch one five-pound bass.&nbsp;

“I caught three five-pound bass and two six pounders, and like a bunch of big fish,” Karg said. “It is probably the best day of fishing in my life. And ever since then, he’s just dedicated a huge part of his life to help teach me and my partner.”

Foree was equally amazed after Karg pulled out nearly 40 pounds of fish that day.&nbsp;

“He just had the best day of fishing anybody could have,” Foree said. “That’s how I got him hooked on fishing.”&nbsp;&nbsp;

Over the years, Foree taught him about tracking fish through the different seasons and how to read the water and the banks. He also helped him get his first boat.

Now, Foree said, Karg’s instincts are his fishing superpower.&nbsp;

“So many times they won a tournament when the fishing was really tough, and Luke said, ‘Let’s try over here. That bank looks good,’” Foree said. “And they’ll go over, and they’ll catch enough fish on that bank to win the tournament.”

Karg believes his instincts have developed with the dozens of tournaments and countless hours of fishing.&nbsp;

“Over time, it’s become more of an instinct, than having to think about, ‘Oh, I should make a change,’” he said. “It just naturally comes.”

For instance, at both the Truman Lake and national championship, Karg said he was painting his own custom lures while he was on the boat.

At Truman, he made the decision to color a half-inch chartreuse line on his spinner bait, he said, and he ended up catching much bigger fish, but less fish. If his lure had a straight tail, the catch was better as well, he said.

“It’s all about how the bait works in the water,” he said. “The smallest little detail that can just trigger the fish to eat. That’s where a lot of the fun comes into it for me, is all the difficulties and fun little changes you can make. You can go from catching no fish for hours on end to catching your limit in a minute.”

Karl Buck remembers meeting Karg when he was about 12 on a dock at the Peaceful Valley Lake in Owensville, where Karg’s grandparents have a lake house. Buck used to run a student program called the Owensville Anglers, and they were finishing up a tournament that day.

“When we were doing our weigh-in down at the dam, they came down to the boat ramp to inquire,” Buck said. “He’ll probably hate this, but he was the most bashful young man, super quiet and reserved.”&nbsp;

The Owensville Anglers is how Karg got his start with tournament fishing, which Buck says is much different than regular fishing.&nbsp;

In a tournament, Buck said the first rule is “find five.”&nbsp;

“You’re fishing for five fish,” Buck said. “Doesn’t matter what they weigh, they just got to be keepers,” meaning they are big enough to keep.

The fish go in the box where they’re kept alive and healthy, which is a standard conservation practice in the high-school tournaments.&nbsp;

“After you have five, then you’re going to change your game,” he said. “It’s now no longer about just catching fish. You’re looking to upgrade the fish that you already have. Big fish get big for a reason. They’re hard to catch.”

Big fish know how to hide, and that’s where casting skills come into play, Foree said. He called Karg’s casting skills “insane.”&nbsp;

“He can skip jigs and lures and put them in places nobody else can,” Foree said. “That’s why he’s so good.”

But he wasn’t always that good, Buck remembers, which is why Karg earned the nickname “Oops” after fishing with Buck and his son one day.

“Luke throws this cast — I believe it was a spinner bait — and it winds up on the roof of this dock, stuck,” Buck said. “So we go up and we get it. A little while later, he makes another cast and it gets stuck on somebody’s dock.”

After each time, Karg would just say, “Oops” and the nickname was born. Buck said when they fished together this past summer, he was blown away at his talent.&nbsp;

Karg and Massa ended up placing 56th out of more than 200 teams in the national championship in Oklahoma.&nbsp;

“We lost three three-pounders that came off the boat,” Karg said after the tournament finished. “That would have gotten us up to nine or 10 pounds. We would have been around 12th place probably.”

Karg said he’s proud of his accomplishment over this high school career, and he couldn’t have done it without his fishing partners Massa and previously Kyle Kannawurf, along with their boat captains.

“No one gives credit enough to our boat captains, which were both of our dads,” he said, “just giving the time to drive all the way out there and standing with us out the boat for eight hours straight a day.”

As boat captain, Rick said he was in “constant amazement” at his son’s skill.

“I’d just sit there and watch and think, ‘How in the world are you doing this?’” Rick said. “You’re like a super sharp shooter.”

Rick said he’s watched Karg fish for seven hours without catching anything, but he’d still have the focus and creativity change his strategy and get a big catch at the last minute. Karg’s humility and attitude are among the most impressive things about him, said Foree and Buck, particularly his ability to bounce back from setbacks.

“He never got rattled,” Foree said. “Oh, he’d get upset if he lost a big fish, but he’d just say, ‘Okay, I learned something from that,’ and go on to the next one. His ability to focus and stay focused in times of turmoil when he loses fish or the weather changes is very, very important in professional bass fishing.”

Karg&nbsp;has his own&nbsp;<a href="https://lukesboatservices.com/about-us" target="_blank">boat detail business</a>, and there are several career paths he’s interested in taking, including a professional fisherman.&nbsp;

“But for that, I would have to be away from home around 200 days of the year,” he said. “So the one I’m probably gonna go with is a natural environmentalist studying fresh water fish.”

