HCS#2 HBs 567, 546, 758 & 958 -- PAID SICK LEAVE FOR CERTAIN EMPLOYEES (Gallick)

COMMITTEE OF ORIGIN: Standing Committee on Commerce

This bill modifies the schedule of minimum wage increases or decreases by terminating such schedule as of December 31, 2024. Currently, the minimum wage is set to be increased or decreased on January 1, 2027, and on January 1 of successive years, based on increases or decreases of the Consumer Price Index for Urban Wage Earners and Clerical Workers. This bill repeals that scheduled adjustment.

Currently, these provisions do not apply to public employers, as that term is defined in the bill. This bill changes that applicability for public employers beginning on the effective date of this bill.

The bill repeals provisions as they relate to paid sick leave requirements, including, but not limited to, under what conditions paid sick leave must be provided by employers, prohibited actions for employers and violations thereof, recordkeeping requirements, complaint and investigative procedures, a right to a cause of action for retaliation, and confidentiality of information.

This bill has an emergency clause for the provisions that are being repealed relating to paid sick leave.

CCS/SS/HCS/HBs 595 & 343 - This act modifies provisions relating to real estate transactions, including brokerage agreements with buyers and tenants and ordinances limiting the actions of landlords and tenants.

BROKERAGE AGREEMENTS FOR BUYERS AND TENANTS (SECTION 339.780)

This act provides that a designated real estate broker acting as a single agent for a buyer or tenant shall enter into a written agency agreement before, rather than either before or while, engaging in brokerage acts.

This provision is identical to SB 478 (2025) and HB 596 (2025).

ORDINANCES LIMITING ACTIONS OF LANDLORDS AND TENANTS (SECTION 441.043)

This act provides that no county or city shall enact, maintain, or enforce any ordinance or resolution that:

(1) Prohibits landlords from refusing to lease or rent a privately-owned, single family or multiple-unit residential or commercial rental property to a person because his or her lawful source of income includes a federal or other housing assistance program funding;

(2) Restricts landlords ability to use or consider income-qualifying methods, credit scores, credit reports, eviction or property damage history, or criminal history, or requesting such information to determine whether to rent or lease a property to a prospective tenant;

(3) Limits the amount of money for a security deposit; or

(4) Requires tenants to automatically receive the right of first refusal.

Additionally, this act shall not prevent a county or city from enacting, maintaining, or enforcing any ordinance or resolution that prohibits a landlord from discriminating against a tenant or prospective tenant solely on the basis that such tenant is a recipient of veterans' benefits.

This provision is similar to SB 507 (2025) and SCS/HB 2385 (2024).

HB 742 -- EXPENDITURES BY STATE DEPARTMENTS (Baker)

COMMITTEE OF ORIGIN: Standing Committee on Emerging Issues

This bill prohibits funds from any State department being used for intradepartmental programs, staffing, or other initiatives related to "diversity, equity, and inclusion" or similar initiatives that promote preferential treatment based on certain characteristics, concepts such as oppression as the sole cause of disparities, collective guilt ideologies, intersectional or divisive identity activism, and the limiting of freedom of conscience, thought, or speech.

State departments are not prohibited from following Federal and State employment and antidiscrimination laws, or complying with the Americans with Disabilities Act.

This bill prohibits State departments from mandating, requiring, or incentivizing private sector employers to implement "diversity, equity, and inclusion" programs or initiatives as a condition for receiving a State contract.

HCS HJR 4 -- PROPERTY TAX ASSESSMENTS (Coleman)

COMMITTEE OF ORIGIN: Standing Committee on Ways and Means

Upon voter approval, beginning January 1, 2027, this proposed Constitutional amendment provides that the true value of all residential real property will be deemed to be the same value determined at the most recent previous assessment of the property.

In a new assessment or reassessment the assessed valuation of the property may be increased, provided that the increase does not exceed the change in the Consumer Price Index or 2%, whichever is less. The limited increase may be exceeded to reflect the value added to the property as a result of new construction or improvements.

This bill is the same as HCS #2 HJR 78 (2024) and similar to SJR 90 (2024).

PUBLISHING OF COUNTY FINANCIAL STATEMENTS (Sections 50.815, 50.820, 50.800, & 50.810)

This act changes the date counties shall prepare and publish their financial statements from the first Monday in March to June 30th of each year. Additionally, the county treasurer shall not pay the county commission until notice is received from the State Auditor that the county's financial statement has been published in a newspaper after the first day of July.

This act also requires second, third, and fourth class counties to produce and publish a county annual financial statement in the same manner as counties of the first classification. The financial statement shall include the name, office, and current gross annual salary of each elected or appointed county official.

The county clerk or other county officer preparing the financial statement shall provide an electronic copy of the data used to create the financial statement without charge to the newspaper requesting the data.

Finally, the newspaper publishing the financial statement shall charge and receive no more than its regular local classified advertising rate as published 30 days before the publication of the financial statement. (Sections 50.815, 50.820, 50.800, & 50.810)

These provisions are identical to provisions in SB 1362 (2024), the perfected HB 2571 (2024), HS/HCS/SB 1363 (2024), truly agreed to and finally passed CCS/SS/SCS/HB 1606 (2022), SB 845 (2022), and SB 1191 (2022) and substantially similar to SB 1541 (2022) and HB 381 (2021).

COUNTY BUDGET DOCUMENTS

This act requires a county's proposed budget and all supporting schedules, exhibits, and other explanatory material, along with drafts of orders, motions, resolutions, or ordinances required to authorize proposed expenditures to be submitted to each member of the governing body by no later than seven days in advance of any vote on the budget. (Section 67.010 and 67.020)

This provision is identical to HB 749 (2025) and to a provision in HCS/SS/SB 50 (2025).

METROPOLITAN PARK AND RECREATION SALES TAX

Current law provides that fifty percent of sales tax revenues collected from the sales tax levied by the metropolitan park and recreation district shall be returned to the source county for park purposes. This act allows such funds to be used for storm water management projects in such county, as described in the act. (Section 67.1754)

This provision is identical to HCS/HB 1271 (2025) and to a provision in HB 200 (2025).

MUNICIPAL ORDINANCES

Current law requires municipalities to maintain at least three copies of the published municipal ordinances of such municipality for inspection by the public. This act reduces such number to one copy if the municipality maintains the published municipal ordinances online for free access by the public. (Section 71.948)

This provision is identical to HB 802 (2025) and to a provision in HCS/SS/SB 50 (2025) and HCS/HB 119 (2025).

COUNTY FINANCIAL STATEMENT PENALTIES FOR FAILURE TO FILE

Under current law, any transportation development district having gross revenues of less than $5,000 in a fiscal year for which an annual financial statement was not timely filed to the State Auditor is not subject to a fine.

This act provides that any political subdivision that has gross revenues of less than $5,000 or that has not levied or collected sales or use taxes in the fiscal year for which the annual financial statement was not timely filed shall not be subject to a fine.

Additionally, if failure to timely submit the annual financial statement is the result of fraud or other illegal conduct by an employee or officer of the political subdivision, the political subdivision shall not be subject to a fine if the statement is filed within 30 days of discovery of the fraud or illegal conduct.

If the political subdivision has an outstanding balance for fines at the time it files its first annual financial statement after August 28, 2025, the Director of Revenue shall make a one-time downward adjustment to such outstanding balance in an amount that reduces the outstanding balance by no less than 90%. If the Director of Revenue determines a fine is uncollectable, the Director shall have the authority to make a one-time downward adjustment to any outstanding penalty. (Section 105.145)

These provisions are identical to provisions in SB 1362 (2024), the perfected HB 2571 (2024), HS/HCS/SB 1363 (2024), the truly agreed to and finally passed CCS/SS/SCS/HB 1606 (2022) and the truly agreed to and finally passed SS/SCS/SB 724 (2022) and substantially similar to HB 441 (2021), HB 826 (2021), and to provisions in SCS/SB 527 (2021).

SHORT-TERM RENTAL CLASSIFICATIONS

This act modifies the definition of "residential property" for the purposes of the taxation of real property by providing that such definition shall include single family homes that are owned by a sole proprietor, individual, partnership, or limited liability company and leased, in whole or in part, for a term of less than thirty consecutive days.

This provision is substantially similar to SB 699 (2025) and SB 784 (2025), and to a provision in SCS/HB 1086 (2025).

MOTOR VEHICLE ASSESSMENTS

Current law requires assessors to use the trade-in value published in the October issue of the National Automobile Dealers' Association Official Used Car Guide to determine the true value of motor vehicles for the purposes of property tax assessments. This act requires the State Tax Commission to require an assessor to use such publication or the Kelley Blue Book, Edmunds, or another similar publication, and requires the assessor to use the current years' October issue of such publication. The act also prohibits an assessor from assessing a motor vehicle for an amount greater than the assessment of such motor vehicle from the previous year. (Section 137.115)

This provision has a delayed effective date of January 1, 2026. (Section B)

This provision is identical to HB 816 (2025) and to a provision in SCS/HB 199 (2025), and is substantially similar to SS/SCS/SB 799 (2024), HCS/HB 1690 (2024), HB 2358 (2024), SS/SCS/SB 8 (2023), and SB 493 (2023), and to a provision in SB 264 (2025), HB 2403 (2024), HCS/SS/SB 23 (2023), HCS/SS#3/SCS/SB 131 (2023), SS/SCS/SB 133 (2023), as amended, HCS/SS/SB 143 (2023), HCS/SB 247 (2023), and SCS/HCS#2/HB 713 (2023).

STATE TAX COMMISSION ORDERS

This act provides that a county shall have sixty days to comply with an order of the State Tax Commission that reduces the county's final assessed valuations. The Commission may grant one extension of thirty days, after which the county shall be deemed to be noncompliant. The Commission may direct the Director of Revenue to withhold up to one hundred percent of local sales and use tax revenues due to such noncompliant county until a determination is made by the Commission that the county has come into compliance with the Commission's order.

A noncompliant county may seek judicial review of the Commission's determination of noncompliance. If the court finds in favor of the county, the withheld moneys shall be returned to the county with interest.