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766854627766.png" alt=" Luke Karg and his mentor Gary Foree fish together at Peaceful Valley Lake in Owensville in 2021 (Photo submitted)." />
 <figcaption> Luke Karg and his mentor Gary Foree fish together at Peaceful Valley Lake in Owensville in 2021 (Photo submitted).</figcaption>
 </figure><h2>Luke Karg is the only Missouri student to qualify for the high school national bass fishing championship five times, including as an incoming freshman</h2>BY:&nbsp;<a href="https://missouriindependent.com/author/rebecca-rivas/">REBECCA RIVAS</a> <a href="https://missouriindependent.com/briefs/missouri-senate-committee-advances-bill-to-ban-texting-while-driving/">Missouri Independent</a><a href="https://missouriindependent.com/briefs/missouri-senate-committee-advances-bill-to-ban-texting-while-driving/"></a>The water on Truman Lake was colder and muddier than normal this April, making for some tough fishing conditions.&nbsp;Luke Karg, of House Springs, had one last shot before graduating to win the Missouri TBF High School Trail Super Tournament for bass fishing – which he and his then 16-year-old fishing partner, A.J. Massa, had won the year before.It’s the last tournament of the season for the Missouri student program of The Bass Federation, and it’s also the final opportunity to earn enough points to be named Team of the Year — the top-scoring duo in the state.“The tournament itself meant a lot to us, with it being our last state tournament together,” Karg said. “It was very tough. There was, at most, two inches of visibility in the water, but a lot of fishing is just adapting to the changes.”Karg and Massa headed out on the water for two days for eight hours each. At the end of each day, they weighed their top five fish.&nbsp;“The first day, they caught almost enough bass to win the tournament,” said Gary Foree, Karg’s mentor and family friend, who is a former professional fisherman. “They had almost 19 pounds, which is insane. There hasn’t been a tournament in three years over 17 pounds on Truman Lake.”They brought in 16 pounds on the second day, which would have brought their total up to nearly 35 pounds. But unfortunately it didn’t count. Their boat malfunctioned, making them miss the weigh in.&nbsp;&nbsp;“It was pretty heart-wrenching,” Karg said. “It was one of our best bags as a team on one of the most difficult days.”But it wasn’t all lost.&nbsp;Karg and Massa ended up taking second place at Truman Lake with one day’s worth of fish, and they still had enough points to be named Team of the Year, just as they were last year.Karg has been part of the Team of the Year five years in a row, including as an incoming high-school freshman.&nbsp;That title also sent the team to the TBF Student Angler Federation High School National Championship, which was held at Oklahoma’s Grand Lake O’ the Cherokees in June.&nbsp;Only the top two high-school teams from each state can compete, and Karg is the only person in Missouri to have qualified for that opportunity five years in a row, according to officials for the national championship.“To be one of the top two teams in Missouri for five consecutive years is pretty freaking amazing,” said Karl Buck, who previously led the federation’s high school program in Missouri and was also Karg’s team leader. “I’m just so proud it’s unbelievable. I mean, I can’t believe that I was involved in his upcoming as a fisherman.”Karg began competitive fishing when he was 12 and participated in dozens of individual and team tournaments as a teen. Through it all, he struggled with an autoimmune illness that made him miss numerous days from school, he said, but he’s proud he still managed to graduate on time in May and continue fishing.While it was grueling standing on a boat for hours under the hot sun, Karg said the national championship was exhilarating because some of the world’s top fishermen were watching.&nbsp;“It’s the biggest tourn of the year, and a lot of people only get to go to it once, if even,” Karg said. “It really could be the biggest tournament of your life.”<h2>A promise</h2>Karg has loved to fish ever since he could hold a rod, said his father Rick Karg. Even as early as 5, he said Karg could catch fish when the adults around him were coming up empty.&nbsp;“There’s a magic,” Rick said. “My scientific brain says, ‘Is there like a vibration from his heartbeat that travels down the line because he’s got his finger touching it, that the fish like?’”&nbsp;Foree met Karg because of a life-changing promise he made to Karg’s mother, Becky Rumley.Rumley was the nurse administering Foree’s chemotherapy treatment at St. Claire Hospital, and one day, she told him how much her nine-year-old son loved to fish. At the time, Foree thought he only had a few months to live.“I ended up telling her that if I survive this, I’ll take him to Lake of the Ozarks and get him a five pounder because I used to be a [fishing] guide on the lake,” he said.<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766854595349.png" alt="Luke Karg stands with a paddlefish he caught in Owensville (Photo submitted)." />
 <figcaption>Luke Karg stands with a paddlefish he caught in Owensville (Photo submitted).</figcaption>