Local sales and use taxes withheld by the Director of Revenue, shall be deposited into the "County Assessment Noncompliance Trust Fund", which is created by the act. (Section 138.425)

This provision is identical to HCS/HB 999 (2025) and to a provision in HB 660 (2025).

TOTALED MOTOR VEHICLE PROPERTY TAX CREDIT

This act authorizes any taxing entity to provide a property tax credit to a taxpayer to reduce the total personal property tax owed on a totaled motor vehicle. The amount of the property tax credit shall be equal to the amount of property tax owed on such vehicle, prorated for the amount of months left in the tax year.

In order to authorize a property tax credit pursuant to the act, the governing body of the taxing entity shall adopt an ordinance, as described in the act. (Section 139.035)

This provision is identical to a provision in HB 660 (2025).

PAYMENT OF PROPERTY TAXES

Current law authorizes counties, excluding township counties, to provide for the payment of property taxes on an annual, semiannual, or quarterly basis. This act repeals the exemption for township counties. (Section 139.053)

This provision is identical to HB 388 (2025).

JOSH NORBERG

CLINICIAN-ADMINISTERED DRUGS (Section 376.411)

This act provides that a health carrier or pharmacy benefits manager (PBM) shall not impose any penalty, impediment, differentiation, or limitation on participating providers for providing medically necessary clinician-administered drugs, regardless of whether the participating provider obtains the drugs from an in-network provider, including but not limited to refusing to approve or pay, or reimbursing less than the contracted payment amount.

Carriers and PBMs shall not impose any penalty, impediment, differentiation, or limitation on a covered person who is administered medically necessary clinician-administered drugs, regardless of whether the participating provider obtains the drugs from an in-network provider, including but not limited to: limiting coverage or benefits; requiring an additional fee, higher co-payment, or higher coinsurance amount; or interfering with a patient's ability to obtain a clinician-administered drug from the patient's provider or pharmacy of choice by any means, including but not limited to inducing, steering, or offering financial or other incentives.

Carriers and PBMs shall not impose any penalty, impediment, differentiation, or limitation on any pharmacy that is dispensing medically necessary clinician-administered drugs, regardless of whether the participating provider obtains the drugs from an in-network provider, including but not limited to requiring a pharmacy to dispense the drugs to a patient with the intention that the patient will transport the medication to a health care provider for administration.

These provisions shall not apply if the clinician-administered drug is not otherwise covered by the carrier or PBM.

These provisions are identical to provisions in the introduced SB 751 (2024), provisions in HCS/HB 2267 (2024), provisions in SB 26 (2023), provisions in HCS/HB 198 (2023), SB 1129 (2022), and provisions in HB 2305 (2022), and similar to provisions in SB 921 (2022), provisions in SB 1129 (2022), and provisions in HB 2305 (2022).

REFERENCE PRODUCTS AND BIOSIMILARS (Section 376.415)

A health carrier or PBM providing coverage for a reference product or a biological product that is biosimilar to the reference product shall provide coverage for the reference product and all biological products that have been deemed biosimilar to the reference product. The scope, extent, and amount of the required coverage shall be the same, including but not limited to any payment limitations or cost-sharing obligations.

These provisions are identical to provisions in the introduced SB 751 (2024), provisions in HCS/HB 2267 (2024), provisions in SB 26 (2023), provisions in HCS/HB 198 (2023), SB 1129 (2022), and provisions in HB 2305 (2022), and similar to provisions in SB 921 (2022), provisions in SB 1129 (2022), and provisions in HB 2305 (2022).

340B DRUG PRICING PROGRAM (Section 376.416)

Under this act, no health carrier or pharmacy benefits manager (PBM) shall discriminate against a covered entity or a pharmacy, as such terms are defined in the act, by:

• Reimbursing a covered entity or pharmacy for a quantity of a 340B drug, as defined in the act, in an amount less than the carrier, PBM, or affiliate would pay to any other similarly situated pharmacy for such quantity of the drug on the basis that the entity or pharmacy is a covered entity or a pharmacy, or that the entity or pharmacy dispenses 340B drugs. (Section 376.416.2(1));

• Imposing any terms or conditions on covered entities or pharmacies which differ from the terms or conditions applicable to other similarly situated pharmacies or entities on the basis that the entity or pharmacy is a covered entity or dispenses 340B drugs, including but not limited to certain terms and conditions described in the act. (Section 376.416.2(2));

• Interfering with an individual's choice to receive a 340B drug from a covered entity or pharmacy. (Section 376.416.2(3));

• Discriminating in reimbursement to a covered entity or pharmacy based on the determination or indication a drug is a 340B drug. (Section 376.416.2(4));

• Requiring a covered entity or pharmacy to identify a 340B drug sooner than 45 days after the point of sale of the drug. (Section 376.416.2(5));

• Refusing to contract with a covered entity or pharmacy for reasons other than those that apply equally to entities or pharmacies that are not covered entities or similarly situated pharmacies, or on the basis that the entity or pharmacy is a covered entity as described under federal law, or on the basis that the entity or pharmacy is described as a covered entity under provisions of federal law. (Section 376.416.2(6));

• Denying the covered entity the ability to purchase drugs at 340B program pricing by substituting a rebate discount. (Section 376.416.2(7));

• Refusing to cover drugs purchased under the 340B drug pricing program. (Section 376.416.2(8)); or

• Requiring a covered entity or pharmacy to reverse, resubmit, or clarify a 340B-drug pricing claim after the initial adjudication unless these actions are in the normal course of pharmacy business and not related to the 340B drug pricing, except as required by federal law. (Section 376.416.2(9)).

The Director of the Department of Commerce and Insurance shall impose a civil penalty on any health carrier or PBM violating certain provisions of the act, not to exceed $5,000 per violation per day. (Section 376.416.3).

These provisions are similar to provisions in the introduced SB 751 (2024), provisions in SCS/SBs 978 & 1035 (2024), provisions in SB 1213 (2024), provisions in HCS/HB 2267 (2024), provisions in HB 1977 (2024), provisions in SB 26 (2023), provisions in HCS/HB 198 (2023), provisions in SB 426 (2023), HB 197 (2023), provisions in SB 921 (2022), provisions in HCS/HB 1677 (2022), provisions in SB 1129 (2022), and provisions in HB 2305 (2022).

ERIC VANDER WEERD

This act is identical to SB 943 (2024) and SB 673 (2023) and substantially similar to a provision in SS/SB 830 (2024).

SARAH HASKINS

This act requires challenges to summary statements to be brought in the Cole County circuit court not later than the 22nd Tuesday prior to the General Election. If the statement is found to be sufficient and fair, the court shall order the statement to be placed on the ballot. If the statement is found to be insufficient or unfair, the circuit court may make suggested revisions but shall order the Secretary of State (SOS) to prepare a new summary statement that is sufficient and fair. The SOS can be ordered to write up to 3 revised summary statements and the court shall determine if they are sufficient and fair. If any of the revised statements are determined to be sufficient and fair, that summary statement shall appear on the ballot, subject to any appeals. If, after submission of a third revised summary statement, the court still finds it to be insufficient and unfair, the court shall write its own summary statement that is sufficient and fair and shall order it to appear on the ballot, subject to any appeals.

In the case of summary statements for statewide ballot measures appearing on the ballot at an election called by the Governor, whether at the primary election or at a special election, or at a special election called by the General Assembly in the case of a referendum petition, the courts shall expedite the process to bring a resolution of the matter prior to the printing of ballots. The court may shorten any time frame under this act to achieve this purpose.

Current law requires all actions challenging the ballot titles for statewide ballot measures to be fully and finally adjudicated not less than 56 days prior to the election at which it will appear on the ballot. This act extends that period to 70 days prior to the election.

The act increases the total word limitation on summary statements for ballot measures proposed by the General Assembly from 50 words to 100 words.

The act stipulates that once the SOS certifies the official ballot title, signatures may be collected, even if the ballot title is subject to an action in court challenging the sufficiency and fairness of the ballot title. If a court orders a change that alters the content of the official ballot title, then all signatures gathered before such change occurred shall not be invalidated based upon the fact that one or more signatures were gathered prior to the alteration of the official ballot title, regardless of whether those signatures were gathered on petition pages that displayed what was previously the official ballot title as certified by the SOS. Nothing in this provision shall prohibit the invalidation of a signature for a reason otherwise allowed by law.

Finally this act allows the Attorney General to appeal a preliminary injunction in which the state or state official is preliminarily enjoined from implementing, enforcing, or otherwise effectuating any provision of the Missouri Constitution or of any Missouri statute or regulation. The attorney general may appeal any preliminary injunction that existed prior to August 28, 2025. This provision is substantially similar to SB 730 (2025) and contains an emergency clause.

SCOTT SVAGERA

This provision is identical to SB 1459 (2024) and HB 2830 (2024).

Currently, the prohibition on the prescription or administration of cross-sex hormones or puberty-blocking drugs for the purpose of a gender transition for persons under 18 years of age expires on August 28, 2027. This act removes that expiration date.

This provision is identical to SB 776 (2024), 726 (2024), and SB 1185 (2024) and similar to provisions in HCS/HBs 1520, 1519, 2355, and 2357 (2024).

SARAH HASKINS

FREEDOM OF CHOICE FOR PHARMACY SERVICES (Sections 338.015)

The act specifies that certain provisions of law pertaining to pharmacists and pharmacies shall not be construed to prohibit patients' ability to obtain prescription services from any licensed pharmacist "or pharmacy", and repeals language specifying that the provisions do not remove patients' ability to waive their freedom of choice under a contract with regard to payment or coverage of prescription expenses. (Section 338.015.1). Under the act, no pharmacy benefits manager shall penalize or restrict a covered person from obtaining services from a contracted pharmacy, as such terms are defined by law. (Section 338.015.4).

These provisions are identical to provisions in SB 1105 (2024), and substantially similar to provisions in SB 843 (2024), provisions in SB 1213 (2024), provisions in HB 1627 (2024), provisions in SB 402 (2023), provisions in HB 197 (2023), provisions in SB 921 (2022), and provisions in HCS/HB 1677 (2022).

PHARMACY BENEFITS MANAGERS (Section 376.387 and 376.388)

Additionally, the act modifies the applicable definition of "covered person" for purposes of certain statutes governing pharmacy benefits managers (PBMs) to apply only to individuals who receive prescription drug coverage through a PBM (Section 376.387.1(1)), specifies that a pharmacy or pharmacist may provide to a plan sponsor any information related to the sponsor's plan that does not disclose information about a specific covered person's prescription use (Section 376.387.3(2)), repeals a provision of law allowing PBMs to hold pharmacists or pharmacies responsible for fees related to charges for administering a health benefit plan (Section 376.387.4), and repeals a provision of law specifying that certain PBM regulations shall not apply with regard to Medicare Part D or other health plans regulated under federal law. (Former section 376.387.5). The act provides standardized definitions for the terms "generic" and "rebate" applicable to PBMs and health carriers (Section 376.387.6-7), and specifies that PBMs shall owe a fiduciary duty to the entities with which it contracts. (Section 376.387.8). No entity contracting with pharmacies to sell, provide, pay, or reimburse pharmacies for prescription drugs shall prohibit a plan sponsor or a contracted pharmacy from discussing any health benefit plan information or costs. (Section 376.387.9). PBMs shall not charge a health benefit plan or payer different amounts for drugs' ingredient costs or dispensing fees than it reimburses the pharmacy if the PBM retains the difference. (Section 376.387.10).

The act repeals a portion of a definition to specify that certain provisions relating to the maximum allowable cost of a prescription drug are applicable to all pharmacies, rather than only to contracted pharmacies (Section 376.388.1(1)), and modifies the applicable definition of PBM to refer to any entity that administers or manages a pharmacy benefits plan or program, as defined in the act. (Section 376.388.1(5)). If the reimbursement for a drug to a contracted pharmacy is below the pharmacy's cost to purchase and dispense the drug, the pharmacy may decline to dispense the prescription. (Section 376.388.5(2)). No PBM shall reimburse a pharmacist or pharmacy in the state an amount less than the amount that the PBM reimburses a PBM affiliate, as defined in the act, for providing the same pharmacist services. (Section 376.388.5(3)).

These provisions are identical to provisions in SB 1105 (2024), and similar to provisions in SB 843 (2024), provisions in SB 1213 (2024), provisions in HB 1627 (2024), provisions in SB 402 (2023), provisions in HB 197 (2023), provisions in SB 921 (2022), and provisions in HCS/HB 1677 (2022).

COST-SHARING UNDER HEALTH BENEFIT PLANS (Section 376.448)

This act provides that when calculating an enrollee's overall contribution to an out-of-pocket max or any cost-sharing requirement under a health benefit plan, a health carrier or pharmacy benefits manager shall include any amounts paid by the enrollee or paid on behalf of the enrollee for any medication for which a generic substitute is not available.

Additionally, no health carrier or pharmacy benefits manager shall design benefits in a manner that takes into account the availability of any cost-sharing assistance program for any medication for which a generic drug substitute is not available.

This act is similar to SB 1106 (2024), SB 844 (2024), SB 1190 (2024), provisions in HCS/HB 442 (2023), HB 1628 (2024), SB 269 (2023), and SB 1031 (2022).

ERIC VANDER WEERD

The act prohibits school districts and charter schools from requiring students, employees, and prospective employees to ascribe to, study, be instructed with, or answer questions relating to DEI, as set forth in the act. The act further prohibits school districts and charter schools from offering any student, employee, or prospective employee any incentive, benefit, grant, or other compensation for receiving any instruction or professional development relating to DEI, except in cases where the same incentive, benefit, grant, or compensation is equally available to individuals who are not involved in the DEI instruction or professional development. A school district or charter school shall not reward or give any advantage to any employee or job applicant for any statement advocating DEI ideologies in employment-related decisions. Finally, employees, contractors, volunteers, vendors, or agents of a school district or charter school shall not be required to ascribe to, study, or be instructed with DEI ideologies or materials.

The Attorney General or the prosecuting or circuit attorney in the county in which a violation of the act occurs may bring a cause of action against any school district or charter school that violates the act. An attorney acting on behalf of a school district or charter school may request an opinion of the Attorney General as to whether a particular training material or instructional or curricular material complies with the provisions of the act. A parent of a student enrolled in a school district or charter school may bring a civil action, including an action for injunctive relief or for damages, against the school district or charter school for any violation of the act that causes harm to such parent's child.

OLIVIA SHANNON

Interstate Compact for Border Security Act

(Section 44.500)

The act creates the "Interstate Compact for Border Security Act".

The act gives authority to the Governor, with the legal assistance of the Attorney General, to negotiate and assist other states in an interstate compact for border security among interested states in securing the United States-Mexico border.

Any interstate compact that may be developed and executed under the authority of this act shall, in order to take effect, represent a voluntary association of sovereign states of the United States of America, with the understanding that any such interstate compact shall not in any way increase the political authority of the compacting states in relation to the federal government or in any other manner that violates the Constitution of the United States of America.

Once the Governor, with the assistance of the Attorney General, negotiates and assists with preparation and finalization of the compact to secure the United States-Mexico border, the Governor shall promptly submit the Interstate Compact for Border Security to the General Assembly for approval and the appropriation of necessary funds to fulfill the purposes provided for in this act.

Offense of Improper Entry

(Section 577.690)

This act creates the offense of improper entry by an illegal alien. A person commits the offense of improper entry by an illegal alien if the person enters this state at a time when they are unlawfully present in this country under federal law.

The offense of improper entry by an illegal alien is punishable by a fine of $10,000 and shall be subject to an order of removal to a federal port of entry, as provided in the act. For all subsequent offenses, the offense is a class E felony, subject to a term of imprisonment of 1-7 years and a $10,000 fine and additionally shall be subject to an order of removal to a federal port of entry upon the completion of any prison term.

The act allows any law enforcement officer whose duty it is to enforce criminal laws to arrest or detain such person upon probable cause that a person who has violated this act.

This provision is substantially similar to SB 1520 (2024), a provision in SB 1372 (2024), and SB 1331 (2024).

Offense of Aggravated Illegal Presence

(Section 577.695)

The act creates the offense of aggravated illegal presence. A person commits the offense of aggravated illegal presence if, while in violation of federal law, the person is arrested for any violation of Missouri law. The offense of aggravated illegal presence is a class E felony, provided that if the underlying arrest is a felony, the offense of aggravated illegal presence is a class C felony and if the underlying arrest is a dangerous felony, the offense of aggravated illegal presence is a class A felony.

SCOTT SVAGERA

Voter Registration - Documentary Proof of Citizenship

(Sections 115.013 to 115.160)

The act requires documentary proof of United States citizenship, as that term is defined in the act, in order to register to vote, provided that persons already registered to vote and those seeking to transfer voter registration within the state are not required to provide such proof.

Additionally, all information required to be provided on a voter registration form shall be personally provided by the person seeking to register.

Maintenance of Voter Registration Lists

(Sections 115.158, 115.195, and 115.221)

Currently, the Secretary of State (SOS) and election authorities are required to perform system maintenance on a regular basis. This act requires such maintenance to be performed on a quarterly basis.

The clerk of each circuit court in the state is required to prepare and transmit to the SOS a complete list of all persons who identify themselves as not being citizens of the United States when called to jury duty. This report shall be sent on a monthly basis.

If an election authority determines that a person who is not eligible to vote registered to vote or voted in an election, the election authority shall execute and deliver to the Attorney General, SOS, and the relevant prosecuting or circuit attorney an affidavit stating the relevant facts.

Referral of Violation of Election Laws

(Section 115.642)

Current law provides that if the SOS finds that reasonable grounds appear that the alleged election offense was committed, the SOS may issue a probable cause statement and refer the offense to the appropriate prosecuting attorney. This act permits referral to the appropriate prosecuting attorney or the Attorney General.

SCOTT SVAGERA

The maximum allowable credit under current law is limited to $750 in rent constituting property taxes actually paid or $1,100 in actual property tax paid. This act increases such amounts to $1,055 and $1,550, respectively, and annually adjusts such maximum amounts for inflation. (Section 135.025)

Additionally, current law limits the tax credit to qualifying taxpayers with an income of $27,500 or less, or $30,000 in the case of a homestead owned and occupied by a claimant for the entire year. This act increases such maximum income to $38,200 for claimants with a filing status of single, $42,200 for claimants with a filing status of single and who owned and occupied a homestead for the entire year, $41,000 for claimants with a filing status of married filing combined, and $48,000 for claimants with a filing status of married filing combined and who owned and occupied a homestead for the entire year, and annually adjusts such amounts for inflation. (Section 135.030)

This act is identical to SB 822 (2024) and is substantially similar to SB 930 (2024), HCS/HB 1428 (2024), HB 1670 (2024), HB 1939 (2024), HB 2050 (2024), HB 666 (2023), and HCS/HB 1134 (2023), and to provisions in HB 1636 (2024), SS/SCS/SB 15 (2023), HCS/SS/SB 143 (2023), HCS/SB 247 (2023), and HB 1351 (2023).

JOSH NORBERG

This prohibition on the prescription of cross-sex hormones or puberty-blocking drugs to children shall expire on August 28, 2027. This act removes the expiration date. Additionally, the provision excluding those children already prescribed or administered the hormones or drugs prior to August 28, 2023, from the general prohibition on the prescription of cross-sex hormones or puberty-blocking drugs to children shall expire March 1, 2026.

This act is substantially similar to HB 1520 (2024), SB 726 (2024), SB 776 (2024), and SB 1185 (2024).

SARAH HASKINS

SCOTT SVAGERA

HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158)

This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other obligations. This act permits investment of up to 50% of funds not required for operations or other obligations in a manner described in the act, with the remaining portion to be invested into any investment in which the Treasurer is allowed to invest. These provisions shall only apply if the hospital receives less than three percent of its annual revenues from municipal, county, hospital district, or state taxes or appropriated funds from the municipality in which such hospital is located.