 </figure>Foree did pull through, and when they went out fishing, Karg didn’t just catch one five-pound bass.&nbsp;“I caught three five-pound bass and two six pounders, and like a bunch of big fish,” Karg said. “It is probably the best day of fishing in my life. And ever since then, he’s just dedicated a huge part of his life to help teach me and my partner.”Foree was equally amazed after Karg pulled out nearly 40 pounds of fish that day.&nbsp;“He just had the best day of fishing anybody could have,” Foree said. “That’s how I got him hooked on fishing.”&nbsp;&nbsp;Over the years, Foree taught him about tracking fish through the different seasons and how to read the water and the banks. He also helped him get his first boat.Now, Foree said, Karg’s instincts are his fishing superpower.&nbsp;“So many times they won a tournament when the fishing was really tough, and Luke said, ‘Let’s try over here. That bank looks good,’” Foree said. “And they’ll go over, and they’ll catch enough fish on that bank to win the tournament.”Karg believes his instincts have developed with the dozens of tournaments and countless hours of fishing.&nbsp;“Over time, it’s become more of an instinct, than having to think about, ‘Oh, I should make a change,’” he said. “It just naturally comes.”For instance, at both the Truman Lake and national championship, Karg said he was painting his own custom lures while he was on the boat.At Truman, he made the decision to color a half-inch chartreuse line on his spinner bait, he said, and he ended up catching much bigger fish, but less fish. If his lure had a straight tail, the catch was better as well, he said.“It’s all about how the bait works in the water,” he said. “The smallest little detail that can just trigger the fish to eat. That’s where a lot of the fun comes into it for me, is all the difficulties and fun little changes you can make. You can go from catching no fish for hours on end to catching your limit in a minute.”<h2>‘Find five’</h2>Karl Buck remembers meeting Karg when he was about 12 on a dock at the Peaceful Valley Lake in Owensville, where Karg’s grandparents have a lake house. Buck used to run a student program called the Owensville Anglers, and they were finishing up a tournament that day.“When we were doing our weigh-in down at the dam, they came down to the boat ramp to inquire,” Buck said. “He’ll probably hate this, but he was the most bashful young man, super quiet and reserved.”&nbsp;The Owensville Anglers is how Karg got his start with tournament fishing, which Buck says is much different than regular fishing.&nbsp;In a tournament, Buck said the first rule is “find five.”&nbsp;“You’re fishing for five fish,” Buck said. “Doesn’t matter what they weigh, they just got to be keepers,” meaning they are big enough to keep.<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766854558899.png" alt="Luke Karg, left, and A.J. Massa hold up their top three fish at the TBF Student Angler Federation High School National Championship, which was held at Oklahoma’s Grand Lake O’ the Cherokees in June (photo submitted)." />
 <figcaption>Luke Karg, left, and A.J. Massa hold up their top three fish at the TBF Student Angler Federation High School National Championship, which was held at Oklahoma’s Grand Lake O’ the Cherokees in June (photo submitted).</figcaption>
 </figure>The fish go in the box where they’re kept alive and healthy, which is a standard conservation practice in the high-school tournaments.&nbsp;“After you have five, then you’re going to change your game,” he said. “It’s now no longer about just catching fish. You’re looking to upgrade the fish that you already have. Big fish get big for a reason. They’re hard to catch.”Big fish know how to hide, and that’s where casting skills come into play, Foree said. He called Karg’s casting skills “insane.”&nbsp;“He can skip jigs and lures and put them in places nobody else can,” Foree said. “That’s why he’s so good.”But he wasn’t always that good, Buck remembers, which is why Karg earned the nickname “Oops” after fishing with Buck and his son one day.“Luke throws this cast — I believe it was a spinner bait — and it winds up on the roof of this dock, stuck,” Buck said. “So we go up and we get it. A little while later, he makes another cast and it gets stuck on somebody’s dock.”After each time, Karg would just say, “Oops” and the nickname was born. Buck said when they fished together this past summer, he was blown away at his talent.&nbsp;Karg and Massa ended up placing 56th out of more than 200 teams in the national championship in Oklahoma.&nbsp;“We lost three three-pounders that came off the boat,” Karg said after the tournament finished. “That would have gotten us up to nine or 10 pounds. We would have been around 12th place probably.”Karg said he’s proud of his accomplishment over this high school career, and he couldn’t have done it without his fishing partners Massa and previously Kyle Kannawurf, along with their boat captains.“No one gives credit enough to our boat captains, which were both of our dads,” he said, “just giving the time to drive all the way out there and standing with us out the boat for eight hours straight a day.”As boat captain, Rick said he was in “constant amazement” at his son’s skill.“I’d just sit there and watch and think, ‘How in the world are you doing this?’” Rick said. “You’re like a super sharp shooter.”Rick said he’s watched Karg fish for seven hours without catching anything, but he’d still have the focus and creativity change his strategy and get a big catch at the last minute. Karg’s humility and attitude are among the most impressive things about him, said Foree and Buck, particularly his ability to bounce back from setbacks.“He never got rattled,” Foree said. “Oh, he’d get upset if he lost a big fish, but he’d just say, ‘Okay, I learned something from that,’ and go on to the next one. His ability to focus and stay focused in times of turmoil when he loses fish or the weather changes is very, very important in professional bass fishing.”Karg&nbsp;has his own&nbsp;<a href="https://lukesboatservices.com/about-us" target="_blank">boat detail business</a>, and there are several career paths he’s interested in taking, including a professional fisherman.&nbsp;“But for that, I would have to be away from home around 200 days of the year,” he said. “So the one I’m probably gonna go with is a natural environmentalist studying fresh water fish.”