Under this act, municipal hospitals in third class cities may operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals may operate in areas where municipal hospitals in third class cities and county hospitals operate.

These provisions are identical to provisions in SCS/HCS/HB 943 (2025) and provisions in SCS/SB 317 (2025), and substantially similar to SB 244 (2025).

EMERGENCY SERVICES (Sections 190.053, 190.076, 190.098, 190.101, 190.109, 190.112, 190.166, and 190.800)

This act modifies training requirements for members of an ambulance district board of directors. Under this act, board members shall complete three hours of continuing education for each term of office. Failure to do so shall result in immediate disqualification and the office shall be vacant until filled.

This provision is identical to a provision in SCS/HCS/HB 943 (2025), a provision in SCS/SB 317 (2025) and substantially similar to a provision in SB 548 (2025), SB 7 (2025), SB 206 (2025), SCS/SB 1382 (2024), and SB 1340 (2024).

Under this act, each ambulance district shall arrange for an audit of the district's records and accounts every three years by a certified public accountant. The audit shall be made available to the public on the district's website or otherwise freely available by other electronic means.

This provision is identical to a provision in SCS/HCS/HB 943 (2025), a provision in SCS/SB 317 (2025), SB 548 (2025), SB 7 (2025), SB 206 (2025), SCS/SB 1382 (2024), and SB 1340 (2024).

This act modifies provisions relating to certification of community paramedics and the provision of community paramedic services. Community paramedic services shall mean those services provided by an entity that employs licensed paramedics certified by the Department of Health and Senior Services as community paramedics for services that are provided in a nonemergent setting, consistent with the education and training of a community paramedic and the supervisory standard approved by the medical director, and documented in the entity's patient care plans or protocols.

Any ambulance service that seeks to provide community paramedic services outside of its service area shall have a memorandum of understanding (MOU) with the ambulance service of that area if that ambulance service is already providing those services or shall notify the ambulance services of that area if that ambulance service is not providing community paramedic services. Emergency medical response agencies (EMRAs) may provide community paramedic services in a ground ambulance service's service area. If the ground ambulance service is already providing those services or provides them after the EMRA offers them, then the EMRA and ground ambulance service shall enter into a MOU for the coordination of services.

The Department shall promulgate rules and regulations for the purpose of certifying community paramedic services entities and the standards necessary to provide such services. Certified entities shall be eligible to provide community paramedic services for 5 years.

This provisions is identical to a provision in SCS/HCS/HB 943 (2025) and a provision in SCS/SB 317 (2025), and similar to a provision in SB 548 (2025), SB 206 (2025), and SCS/SB 1382 (2024).

This act modifies the State Advisory Council on Emergency Medical Services by changing the number of council members from 16 to no more than 23 and specifying the members who shall serve on the Council. Currently, members are appointed by the Governor with the advice and consent of the Senate. Under this act, the Director of the Department of Health and Senior Services, the regional EMS advisory committees, and the Time-Critical Diagnosis Advisory Committee shall appoint members.

This provision is identical to a provision in SCS/HCS/HB 943 (2025), and substantially similar to a provision in SCS/SB 317 (2025), SB 548 (2025), SB 206 (2025), SB 270 (2025), SB 1277 (2024), and a provision in SCS/SB 1382 (2024).

The Department of Health and Seniors Services, as a part of regulating ground ambulance service licenses, shall promulgate rules regarding participation with regional emergency medical services advisory committees and ambulance service administrator qualifications.

This act requires ambulance services to report to the Department individuals serving as ambulance service administrators. These administrators shall be required to complete training as described in the act.

The Department may refuse to issue, deny renewal of, or suspend a license required for ground ambulance services or take other corrective actions for reasons specified in the act. If the Department makes a determination of insolvency or insufficiency of services, then the Department may require the license holder to submit and complete a corrective plan, as described in the act.

The Department shall be required to provide notice of any determination of insolvency or insufficiency of services to persons and entities specified in the act. The Department shall immediately engage with other license holders in the area to determine how ground ambulance services may be provided to the affected area during the service disruption. Assisting license holders may be compensated for such assistance as described in the act.

These provisions are identical to provisions in SCS/HCS/HB 943 (2025) and provisions in SCS/SB 317 943 (2025), and substantially similar to provisions in SB 548 (2025), SB 7 (2025), SB 206 (2025), SB 1340 (2024), and provisions in SCS/SB 1382 (2024).

Current law establishing the Ground Ambulance Service Reimbursement Allowance excludes any ambulance service owned or operated by an entity owned and operated by Missouri, including any hospital owned or operated by the University of Missouri Board of Curators. This act removes this exception.

This provision is identical to a provision in SCS/HCS/HB 943 (2025), and SB 629 (2025).

SEXUALLY TRANSMITTED INFECTIONS (Section 191.648)

Currently, a physician may utilize expedited partner therapy, meaning the practice of treating the sex partners of persons with chlamydia or gonorrhea without an intervening medical evaluation or professional prevention counseling, to prescribe and dispense medications for the treatment of chlamydia or gonorrhea even without an established physician/patient relationship.

Under this act, physicians and certain health care professionals may use expedited partner therapy and such therapy may be used for designated sexually transmitted infections beyond chlamydia and gonorrhea. This act repeals the requirement that antibiotic medications prescribed and dispensed through expedited partner therapy for the treatment of chlamydia or gonorrhea be in pill form.

These provisions are substantially similar to provisions in SCS/SB 178 (2025), provisions in SCS/SB 317 (2025), HCS/HB 943 (2025), the perfected HCS/HB 2413 (2024), SB 1445 (2024), and HB 1879 (2024).

TELEHEALTH SERVICES (Sections 191.1145 and 191.1146)

Under this act, "telehealth" or "telemedicine" shall include the delivery of health care services through audiovisual and audio-only technologies and shall not be limited in their choice of electronic platforms, provided that all services delivered are in accordance with HIPAA.

Under the act, establishing a physician-patient relationship through telemedicine only requires an in-person physical examination if the examination required to meet the standard of care. The act requires evaluations, rather than interviews, requires questionnaires to be reviewed by the treating health care professional, and requires the questionnaires to include information sufficient to provide the information as though the medical evaluation was performed in person. Health care providers utilizing medical evaluation questionnaires completed by the patient by way of internet or telephone shall provide a written report to the patient's primary health care provider within 14 days, including certain information detailed in the act.

Additionally, current law requires a physician-patient relationship for purposes of telehealth to include a sufficient dialogue with the patient regarding treatment. This act changes "dialogue" to "exchange" with the patient regarding treatment.

Current law prohibits a health care provider from prescribing any drug, controlled substance, or other treatment to a patient based solely on an evaluation over the telephone, or on an internet request or questionnaire. The act modifies the reference to evaluations over the telephone to include all telemedicine, and specifies that a health care provider shall not prescribe any drug, controlled substance, or other treatment to a patient in the absence of a proper provider-patient relationship.

Medical records of any drug, controlled substance, or other treatment prescribed through telemedicine shall be collected, stored, and maintained in accordance with HIPAA.

These provisions are similar to SB 108 (2025), SB 94 (2025), SB 851 (2024), HB 1873 (2024), SB 931 (2024), SCS/SB 418 (2023), SB 669 (2023), HB 1098 (2023), and HB 710 (2023).

FORENSIC EXAMINATIONS OF VICTIMS OF SEXUAL OFFENSES (Section 192.2521)

Under this act, a specialty hospital, meaning a hospital other than a general acute care hospital, shall not be required to comply with certain statutory provisions relating to forensic examinations of victims of sexual assault if such hospital has in place a policy for the transfer of such victims to an appropriate hospital with an emergency department.

These provisions are identical to provisions in SCS/SB 178 (2025) and provisions in the perfected HCS/HB 2413 (2024), and substantially similar to SB 1326 (2024).

MO HEALTHNET COVERAGE OF HEARING-RELATED DEVICES (Section 208.152)

Currently, reimbursable MO HealthNet services include hearing aids for eligible needy children, pregnant women, and blind persons. This act mandates MO HealthNet coverage of medically necessary cochlear implants and hearing instruments for all eligible participants.

These provisions are identical to SB 419 (2025) and the perfected HCS/HBs 2626 & 1918 (2024), and substantially similar to SB 1443 (2024).

PRENATAL TESTS FOR CERTAIN DISEASES (Section 210.030)

Currently, a physician or other health care provider shall draw and test a pregnant woman's blood at or soon after her first prenatal examination, with her consent, for syphilis, hepatitis B, or other similar diseases. Under this act, the testing of the pregnant woman's blood shall also occur at the twenty-eighth week of her pregnancy and immediately after birth. Additionally, the test shall include hepatitis C and HIV. If a mother tests positive for syphilis, hepatitis B, hepatitis C, or HIV, the physician or other health care provider shall treat the mother in accordance with the most recent accepted medical practice.

Current law requires the Department of Health and Senior Services to work in consultation with the Missouri Genetic Disease Advisory Committee to make rules pertaining to these blood tests. This act repeals the requirement to work with the Committee and requires that the tests be approved or accepted by the U.S. Food and Drug Administration.

Health care providers shall receive informed consent prior to administering any treatment or procedure.

These provisions are substantially similar to provisions in SCS/SB 178 (2025), provisions in SCS/SB 317 (2025), HCS/HB 943 (2025), HCS/HB 2413 (2024), and SB 1260 (2024).

EXAMINATION OF HEALTH MAINTENANCE ORGANIZATIONS (Section 354.465)

This act repeals the requirement that the Department of Commerce and Insurance examine health maintenance organizations at least once every 5 years.

INSURANCE COVERAGE OF SELF-ADMINISTERED HORMONAL CONTRACEPTIVES (Section 376.1240)

This act requires health benefit plans issued or renewed on or after January 1, 2026, that provide coverage for self-administered hormonal contraceptives, as defined in the act, to cover a supply of the contraceptives which is intended to last up to one year.