Missouri teen makes history for tournament bass fishing

KANSAS CITY—Law enforcement are investigating another homicide in Kansas City

As officers arrived they located two adult males in the street, suffering from gunshot wounds. KCFD EMS arrived simultaneously and performed life saving measures. Both victims were pronounced deceased on scene.&nbsp;

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766776881531.png" alt="Photo Sheriff Daryl Forte'" />
 <figcaption>Photo Sheriff Daryl Forte'</figcaption>
 </figure>KANSAS CITY—Law enforcement are investigating another homicide in Kansas CityJust after 9a.m. Friday, patrol officers were dispatched to the 7400 block of Chestnut in Kansas City, Missouri on a reported disturbance, according to KCPD Sergeant Phil DiMartino. While en route the call was upgraded to a shooting.&nbsp;As officers arrived they located two adult males in the street, suffering from gunshot wounds. KCFD EMS arrived simultaneously and performed life saving measures. Both victims were pronounced deceased on scene.&nbsp;This is being investigated as a homicide. The preliminary investigation has revealed that there was a dispute over property, just prior to shots being fired and the victims being struck. Detectives have located several witnesses and continue to canvass the area for additional witnesses or surveillance footage. Crime scene personnel are processing the scene for any available physical evidence.&nbsp;

Police: 2 dead after gun fight over property in Kansas City

JOHNSON COUNTY —Law enforcement are investigating a fatal pedestrian accident.

Just after 5:30p.m. Friday, officers were dispatched to the area of West 151st&nbsp;Street and South Black Bob Road following reports of a crash involving an SUV and a pedestrian, according to Olathe Police Sergeant John Moncayo.&nbsp;&nbsp;When officers arrived, they located an unresponsive 63-year-old man.. &nbsp;The man was transported to an area hospital where he was later pronounced deceased.&nbsp;

Officers are in contact with the driver of the SUV, and they are cooperating in the investigation

Police are asking anyone who may have witnessed the crash, or whose vehicle may have captured the incident on a dash cam, to call the Olathe Police Department at (913) 971-6363 or the TIPS Hotline at (816) 474-8477.&nbsp;

JOHNSON COUNTY —Law enforcement are investigating a fatal pedestrian accident.Just after 5:30p.m. Friday, officers were dispatched to the area of West 151st&nbsp;Street and South Black Bob Road following reports of a crash involving an SUV and a pedestrian, according to Olathe Police Sergeant John Moncayo.&nbsp;&nbsp;When officers arrived, they located an unresponsive 63-year-old man.. &nbsp;The man was transported to an area hospital where he was later pronounced deceased.&nbsp;Officers are in contact with the driver of the SUV, and they are cooperating in the investigationPolice are asking anyone who may have witnessed the crash, or whose vehicle may have captured the incident on a dash cam, to call the Olathe Police Department at (913) 971-6363 or the TIPS Hotline at (816) 474-8477.&nbsp;

Kansas man dies after struck by an SUV

COWLEY COUNTY —A suspect wanted for a shooting in Cowley County is finally in custody.

Earlier this month, police issued an arrest warrant and are asked the public for help to locate shooting suspect 25-year-old Levi Garwood, according to a statement from Winfield Police. The alleged crime occurred on November 22 near Main Street in Winfield. First responders found a man with a gunshot wound to the chest. EMS transported the victim to a local hospital and later to a hospital in Wichita.

Detectives conducted witness interviews and reviewed audio and video evidence before seeking a warrant through the Cowley County District Court. Just after 4:30p.m.&nbsp; December 23, Garwood was booked into the Cowley County jail, according to online jail records. He is being held&nbsp; on a $500,000 bomd on requested charges of attempted second-degree murder.&nbsp; Police have not released details of the arrest.

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1765985005034.png" alt="Garwood photo Winfield Police" />
 <figcaption>Garwood photo Winfield Police</figcaption>
 </figure>COWLEY COUNTY —A suspect wanted for a shooting in Cowley County is finally in custody.Earlier this month, police issued an arrest warrant and are asked the public for help to locate shooting suspect 25-year-old Levi Garwood, according to a statement from Winfield Police. The alleged crime occurred on November 22 near Main Street in Winfield. First responders found a man with a gunshot wound to the chest. EMS transported the victim to a local hospital and later to a hospital in Wichita.Detectives conducted witness interviews and reviewed audio and video evidence before seeking a warrant through the Cowley County District Court. Just after 4:30p.m.&nbsp; December 23, Garwood was booked into the Cowley County jail, according to online jail records. He is being held&nbsp; on a $500,000 bomd on requested charges of attempted second-degree murder.&nbsp; Police have not released details of the arrest.

After hiding for a month, Kan. attempted murder suspect is in custody

SALINE COUNTY —Salina Police are asking the public for help to identifiy suspects in connection with three burglaries.

On December 19, business burglaries were reported at The Boy Scouts of America, 644 S. Ohio and All Eyes on You Salon, 905 E. Prescott, both in Salina.

The suspect made forced entry into both buildings. 

The suspect took numerous food items, cash, keys, plastic cups and a Boy Scout medal from the Scout building. Total damage and loss were valued at over $3,000. The suspect took&nbsp; multiple gift cards, cash, an HP laptop, and 24 necklace chains with connectors from All Eyes on You Salon. Total damage and loss were valued at over $4,000.

Also reported that same day was a residential burglary which occurred just a couple of blocks down from the salon in central Salina. 

The suspect entered an attached garage and stole a black Kastking tacklebox, a silver lighter, and a wallet. Total loss was valued at over $100. 

Recovered from the scene was a Boy Scout medal and several food items which had been stolen from the Boy Scouts of America.

If you have any information concerning this incident or identification of the individual involved, call Crimestoppers at 825-TIPS.

You can also make an online tip at: <a href="https://www.p3tips.com/tipform.aspx?ID=950#">https://www.p3tips.com/tipform.aspx?ID=950#</a>.

You may receive a cash reward of up to $1,000. Tipsters may also contact the Salina Police Department at (785) 826-7210, case 2025-33993.

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766766697965.png" alt="Image of suspect connected to three burglaries- Salina Police Department" />
 <figcaption>Image of suspect connected to three burglaries- Salina Police Department</figcaption>
 </figure>SALINE COUNTY —Salina Police are asking the public for help to identifiy suspects in connection with three burglaries.On December 19, business burglaries were reported at The Boy Scouts of America, 644 S. Ohio and All Eyes on You Salon, 905 E. Prescott, both in Salina.The suspect made forced entry into both buildings. The suspect took numerous food items, cash, keys, plastic cups and a Boy Scout medal from the Scout building. Total damage and loss were valued at over $3,000. The suspect took&nbsp; multiple gift cards, cash, an HP laptop, and 24 necklace chains with connectors from All Eyes on You Salon. Total damage and loss were valued at over $4,000.Also reported that same day was a residential burglary which occurred just a couple of blocks down from the salon in central Salina. The suspect entered an attached garage and stole a black Kastking tacklebox, a silver lighter, and a wallet. Total loss was valued at over $100. Recovered from the scene was a Boy Scout medal and several food items which had been stolen from the Boy Scouts of America.If you have any information concerning this incident or identification of the individual involved, call Crimestoppers at 825-TIPS. You can also make an online tip at: <a href="https://www.p3tips.com/tipform.aspx?ID=950#">https://www.p3tips.com/tipform.aspx?ID=950#</a>. You may receive a cash reward of up to $1,000. Tipsters may also contact the Salina Police Department at (785) 826-7210, case 2025-33993.

Police need help to ID suspect in central Kan. burglaries

SHAWNEE COUNTY. – On Saturday evening, December 20, at approximately 9 p.m., a Topeka Police Department officer was conducting a traffic stop at the intersection of SW 6th Street and SW Lane when a suspected impaired driver traveling at a high rate of speed rear-ended the patrol vehicle, according to a report released Friday by Topeka Police.

The crash resulted in minor injuries to the officer and an arrestee who were inside the patrol vehicle at the time of the collision. Both individuals were transported to a local hospital, treated for their injuries, and later released.

According to the National Highway Traffic Safety Administration, in 2023, one person was killed every 42 minutes in a drunk-driving crash on roadways across the United States. These crashes—and the resulting loss of life—are entirely preventable.

Beginning Friday, December 26, 2025, through Thursday, January 2, 2026, the Topeka Police Department will participate in the statewide “Taking Down DUI” New Year’s safety enforcement campaign. During the enforcement period, TPD officers will focus on identifying impaired drivers and enforcing seat belt laws to help keep Topeka roadways safe throughout the holiday season.

This enforcement initiative is made possible through a Special Traffic Enforcement Program (STEP) grant provided by the Kansas Department of Transportation.

If you’re drinking, don’t drive. Responsible driving saves lives:

• Plan a safe ride home before celebrating. If you drink, don’t drive—use a rideshare service, taxi, or call a sober friend.

• If someone has been drinking, take their keys and help arrange a sober ride home.

• If you observe an impaired driver, call 911 to report it to local law enforcement.

SHAWNEE COUNTY. – On Saturday evening, December 20, at approximately 9 p.m., a Topeka Police Department officer was conducting a traffic stop at the intersection of SW 6th Street and SW Lane when a suspected impaired driver traveling at a high rate of speed rear-ended the patrol vehicle, according to a report released Friday by Topeka Police.The crash resulted in minor injuries to the officer and an arrestee who were inside the patrol vehicle at the time of the collision. Both individuals were transported to a local hospital, treated for their injuries, and later released.According to the National Highway Traffic Safety Administration, in 2023, one person was killed every 42 minutes in a drunk-driving crash on roadways across the United States. These crashes—and the resulting loss of life—are entirely preventable.Beginning Friday, December 26, 2025, through Thursday, January 2, 2026, the Topeka Police Department will participate in the statewide “Taking Down DUI” New Year’s safety enforcement campaign. During the enforcement period, TPD officers will focus on identifying impaired drivers and enforcing seat belt laws to help keep Topeka roadways safe throughout the holiday season.This enforcement initiative is made possible through a Special Traffic Enforcement Program (STEP) grant provided by the Kansas Department of Transportation.If you’re drinking, don’t drive. Responsible driving saves lives:• Plan a safe ride home before celebrating. If you drink, don’t drive—use a rideshare service, taxi, or call a sober friend.• If someone has been drinking, take their keys and help arrange a sober ride home.• If you observe an impaired driver, call 911 to report it to local law enforcement.