These provisions are identical to provisions in SCS/SB 178 (2025), provisions in the perfected HCS/HB 2413 (2024), SB 821 (2024), SB 1321 (2024), SB 512 (2023), HB 287 (2023), SB 641 (2022), SB 472 (2021), HB 1373 (2021), and SB 346 (2019).

CONTRACTS FOR HEALTH BENEFITS PROVIDED BY CERTAIN MEMBERSHIP ORGANIZATIONS (Section 376.1850)

This act provides that statutes governing health insurance shall not apply to contracts for health care benefits provided by a qualified membership organization, as such terms are defined in the act, to its members who have been members for at least 30 days, and that the qualified membership organization shall not be considered to be engaging in the business of insurance. Qualified membership organizations providing the contracts shall register with the Department as specified in the act.

Contracts for health services under the act shall be sold, solicited, or negotiated only by insurance producers licensed to produce accident and health or sickness coverage. A qualified membership organization providing contracts as specified in the act shall use the services of a licensed third-party administrator, and shall agree in the contract with the administrator to be subject to certain processes for benefit determinations and claims payment procedures applicable to health carriers and health benefit plans as specified in the act. Contracts for health care benefits shall not be subject to the insurance laws of the state except as provided in the act.

Financial risk under the contracts may be reinsured as provided by law. The contracts and related applications and renewal forms shall bear a disclaimer, as specified in the act, which shall be signed by the organization member.

Contracts under the act shall not be subject to individual post-claim medical underwriting while coverage remains in effect, and members covered by the contracts shall not be subject to cancellation, nonrenewal, modification, or increase in premium for reason of a medical event.

The Division of Consumer Affairs within the Department of Commerce and insurance shall receive and review complaints and inquiries from members of qualified membership organizations, and qualified membership organizations providing contracts under the act shall annually pay a fee to the Department as described in the act.

Lastly, the act requires the qualified membership organizations to pay to the Department of Commerce and insurance a fee equal to 1% of the Missouri claims paid under the contracts during the preceding year, prohibits the organizations from referring to or marketing the contracts as insurance, and requires the contracts to include certain coverage.

These provisions are similar to SB 925 (2024), HB 2082 (2024), SS/SCS/SB 11 (2023), and HCS/HB 464 (2023).

PRIOR AUTHORIZATION OF HEALTH CARE SERVICES (Sections 376.2100, 376.2102, 376.2104, 376.2106, and 376.2108)

This act enacts provisions relating to prior authorization of health care services.

Beginning January 1, 2026, health care providers shall not be required to obtain prior authorization for a health care service unless the health carrier or utilization review entity determines that in the most recent evaluation period, as defined in the act, less than 90% of the prior authorization requests submitted by that provider for that health care service were approved or would have been approved.

Also beginning January 1, 2026, health care providers shall not be required to obtain prior authorization for any health care services unless the health carrier or utilization review entity has approved or would have approved less than 90% of all prior authorization requests submitted by that provider for health care services.

Health carriers or utilization review entities may elect to have certain hospitals determine which of certain conditions, laid out in the act, the hospital will comply with in order to obtain a prior authorization exemption under the act.

Exemptions from prior authorization under the act shall not apply to: pharmacy services, not to exceed the amount of $100,000; imaging services, not to exceed $100,000; cosmetic procedures that are not medically necessary; or investigative or experimental treatments. Maximum dollar amounts for these exceptions shall be adjusted annually for inflation as described in the act.

The act further specifies certain prior authorization requests that shall not be included in making determinations under the act, specifies identification methods for the providers, includes provisions for the auditing and retraction of determinations under the act, allows for health carriers and utilization review entities to require providers to use an online portal to submit prior authorization requests, requires adverse determinations under the act to be reviewed by a clinical peer of the provider, and requires a grace period for patients who have received prior authorization for a 90-day supply of medication.

Health carriers and utilization review entities shall notify providers within 25 days after a determination is made under the act, shall include in the notification certain information used in making the determination, shall establish an appeals process for the providers, and shall maintain an online prior authorization portal as described in the act.

No health carrier or utilization review entity shall deny or reduce payment to a health care provider for a health care service for which the provider has prior authorization, except as described in the act.

These provisions shall not apply to MO HealthNet services not provided through a managed care organization, or to providers who have not participated in a health benefit plan offered by the health carrier for at least one full evaluation period.

These provisions are identical to HB 618 (2025), and similar to SB 230 (2025), SB 983 (2024), HB 1976 (2024), SB 576 (2023), and HB 1045 (2023).

MAMMOGRAMS (repeal of Section 192.769)

This act repeals a provision of current law requiring the provision of a specific notice to patients upon the completion of a mammogram.

These provisions are identical to provisions in SCS/SB 178 (2025), provisions in the perfected HCS/HB 2413 (2024), and SB 1328 (2024).

ERIC VANDER WEERD

"CHAMPION FOR CHILDREN" TAX CREDIT (Section 135.341)

Currently, a tax credit may be claimed in amount equal to up to 50% of a verified contribution to a CASA, child advocacy center, or a crisis care center. This act increases the amount to 70% for all tax years on or after January 1, 2025, up to $50,000 in any tax year. The cumulative amount of the tax credit redeemed in a fiscal year shall not exceed $2.5 million beginning July 1, 2025. In the event a full or partial credit denial due to the cumulative maximum amount of credits having been redeemed for the fiscal year causes an income tax balance owed to the state by the taxpayer, the taxpayer shall not be held liable for any addition to tax, penalty, or interest on that income tax balance due under the conditions specified in the act.

This act also extends the expiration date of the tax credit from December 31, 2025, to December 31, 2031.

HOMELESS CHILDREN (Sections 136.055, 302.178, and 302.181)

This act exempts homeless children, homeless youths, and unaccompanied youths, as defined by law, from certain fees collected by Department of Revenue fee offices. The act also adds these groups to the definition of "emancipated minor" for purposes of proving the supervised driving experience required to obtain an intermediate driver's license, and exempts emancipated minors from intermediate driver's license fees. The act provides that no fee shall be required or collected from a homeless child, homeless youth, or unaccompanied youth to obtain his or her first nondriver identification card.

A minor's status as a homeless child, homeless youth, or unaccompanied youth under the act shall be verified by a letter signed by a director or designee of a governmental or nonprofit agency providing services to homeless persons, by a local education agency liaison as described under federal law, by a school social worker or counselor, or by an attorney who is representing the minor in a legal matter.

These provisions are identical to SB 772 (2024) and provisions in SCS/HCS/HB 1775 (2024), provisions in HCS/SS#2/SB 862 (2024), SB 47 (2023), and provisions in HCS/SS/SB 198 (2023), substantially similar to provisions in HCS/HB 355 (2023), identical to SCS/SB 1167 (2022), and similar to HB 2789 (2022), provisions in SCS/HCS/HB 2376 (2022), and provisions in HCS/SS#2/SB 823 (2022).

ADMISSIBILITY OF CERTAIN EVIDENCE IN CRIMINAL CASES (Sections 491.075 and 492.304)

Under current law, a statement made by a child under 14 years of age may be admissible in criminal proceedings under certain circumstances. This act changes the age to a child under the age of 18 years of age.

Additionally, this act provides that visual or audio recordings of a child under 18 years of age relating to certain criminal offenses shall be admissible in criminal proceedings under certain circumstances.

These provisions are substantially similar to provisions in HCS/SS#2/SB 862 (2024), SB 905 (2024), SCS/SB 897 (2024), SCS/HCS/HB 2700 (2024), SB 906 (2024), SB 1245 (2024), SCS/HCS/HB 2064 & HCS#2/HB 1886 (2024), SB 1398 (2024), HCS/HBs 1777, 2203, 2059, & 2502 (2024), SCS/HCS/HBs 1706 & 1539 (2024), the perfected HCS/HB 454 (2023) and SCS/HS/HCS/HBs 1108 & 1181, et al (2023).

SARAH HASKINS

Additionally, current law requires assessors to provide notice to taxpayers when the valuation of the taxpayer's real property has increased. This act requires an assessor to provide any third party documents, reports, or other data that was relied upon in the computation of assessed value. (Sections 137.180 and 137.355)

JOSH NORBERG

Eligible taxpayers are defined as residents who: 1) are the owner of record of or have a legal or equitable interest in a homestead; and 2) are liable for the payment of real property taxes on such homestead.

The amount of the property tax credit shall be equal to the difference between the real property tax liability on the homestead in a given year minus the real property tax liability on such homestead in the year in which the taxpayer became an eligible taxpayer, provided that the real property tax liability on an eligible taxpayer's homestead as determined in the taxpayer's initial credit year may be increased by no more than five percent during a reassessment year.

A credit granted pursuant to this act shall be applied when calculating the eligible taxpayer's property tax liability for the tax year. The amount of the credit shall be noted on the statement of tax due sent to the eligible taxpayer by the county collector.

The amount of property tax credits authorized by a county pursuant to this act shall be considered tax revenue actually received by the county for the purposes of calculating property tax levies.

JOSH NORBERG

Subject to appropriation, the Department shall provide grants totaling $3 million dollars for research on the use and efficacy of psilocybin for the treatment of conditions listed in the act.

The Department shall prepare annual reports for the Governor, Lieutenant Governor, and the General Assembly on the implementation and outcomes of psilocybin use under this act.

No state agency shall disclose to the federal government or any unauthorized third party the statewide list or any individual information of persons who meet the requirements of this act.

Additionally, this act modifies current law on the use of investigational drugs and devices for individuals with terminal illnesses to include individuals with life-threatening or severely debilitating conditions or illnesses. Currently, investigational drugs shall not include Schedule I controlled substances. This act repeals that prohibition.

Finally, this act requires the Department, in collaboration with a Missouri university hospital or contract research organizations conducting FDA-approved trials, to conduct a study on the efficacy of using alternative medicine and therapies, including, but not limited to, the use of psilocybin, for the treatment of patients suffering post-traumatic stress disorder, major depressive disorder, substance use disorders, or who require end-of-life care, as described in the act. Such study shall include a study of the use of psilocybin to treat such conditions, as well as a literature review and the submission of various reports. No person participating in the study shall be subject to criminal or civil liability or sanction for participating, except in cases of gross negligence or willful misconduct.