Kan. officer, suspect injured after impaired driver struck patrol car

KANSAS CITY —Authorities are investigating the casue of a house fire inKansas City, Missouri.

Just after 8a.m. December 23, KCFD companies were dispatched to a reported fire in the 5500 block of East 18th&nbsp;Street in Kansas City, according to Battalion Chief Riley Nolan. On arrival, it was reported that a trailer camper and a house had heavy fire showing. Crews knocked down the flames on the exterior of the structure and made their way inside for an aggressive interior attack.

Multiple hose lines were used to extinguish the fires, which was brought under control at 8:24 a.m. Searches throughout the structure were performed and came back all clear. No injuries have been reported from this incident.

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766506543851.png" alt="Photos KCFD" />
 <figcaption>Photos KCFD</figcaption>
 </figure>KANSAS CITY —Authorities are investigating the casue of a house fire inKansas City, Missouri.Just after 8a.m. December 23, KCFD companies were dispatched to a reported fire in the 5500 block of East 18th&nbsp;Street in Kansas City, according to Battalion Chief Riley Nolan. On arrival, it was reported that a trailer camper and a house had heavy fire showing. Crews knocked down the flames on the exterior of the structure and made their way inside for an aggressive interior attack.<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766506479618.png" alt="" />
 <figcaption></figcaption>
 </figure>Multiple hose lines were used to extinguish the fires, which was brought under control at 8:24 a.m. Searches throughout the structure were performed and came back all clear. No injuries have been reported from this incident.

Cause of Kansas City house fire under investigation

&nbsp;JACKSON COUNTY– Law enforcement investigating a suspect on multiple allegations in connection with a burglary.

On November 7, the Jackson County Sheriff’s Office received a report of criminal damage and burglary to a vehicle in the City of Delia, according to Sheriff Tim Morse. During the course of the investigation a suspect was identified as Shaun Justin Barber, 41, of Delia.&nbsp; Deputies developed probable cause to search a residence and received a search warrant for 203 East Street in Delia where the suspect was believed to be staying. 

Deputies seized illegal drugs and drug paraphernalia from the residence.&nbsp; The suspect was not present and a warrant was issued for his arrest.&nbsp; On December 22, 2025, the Shawnee County Sheriff’s Office located Barber and arrested him on the outstanding Jackson County warrant.&nbsp; 

Barber was transferred to Jackson County where he was booked into the Jackson County Jail on requested charges of criminal damage to property, possession of methamphetamine, possession of a hallucinogenic drug and possession of drug paraphernalia.

<figure>
 <img src="https://media.eaglewebservices.com/public/2025/12/1766368778207.png" alt="Barber-photo Jackson Co." />
 <figcaption>Barber-photo Jackson Co.</figcaption>
 </figure>&nbsp;JACKSON COUNTY– Law enforcement investigating a suspect on multiple allegations in connection with a burglary.On November 7, the Jackson County Sheriff’s Office received a report of criminal damage and burglary to a vehicle in the City of Delia, according to Sheriff Tim Morse. During the course of the investigation a suspect was identified as Shaun Justin Barber, 41, of Delia.&nbsp; Deputies developed probable cause to search a residence and received a search warrant for 203 East Street in Delia where the suspect was believed to be staying. Deputies seized illegal drugs and drug paraphernalia from the residence.&nbsp; The suspect was not present and a warrant was issued for his arrest.&nbsp; On December 22, 2025, the Shawnee County Sheriff’s Office located Barber and arrested him on the outstanding Jackson County warrant.&nbsp; Barber was transferred to Jackson County where he was booked into the Jackson County Jail on requested charges of criminal damage to property, possession of methamphetamine, possession of a hallucinogenic drug and possession of drug paraphernalia.

Deputies capture Kan. suspect wanted for November burglary 

By:<a href="https://iowacapitaldispatch.com/author/clarkkauffman/">Clark Kauffman</a> <a href="https://iowacapitaldispatch.com/">Iowa Capital Dispatch</a>

The Iowa Dental Board has reinstated the license of a Waterloo dentist convicted of being intoxicated at the state prison where he was providing dental care for inmates.

State records show that in December 2023, Paymun Bayati, also identified in board records as Payum Bayati, was arrested at Anamosa State Penitentiary shortly after completing a root canal on a patient inmate.&nbsp;<a href="https://iowacapitaldispatch.com/2024/01/18/dentist-is-accused-of-performing-a-prison-root-canal-while-intoxicated/">Bayati was charged with public intoxication</a>&nbsp;and was&nbsp;<a href="https://iowacapitaldispatch.com/2024/10/08/dentist-convicted-public-intoxication-waits-for-final-disciplinary-action/">convicted in April 2024</a>. He subsequently agreed to voluntarily surrender his license for at least one year.

Police records show that on Dec. 7, 2023, an Anamosa police officer was dispatched to the penitentiary in reference an impaired person who was trying to drive away from the prison. The officer reported arriving at the prison and meeting with the warden, the deputy warden and Bayati.

According to the police report, the warden said nurses reported Bayati appeared to be intoxicated and had just completed a root canal on a patient. The police officer reported Bayati’s speech was slurred and he “smelled heavily” of alcohol. Bayati then submitted to a test that allegedly indicated a blood-alcohol level of 0.158 — almost twice the legal limit for driving.

“He let me search his vehicle in the parking lot, where I located an empty flask that smelled of an alcoholic beverage,” the police officer wrote in his report.

Court records, which include the judge’s notes from the ensuing criminal trial, indicate the dental assistant who worked with Bayati testified that when she arrived for work on Dec. 7, 2023, Bayati had music playing on a computer and his head was resting on the counter. The trial notes indicate she testified that later, while doing the root canal, Bayati was swaying back and forth, closing his eyes, had trouble picking up dental instruments, and smelled of alcohol.

The judge’s notes also indicate the administrator of nursing testified that after she told Bayati he could not work and instructed him to gather his belongings, he told her he loved her and asked if he still had a job. She also testified that Bayati was staggering at one point, seemed confused and was laughing inappropriately, according to the judge’s notes.

“I don’t dispute that I was intoxicated,” Bayati testified, according to the judge’s notes. “How it came about is what I am arguing. Someone poisoned me.”

<a href="https://iowacapitaldispatch.com/2024/01/18/dentist-is-accused-of-performing-a-prison-root-canal-while-intoxicated/">Bayati told the Iowa Capital Dispatch</a>&nbsp;he doesn’t drink and believed someone, probably his dental assistant, tampered with his cup of coffee by pouring isopropyl alcohol into it after he arrived at the prison that morning.

In December 2024, six months after his license suspension took effect, Bayati sought early reinstatement of his license. After the board indicated it intended to deny that request, Bayati sought a hearing before the board.

As part of his request, Bayati provided the board with a substance abuse evaluation that didn’t recommend treatment and didn’t include a diagnosis of alcohol use disorder. Bayati also informed the board that he is subject to some form of additional substance-use monitoring by virtue of his holding a commercial pilot’s license and a commercial driver’s license as part of his trucking business.

Last month, the board concluded that Bayati had demonstrated it was in the public’s best interest to have his license reinstated, subject either to enrollment in the Iowa Professional Health Program or to three years of substance monitoring by the board.

Other Iowa dentists whose disciplinary cases recently came before the board include:

Deborah Cassill of Cedar Rapids&nbsp;– According to the board, Cassill was alleged to have allowed uncertified dental assistant trainees to take patient radiographs and perform dental work without supervision by a dentist. It was also alleged that Cassill had “rushed a patient’s dental work” and that the patient was one of her own employees.

The board, which has not disclosed when the alleged conduct took place, charged Cassill with encouraging, assisting, or enabling the unauthorized practice of dentistry, and with unprofessional conduct. To resolve the case, Cassill agreed to pay a $2,000 civil penalty and complete an “ethics program” of undefined duration.

It is the second time the board has sanctioned Cassill for improper use of staff to perform dental work.

In 1999, the board charged Cassill, then known as Deborah Trimble, with assisting or enabling the unauthorized practice of dentistry and with willfully or repeatedly violating a board rule in that she failed to protect the health of her patients by assigning unlicensed auxiliary staff duties that could not be legally delegated to them.

In that case, the board alleged Cassill regularly employed “unlicensed auxiliary staff” as dental assistants, and on many occasions allowed a dental assistant to perform procedures – including the placement and removal of temporary crowns — that constituted the practice of dentistry or dental hygiene. The case was resolved with Cassill’s license being placed on probation for five years, with the understanding that she’d complete a course on dental ethics and pay a $1,500 civil penalty.

Maria Nosworthy of Ottumwa&nbsp;– According to the board, it fielded a complaint about Nosworthy that expressed several areas of concern with her practice of dentistry, including “using force with patients,” an allegation on which the board didn’t elaborate.

The board alleges the complaint also expressed concern with regard to Nosworthy’s failure to meet infection-control standards, working on patients after they have asked her to stop, improper use of local anesthesia, failure to perform comprehensive patient examinations, poor communication with patients, failure to meet the expected standard of care, and unprofessionalism.

The available board documents don’t indicate when any of the alleged conduct took place.