This act is similar to SCS/SB 768 (2024), HCS/HB 1830 (2024), HB 1154 (2023), and SB 614 (2023).

SARAH HASKINS

DIAPER BANK TAX CREDIT (Section 135.621)

Current law authorizes a tax credit for contributions made to diaper banks. This act adds the definition of "national diaper bank" to require such entities to be a member of a national network organization serving all fifty states through which certification demonstrates nonprofit best practices, data-driven program design, and equitable distribution.

The tax credit sunsets on December 31, 2024. This act extends the sunset until December 31, 2031.

This provision is identical to a provision in SCS/SB 95 (2025).

EPINEPHRINE PRODUCTS (Section 167.627, 167.630, 190.246, 196.990, and 321.621)

This act changes "epinephrine auto-injector" to "epinephrine delivery device" throughout statute.

These provisions are substantially similar to provisions in HCS/SS/SB 7 (2025) and similar to provisions in HB 165 (2025) and HB 553 (2025).

This act adds licensed long-term care facilities and child care facilities to the definition of "authorized entity" in current law permitting such entities to stock a supply of epinephrine delivery devices for use in an emergency.

These provisions are identical to provisions in HCS/SS/SB 7 (2025) and similar to provisions in the perfected HCS/HB 943 (2025), SB 548 (2025), SCS/SB 317 (2025), and HCS/HB 2824 (2024).

THE "MISSOURI STATE LOAN REPAYMENT PROGRAM" (Sections 191.600-615)

This act modifies the "Health Professional Student Loan Repayment Program" to be the "Missouri State Loan Repayment Program" or "MOSLRP". MOSLRP shall be for persons who practice in areas of defined need after graduating from an accredited graduate training program in disciplines defined in rule by the Department of Health and Senior Services. MOSLRP shall not include areas of need for chiropractic services, unlike the current "Health Professional Student Loan Repayment Program". At least 35% of appropriated funds each year shall be designated for awards to primary care physicians and general dentists.

The standards the Department may establish shall not include enrollment as a full-time student in certain courses of study as in the current program, but shall include authorization to practice certain types of health professions and in areas of defined need.

These provisions are identical to provisions in HCS/SS/SB 7 (2025) and HCS/HB 720 (2025) and similar to SB 635 (2025).

SEXUALLY TRANSMITTED INFECTIONS (Section 191.648)

Currently, a physician may utilize expedited partner therapy, meaning the practice of treating the sex partners of persons with chlamydia or gonorrhea without an intervening medical evaluation or professional prevention counseling, to prescribe and dispense medications for the treatment of chlamydia or gonorrhea even without an established physician/patient relationship.

Under this act, certain health care professionals may use expedited partner therapy and such therapy may be used for designated sexually transmitted infections beyond chlamydia and gonorrhea. This act repeals the requirement that antibiotic medications prescribed and dispensed through expedited partner therapy for the treatment of chlamydia or gonorrhea be in pill form.

This provision is identical to a provision in HCS/SS/SB 7 (2025), the perfected HCS/HB 943 (2025) and SCS/SB 317 (2025), substantially similar to a provision in SB 548 (2025), SB 178 (2025), the perfected HCS/HB 2413 (2024), and SB 1445 (2024), and similar to HB 1879 (2024).

DOULA SERVICES (Sections 191.708, 208.152, and 208.1400-1425)

Under this act, the chief medical officer or chief medical director of the Department of Health and Senior Services, the Department of Mental Health, or the MO HealthNet Division of the Department of Social Services may issue nonspecific recommendations for doula services, a medical standing order for prenatal vitamins, or a medical standing order for a purpose promulgated in rule, to terminate as specified in the act.

Additionally, this act adds doula services and childbirth education classes for pregnant women and a support person to the list of covered MO Healthnet and "Show-Me Healthy Babies Progam" services, to be reimbursed as described in the act. The Department of Social Services shall study the impact of the childbirth education classes on infant and maternal mortality and shall submit a report to the General Assembly prior to January 1, 2028.

These provisions are identical to HCS/HB 1095 (2025).

TELEHEALTH (Section 191.1145)

Under this act, "telehealth" or "telemedicine" shall include the delivery of health care services through audiovisual and audio-only technologies and shall not be limited only to services delivered via select third-party corporate platforms.

This provision is identical to HCS/SS/SB 7 (2025), SCS/SB 317 (2025), HB 825 (2025), SS#2/SB 79 (2025), and HB 1873 (2024) and substantially similar to SB 931 (2024), SB 669 (2023), and HB 1098 (2023).

DEPARTMENT OF HEALTH AND SENIOR SERVICES CONTRACTS FOR PUBLIC HEALTH (Section 192.021)

This act authorizes the Department of Health and Senior Services to contract with a designated Missouri affiliate of the National Network of Public Health Institutes, or a similar or successor entity, in order to assist in carrying out its duties to promote the health and well-being of Missouri residents. Such contracts may include efforts to assist in the delivery of health services throughout the state and the administration of grant funds and related programs. The Department and the designated affiliate shall provide a report to the General Assembly as specified in the act.

This provision is identical to SB 549 (2025).

FORENSIC EXAMINATIONS OF VICTIMS OF SEXUAL OFFENSES (Section 192.2521)

Under this act, a specialty hospital, meaning a hospital other than a general acute care hospital, shall not be required to comply with certain statutory provisions relating to forensic examinations of victims of sexual assault if such hospital has in place a policy for the transfer of such victims to an appropriate hospital with an emergency department.

This provision is identical to a provision in HCS/SS/SB 7 (2025), the perfected HCS/HB 943 (2025), SB 178 (2025), SCS/SB 317 (2025), and the perfected HCS/HB 2413 (2024) and substantially similar to SB 1326 (2024).

HOSPITAL WORKPLACE VIOLENCE (Section 197.708)

Under this act, each hospital shall prominently display a printed sign, in all capital letters, warning that assaulting a health care professional is a serious crime which may be punishable as a class A misdemeanor.

This provision is identical to HCS/HB 1213 (2025) and substantially similar to SB 791 (2025).

MO HEALTHNET COVERAGE OF CERTAIN CLINICAL PATHOLOGY SERVICES (Section 208.149)

This act requires that the fee for the professional component of clinical pathology services shall be paid by MO HealthNet for professional services provided by a hospital-based pathologist for inpatient clinical pathology services rendered to MO HealthNet patients. The reimbursement shall be set at thirty percent of the approved outpatient simplified fee schedule based on Medicare's clinical laboratory fee schedule, as described in the act.

This provision is identical to a provision in HB 1599 (2025).

PRENATAL TESTS FOR CERTAIN DISEASES (Section 210.030)

Currently, a physician or other health care provider shall draw and test a pregnant woman's blood at or soon after her first prenatal examination, with her consent, for syphilis, hepatitis B, or other similar diseases. Under this act, the testing of the pregnant woman's blood shall also occur at the twenty-eighth week of her pregnancy and immediately after birth. Additionally, the test shall include hepatitis C and HIV. If a mother tests positive for syphilis, hepatitis B, hepatitis C, or HIV, the physician or other health care provider shall treat the mother in accordance with the most recent accepted medical practice.

Current law requires the Department of Health and Senior Services to work in consultation with the Missouri Genetic Disease Advisory Committee to make rules pertaining to these blood tests. This act repeals the requirement to work with the Committee and requires that the tests be approved or accepted by the U.S. Food and Drug Administration.

This provision is substantially similar to provisions in HCS/SS/SB 7 (2025), SCS/SB 178 (2025), SCS/SB 317 (2025), and the perfected HCS/HB 943 (2025) and similar to provisions in SB 548 (2025), the perfected HCS/HB 2413 (2024), and similar to SB 1260 (2024).

CHILD CARE FACILITY ALLERGY POLICIES (Section 210.225)

This act establishes "Elijah's Law". Before July 1, 2027, each licensed child care provider shall adopt a policy on allergy prevention and response with a focus on potentially deadly food-borne allergies, as specified in the act. The Department of Elementary and Secondary Education shall develop a model policy or policies before July 1, 2026.

This provision is identical to a provision in HCS/SS/SB 7 (2025) and substantially similar to SB 783 (2025) and HB 580 (2025).

LICENSURE OF DENTISTS AND DENTAL HYGIENISTS (Sections 332.211, 332.281, and 332.700-760)

Current law provides that the Missouri Dental Board ("Board") shall grant without examination a license to a dentist who has been licensed in another state for at least five consecutive years immediately preceding the application for licensure in this state if the Board is satisfied that the qualifications are at least equivalent to the Missouri licensure requirements. Additionally, current law provides that the Board shall grant without examination a license to a dental hygienist who has been licensed in another state for at least two consecutive years immediately preceding the application for licensure in this state if the Board is satisfied that the qualifications are at least equivalent to the Missouri licensure requirements.

This act repeals this provision and provides the Board shall waive, within six months, any examination, educational, or experience requirements for licensure to any person who holds a valid current dentist or dental hygienist license issued by another state or territory of the United States or a branch or unit of the Armed Forces of the United States for at least one year if it determines that the person met the minimum requirements of the other state. The Board may require an applicant to take and pass an examination specific to Missouri law. For military spouses with licensure in another state, the Board shall waive such examination, educational, or experience requirements and issue a license within thirty days.

The Board shall not waive any examination, educational, or experience requirements for any person who has a revoked license, is currently under investigation or disciplinary action, has a complaint pending, does not hold a license in good standing, has a criminal record which would disqualify from licensure in this state, or does not hold a valid current license in the other jurisdiction on the date of receipt by the Board of his or her application.

Additionally, any person who is licensed under this act shall be subject to the Board's jurisdiction and all rules and regulations pertaining to the practice of dentistry and dental hygiene. Finally, this act shall not be construed to waive any requirement for fees of licensure.

These provisions are identical to provisions in HCS/SS/SB 7 (2025) and the perfected HB 56 (2025) and substantially similar to provisions in SB 778 (2025) and HB 2075 (2024).

This act establishes the Dental and Dental Hygienist Compact ("Compact"), which facilitates the interstate practice of dentistry and dental hygiene and provides for dentists and dental hygienists licensed in a participating state the ability to practice in other participating states. The Compact sets forth the requirements to be met in order for a state to join and the requirements for a dentist or dental hygienist to obtain and exercise the ability to practice in other participating states.

The Compact further provides that a dentist or dental hygienist with compact privilege shall function within the scope of practice authorized by the participating state in which they seek to practice and shall be subject to that state's regulatory authority. A dentist or dental hygienist whose privilege in a participating state is encumbered or removed is not eligible for compact privilege in other participating states until the encumbrance or removal has passed and all requirements are met.

Additionally, the Compact creates a joint government agency ("Commission") and provides for its powers and duties, including the development and maintenance of a coordinated database and reporting system containing licensure, adverse actions, and investigative information on all licensees and applicants.

Furthermore, the Compact shall come into effect on the date in which the seventh state enacts the Compact into law. Any participating state may withdraw from the Compact by repealing the Compact, but such withdrawal shall not take effect until 180 days after the enactment of the repeal. Finally, the Compact shall be binding upon participating states and shall supersede any conflict with state law.

These provisions are identical to provisions in HCS/SS/SB 7 (2025) and the perfected HCS/HB 56 (2025) and substantially similar to provisions in SB 327 (2025) and SS/SB 778 (2024).

LICENSURE OF WHOLESALE DRUG DISTRIBUTORS (Section 338.333)

Under this act, the Board of Pharmacy may permit an out-of-state wholesale drug distributor or third-party logistics provider to be licensed in this state despite not having a license issued by the distributor's or provider's resident state if the distributor or provider has a current and valid drug distributor accreditation from the National Association of Boards of Pharmacy.

This provision is identical to HB 1465 (2025).

INSURANCE COVERAGE OF SELF-ADMINISTERED HORMONAL CONTRACEPTIVES (Section 376.1240)

This act requires health benefit plans issued or renewed on or after January 1, 2026, that provide coverage for self-administered hormonal contraceptives, as defined in the act, to cover a supply of the contraceptives which is intended to last up to one year.

This provision is identical to a provision in HCS/SS/SB 7 (2025), SCS/SB 178 (2025), and the perfected HCS/HB 2413 (2024) and substantially similar to SB 821 (2024) and SB 1321 (2024) and similar to SB 512 (2023), HB 287 (2023), SB 641 (2022), SB 472 (2021), HB 1373 (2021), and SB 346 (2019).

INSURANCE COVERAGE OF ANESTHESIA SERVICES (Section 376.1245)

Under this act, no health carrier or health benefit plan shall establish, implement, or enforce any policy that imposes a time limit for the payment of anesthesia services provided during a medical or surgical procedure, as described in the act

This provision is identical to HCS/HBs 1126 & 932 (2025).

PRIOR AUTHORIZATION OF HEALTH CARE SERVICES (Sections 376.2100-2108)

This act provides that a health carrier or utilization review entity shall not require health care providers to obtain prior authorization for health care services, except under certain circumstances described in the act.

Prior authorization shall not be required unless the health carrier or utilization review entity makes a determination that less than 90% of prior authorization requests submitted by that health care provider in the previous evaluation period, as defined in the act, were or would have been approved. The act establishes separate 90% thresholds for requiring prior authorization for individual health care services or requiring prior authorization for any health care service.

The act specifies requirements for notifying the provider of determinations under the act, requires health carriers and utilization review entities to establish an appeals process for determinations under the act, and requires carriers and utilization review entities to maintain an online portal giving providers access to certain information.

Lastly, no health carrier or utilization review entity shall deny or reduce payments to a health care provider who had a prior authorization, unless the provider made a knowing and material misrepresentation with the intent to deceive the carrier or utilization review entity, or unless the health care service was not substantially performed.

These provisions shall not apply to Medicaid, except with regard to a Medicaid managed care organization as defined by law. The act also does not apply to providers who have not participated in a health benefit plan offered by the carrier for at least one full evaluation period. This act shall not be construed to authorize providers to provide services outside the scope of their licenses, nor to require health carriers or utilization review entities to pay for care provided outside the scope of a provider's license.

These provisions are similar to SB 230 (2025), HB 1976 (2024), SB 983 (2024), SB 576 (2023), and HB 1045 (2023).

AIR AMBULANCE AGREEMENT (Section 407.324)

This act provides that an air ambulance membership organization shall not knowingly sell or renew an air ambulance membership agreement to an individual who is enrolled in MO HealthNet. If an individual who has purchased an air ambulance membership agreement enrolls in MO HealthNet during the duration of the agreement, the enrollee may notify the air ambulance membership organization of the enrollment within 30 days after the effective date of the enrollment. If the enrollee timely notifies the organization of the enrollment, the enrollee may request either a prorated refund or a transfer of the membership to another individual. The organization shall disenroll the enrollee within 30 days of receipt of the notice of the enrollee's enrollment in MO HealthNet unless the enrollee's membership is transferred to another individual in the enrollee's household.

All air ambulance membership agreement websites, brochures, and marketing materials shall include certain disclosures as described in the act.

If an enrollee believes that an individual or entity violated provisions of the act, the enrollee may file a complaint with the Attorney General. The Attorney General shall have all powers, rights, and duties under the Missouri Merchandising Practices Act regarding violations under the act.

This provision is identical to HCS/HB 9991 (2025).

MAMMOGRAMS (repeal of Section 192.769)

This act repeals a provision of current law requiring the provision of a specific notice to patients upon the completion of a mammogram.

This provision is identical to a provision in HCS/SS/SB 7 (2025), SCS/SB 178 (2025, SCS/SB 317 (2025), the perfected HCS/HB 2413 (2024), and SB 1328 (2024).

SARAH HASKINS

This act is identical to SB 14 (2023).

SARAH HASKINS

The maximum allowable credit under current law is limited to $750 in rent constituting property taxes actually paid or $1,100 in actual property tax paid. This act increases such amounts to $1,055 and $1,550, respectively, and annually adjusts such maximum amounts for inflation. (Section 135.025)

Additionally, current law limits the tax credit to qualifying taxpayers with an income of $27,500 or less, or $30,000 in the case of a homestead owned and occupied by a claimant for the entire year. This act increases such maximum income to $38,200 for claimants with a filing status of single, $42,200 for claimants with a filing status of single and who owned and occupied a homestead for the entire year, $41,000 for claimants with a filing status of married filing combined, and $48,000 for claimants with a filing status of married filing combined and who owned and occupied a homestead for the entire year, and annually adjusts such amounts for inflation. (Section 135.030)

This act is identical to SB 822 (2024) and is substantially similar to SB 930 (2024), HCS/HB 1428 (2024), HB 1670 (2024), HB 1939 (2024), HB 2050 (2024), HB 666 (2023), and HCS/HB 1134 (2023), and to provisions in HB 1636 (2024), SS/SCS/SB 15 (2023), HCS/SS/SB 143 (2023), HCS/SB 247 (2023), and HB 1351 (2023).

JOSH NORBERG

This provision is identical to a provision in SB 206 (2025) and SCS/SB 1382 (2024) and SB 1340 (2024).

Under this act, any emergency medical services provider licensed under certain provisions of state law shall be considered a health care professional for purposes of liability and disclosure of materials produced by a peer review committee. Any quality improvement or quality assurance activity required by such licensed individuals shall be considered an activity of a peer review committee.

This act modifies the definition of a "health care professional" in the context of peer review committees and associated immunities from civil liabilities by adding physician assistants.

This act is identical to SCS/SB 1248 (2024).

SARAH HASKINS

The Compact creates a joint government agency ("Commission") and provides for its powers and duties, including overseeing the administration of the Compact, issuing advisory opinions and training on the Compact, and enforce compliance with the Compact. Additionally, each state's dental board shall have two voting members on the Commission, with one member required to be a member of the Missouri Dental Board. States shall submit all actions and documents determined by the Commission to the Clearinghouse, which is described in the act as the clearinghouse and databank administered by the American Association of Dental Boards that houses adverse actions and denials of licensure from the state dental boards. Insurance companies and entities verifying documents for the purposes of licenses to dentists or dental hygienists may seek information from the Clearinghouse for public record documents.

The Compact sets forth the requirements for a dentist or dental hygienist to obtain and exercise the ability to practice in other participating states with the home state's dental board determining the eligibility of an application for a compact license privilege. The Compact further provides that a dentist or dental hygienist with compact privilege shall be subject to and comply with the laws and regulations of the participating state in which they seek to practice and shall be subject to that state's dental board. Appeals of a denial of a compact privilege application shall be filed with the home state within thirty days of the denial.

Additionally, a licensee shall notify the Commission within ten days of any adverse action taken against his or her license in a state that is not a member of the Compact. Home states may take adverse actions against a holder of a compact license privilege regardless of where the actions occurred and any participating state where the compact licensee holds a compact license privilege may investigate an allegation of a violation of the laws and rules of the practice of dentistry or dental hygiene in any other state where the licensee holds a compact license privilege. Participating states may also participate together in joint investigations of compact licensees.

Dental boards issuing a compact license privilege may also impose a fee for such privilege, except no fee shall be required for any active-duty military member or their spouse for up to one year after separation from the service.

Furthermore, the Compact shall become active and binding upon the fifth state's enactment of the Compact. Any participating state may withdraw from the Compact by repealing the Compact, but the Compact shall remain in effect until six months after the date of withdrawal.

KATIE O'BRIEN

ELECTION CHALLENGERS

(Section 115.105)

The act permits election challengers to be present in a polling place during the absentee voting period. Additionally, the act moves up the time period when the chair of a county committee is required to designate challengers. Currently, challengers are to be designated not later than four business days prior to the election. This act requires designations to be made not later than four business days prior to the beginning of the absentee voting period.

This provision is identical to a provision in HCS/HBs 126 & 367 (2025), HCS/HB 507 (2025) and HCS/HB 794 (2025) and substantially similar to SB 740 (2025) and HB 638 (2025).