<figure>
 <img src="https://media.eaglewebservices.com/public/2019/8/1565623376059.jpeg" alt="Image pixaby" />
 <figcaption>Image pixaby</figcaption>
 </figure>By:<a href="https://iowacapitaldispatch.com/author/clarkkauffman/">Clark Kauffman</a> <a href="https://iowacapitaldispatch.com/">Iowa Capital Dispatch</a>The Iowa Dental Board has reinstated the license of a Waterloo dentist convicted of being intoxicated at the state prison where he was providing dental care for inmates.State records show that in December 2023, Paymun Bayati, also identified in board records as Payum Bayati, was arrested at Anamosa State Penitentiary shortly after completing a root canal on a patient inmate.&nbsp;<a href="https://iowacapitaldispatch.com/2024/01/18/dentist-is-accused-of-performing-a-prison-root-canal-while-intoxicated/">Bayati was charged with public intoxication</a>&nbsp;and was&nbsp;<a href="https://iowacapitaldispatch.com/2024/10/08/dentist-convicted-public-intoxication-waits-for-final-disciplinary-action/">convicted in April 2024</a>. He subsequently agreed to voluntarily surrender his license for at least one year.Police records show that on Dec. 7, 2023, an Anamosa police officer was dispatched to the penitentiary in reference an impaired person who was trying to drive away from the prison. The officer reported arriving at the prison and meeting with the warden, the deputy warden and Bayati.According to the police report, the warden said nurses reported Bayati appeared to be intoxicated and had just completed a root canal on a patient. The police officer reported Bayati’s speech was slurred and he “smelled heavily” of alcohol. Bayati then submitted to a test that allegedly indicated a blood-alcohol level of 0.158 — almost twice the legal limit for driving.“He let me search his vehicle in the parking lot, where I located an empty flask that smelled of an alcoholic beverage,” the police officer wrote in his report.Court records, which include the judge’s notes from the ensuing criminal trial, indicate the dental assistant who worked with Bayati testified that when she arrived for work on Dec. 7, 2023, Bayati had music playing on a computer and his head was resting on the counter. The trial notes indicate she testified that later, while doing the root canal, Bayati was swaying back and forth, closing his eyes, had trouble picking up dental instruments, and smelled of alcohol.The judge’s notes also indicate the administrator of nursing testified that after she told Bayati he could not work and instructed him to gather his belongings, he told her he loved her and asked if he still had a job. She also testified that Bayati was staggering at one point, seemed confused and was laughing inappropriately, according to the judge’s notes.“I don’t dispute that I was intoxicated,” Bayati testified, according to the judge’s notes. “How it came about is what I am arguing. Someone poisoned me.”<a href="https://iowacapitaldispatch.com/2024/01/18/dentist-is-accused-of-performing-a-prison-root-canal-while-intoxicated/">Bayati told the Iowa Capital Dispatch</a>&nbsp;he doesn’t drink and believed someone, probably his dental assistant, tampered with his cup of coffee by pouring isopropyl alcohol into it after he arrived at the prison that morning.In December 2024, six months after his license suspension took effect, Bayati sought early reinstatement of his license. After the board indicated it intended to deny that request, Bayati sought a hearing before the board.As part of his request, Bayati provided the board with a substance abuse evaluation that didn’t recommend treatment and didn’t include a diagnosis of alcohol use disorder. Bayati also informed the board that he is subject to some form of additional substance-use monitoring by virtue of his holding a commercial pilot’s license and a commercial driver’s license as part of his trucking business.Last month, the board concluded that Bayati had demonstrated it was in the public’s best interest to have his license reinstated, subject either to enrollment in the Iowa Professional Health Program or to three years of substance monitoring by the board.<h2>Other Iowa dentists sanctioned</h2>Other Iowa dentists whose disciplinary cases recently came before the board include:Deborah Cassill of Cedar Rapids&nbsp;– According to the board, Cassill was alleged to have allowed uncertified dental assistant trainees to take patient radiographs and perform dental work without supervision by a dentist. It was also alleged that Cassill had “rushed a patient’s dental work” and that the patient was one of her own employees.The board, which has not disclosed when the alleged conduct took place, charged Cassill with encouraging, assisting, or enabling the unauthorized practice of dentistry, and with unprofessional conduct. To resolve the case, Cassill agreed to pay a $2,000 civil penalty and complete an “ethics program” of undefined duration.It is the second time the board has sanctioned Cassill for improper use of staff to perform dental work.In 1999, the board charged Cassill, then known as Deborah Trimble, with assisting or enabling the unauthorized practice of dentistry and with willfully or repeatedly violating a board rule in that she failed to protect the health of her patients by assigning unlicensed auxiliary staff duties that could not be legally delegated to them.In that case, the board alleged Cassill regularly employed “unlicensed auxiliary staff” as dental assistants, and on many occasions allowed a dental assistant to perform procedures – including the placement and removal of temporary crowns — that constituted the practice of dentistry or dental hygiene. The case was resolved with Cassill’s license being placed on probation for five years, with the understanding that she’d complete a course on dental ethics and pay a $1,500 civil penalty.Maria Nosworthy of Ottumwa&nbsp;– According to the board, it fielded a complaint about Nosworthy that expressed several areas of concern with her practice of dentistry, including “using force with patients,” an allegation on which the board didn’t elaborate.The board alleges the complaint also expressed concern with regard to Nosworthy’s failure to meet infection-control standards, working on patients after they have asked her to stop, improper use of local anesthesia, failure to perform comprehensive patient examinations, poor communication with patients, failure to meet the expected standard of care, and unprofessionalism.The available board documents don’t indicate when any of the alleged conduct took place.The board charged Nosworthy with practicing dentistry in a manner that is harmful or detrimental to the public, unprofessional or unethical conduct, and failure to maintain a satisfactory standard of competency.Without agreeing to any wrongdoing, Nosworthy recently agreed to settlement that calls for her to complete a remedial education program that deals with restorative care, ethics and recordkeeping.No civil penalties or restrictions on Nosworthy’s license were imposed.