ELECTION WATCHERS

(Section 115.107)

The act additionally provides that no later than four business days before a watcher may enter a polling or counting location, the chair of each county committee of each political party named on the ballot shall provide signed official designation forms with the names of the designated watchers and substitutes to the local election authority for confirmation of eligibility to serve as a watcher. The local election authority, after verifying the eligibility of each designated and substitute watcher, shall sign off on the official designation forms, unless the watcher is found not to have the qualifications established by law. If the election authority determines that a watcher does not meet the qualifications, the designating party chair may designate a replacement watcher and provide the local election authority with the name of the replacement watcher before 5:00 p.m. of the Monday preceding the election. The designating chair may substitute watchers at his or her discretion during such hours.

This provision is identical to a provision in HCS/HBs 126 & 367 (2025), HCS/HB 507 (2025), and HCS/HB 794 (2025).

PRIVATE FUNDS FOR ELECTION ADMINISTRATION

(Section 115.1630)

The act creates new provisions relating to funds used for election administration. Specifically, government entities, as that term is defined in the act, are prohibited from soliciting, accepting, or using any funds or in-kind goods or services for election administration if those funds or in-kind goods or services are donated directly or indirectly by any person other than a government entity. An election officer may, however, solicit, accept, or use funds or in-kind goods or services of de minimis value.

Government entities are additionally prohibited from being members of or participate in programs run by organizations that engage in election administration and receive foreign funding. Except as otherwise provided in the act, a government entity or election officer shall not join the membership of any entity, participate in any program, or purchase any services from any entity unless the entity complies with certain certification requirements as described in the act.

Violation of these provisions is a class B misdemeanor, if the government entity knowingly accepts foreign-influenced funds for election administration.

These provisions are substantially similar to provisions in HCS/HB 794 (2025).

FOREIGN MONEY IN BALLOT MEASURE CAMPAIGNS

(Sections 130.170 through 130.188)

governing foreign spending in state ballot measure campaigns. This act is incorporated into the campaign finance chapter (130) and is subject to already existing campaign finance definitions, except as otherwise provided in the act.

Upon creating, forming, or registering a committee, other than a candidate committee, the treasurer of the committee is required to file an accompanying certificate declaring that no preliminary activity, as that term is defined in the act, was funded, directly or indirectly, by prohibited sources, defined as any contribution from or expenditure made by a foreign national made with the intent to use such funds to influence an election on a ballot measure. Furthermore, after such a committee has been created, formed, or registered, the committee may not knowingly or willfully receive, solicit, or accept contributions or expenditures from a prohibited source, whether directly or indirectly.

For all contributions in excess of $2,000, donors to committees, other than candidate committees, must affirm that the donor is not a foreign national and that the donor has not knowingly or willfully accepted funds, directly or indirectly, aggregating in excess of $10,000 from one or more prohibited sources within the two-year period immediately preceding the date the contribution is made, in the case of individuals, or within the four-year period immediately preceding the date the contribution is made, in the case of any other entity. Receipt of an affirmation by a committee pursuant to this provision shall create a rebuttable presumption of compliance with this provision on the part of the committee, provided that nothing in this provision shall prohibit the Attorney General from pursuing any action allowed by this act if the Attorney General has found a willful violation.

Within 48 hours of making one or more expenditures supporting or opposing a ballot measure, an entity making such an expenditure shall affirm to the Missouri Ethics Commission (MEC) that it has not knowingly or willfully accepted funds, directly or indirectly, aggregating in excess of $10,000 from one or more prohibited sources within the four-year period immediately preceding the date the expenditure is made and that it will not do so through the remainder of the calendar year in which the ballot measure will appear on the ballot. Receipt by an entity making an expenditure of an affirmation from a donor that it is not a foreign national shall create a rebuttable presumption that the entity has not knowingly or willingly accepted funds, directly or indirectly, aggregating in excess of $10,000 from one or more prohibited sources, provided that nothing in this provision shall prohibit the Attorney General from pursuing any action allowed by this act if the Attorney General has found a willful violation.

The act prohibits committees, other than candidate committees, from accepting an in-kind contribution from any foreign national or from any individual or entity that has knowingly or willfully accepted funds, directly or indirectly, aggregating in excess of $10,000 from one or more foreign nationals within the four year period immediately preceding the date the in-kind contribution is made. Moreover, a foreign national may not make an in-kind expenditure for the purpose of supporting or opposing any ballot measure.

The act specifically prohibits foreign nationals from:

• Directing, dictating, controlling or directly or indirectly participating in the decision-making process of any person with regard to that person's activities to influence a ballot measure; and

• Soliciting, directly or indirectly, the making of a donation, contribution or expenditure by another person to influence a ballot measure.

Additionally, collection of information pursuant to this act shall be done so in accordance with the Personal Privacy Protection Act and any public disclosure shall be considered a violation of the Personal Privacy Protection Act subject to civil action and penalties, as provided in that act.

The act creates a new enforcement mechanism for this act that is separate and distinct from the process that the MEC uses to investigate complaints of campaign finance law currently. Specifically, the Attorney General is allowed to issue civil investigative demands in the same manner as provided for under the Missouri Merchandising Practices Act and may bring a civil action to enforce this act, as described in detail in the act. If, after the hearing, the court determines that probable cause exists to believe that a violation of this act has occurred, the court shall enter an order to that effect and the case should proceed to trial on an expedited basis.

Within 30 days of a finding that a committee has violated this act, the committee shall refund the contribution to the original contributor. In the event of an appeal, the contribution shall be placed in escrow, after which the funds shall be disbursed in accordance with the final order. If the campaign committee is unable to return the funds, the directors, officers or executive members of the campaign committee shall be liable in their personal capacity, jointly and severally, for the refund of said funds.

Within 30 days of a finding that a committee, person, or other entity making an expenditure has violated this act, the entity making the expenditure shall disgorge to the Attorney General funds in an amount equal to the reported cost of the expenditure. If the funds cannot be disgorged, the person or directors, officers or executive members of the committee or other entity shall be liable in their personal capacities, jointly and severally, for the payment of the amount due. In the event of an appeal, the funds subject to disgorgement shall be placed in escrow, after which they shall be disbursed in accordance with the final order.

If any lobbyist violates any of the provisions of this act, the lobbyist's registration may be revoked or suspended and the lobbyist may be enjoined from receiving compensation or making expenditures for lobbying.

If the Attorney General prevails in an action brought under this act, the court shall award:

• Injunctive relief sufficient to prevent the defendant from violating this act or engaging in acts that aid or abet violations of the act; and

• Statutory damages up to twice the amount of the prohibited contribution or expenditure.

In addition to other penalties provided in this act, if the court finds a knowing or willful violation of this act, the court may assess a penalty of up to three times the statutory damages.

These provisions are identical to provisions in HCS/HB 794 (2025).

SCOTT SVAGERA

No health benefit plan shall require submission of more documentation than the prescribing health care professional's clinical notes in order to determine whether an enrollee has an elevated risk of opioid misuse.

This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2026.

ERIC VANDER WEERD

A violation of an ex parte order for removal of persons unlawfully occupying property covered by this act shall be a class E felony, instead of class A misdemeanor. Additionally, this act provides that the offense of criminal mischief for unlawful detention, occupation, or trespass upon a residential dwelling, commercial vacant building, or vacant land shall be a class E felony, instead of class A misdemeanor.

This act is similar to the perfected HB 2896 (2024) and SS/HB 2062 (2024).

KATIE O'BRIEN

SEXUALLY TRANSMITTED INFECTIONS (Section 191.648)

Currently, a physician may utilize expedited partner therapy, meaning the practice of treating the sex partners of persons with chlamydia or gonorrhea without an intervening medical evaluation or professional prevention counseling, to prescribe and dispense medications for the treatment of chlamydia or gonorrhea even without an established physician/patient relationship.

Under this act, physicians and certain health care professionals may use expedited partner therapy and such therapy may be used for designated sexually transmitted infections beyond chlamydia and gonorrhea. This act repeals the requirement that antibiotic medications prescribed and dispensed through expedited partner therapy for the treatment of chlamydia or gonorrhea be in pill form.

This provision is substantially similar to a provision in SCS/SB 317 (2025), HCS/HB 943 (2025), the perfected HCS/HB 2413 (2024), and SB 1445 (2024) and substantially similar to HB 1879 (2024).

FORENSIC EXAMINATIONS OF VICTIMS OF SEXUAL OFFENSES (Section 192.2521)

Under this act, a specialty hospital, meaning a hospital other than a general acute care hospital, shall not be required to comply with certain statutory provisions relating to forensic examinations of victims of sexual assault if such hospital has in place a policy for the transfer of such victims to an appropriate hospital with an emergency department.

This provision is identical to a provision in the perfected HCS/HB 2413 (2024) and substantially similar to SB 1326 (2024).

PRENATAL TESTS FOR CERTAIN DISEASES (Section 210.030)

Currently, a physician or other health care provider shall draw and test a pregnant woman's blood at or soon after her first prenatal examination, with her consent, for syphilis, hepatitis B, or other similar diseases. Under this act, the testing of the pregnant woman's blood shall also occur at the twenty-eighth week of her pregnancy and immediately after birth. Additionally, the test shall include hepatitis C and HIV. If a mother tests positive for syphilis, hepatitis B, hepatitis C, or HIV, the physician or other health care provider shall treat the mother in accordance with the most recent accepted medical practice.

Current law requires the Department of Health and Senior Services to work in consultation with the Missouri Genetic Disease Advisory Committee to make rules pertaining to these blood tests. This act repeals the requirement to work with the Committee and requires that the tests be approved or accepted by the U.S. Food and Drug Administration.

All persons providing care under this provision shall do so in accordance with state laws regarding consent to medical treatment.

This provision is substantially similar to a provision in SCS/SB 317 (2025), HCS/HB 943 (2025), and the perfected HCS/HB 2413 (2024) and substantially similar to SB 1260 (2024).

INSURANCE COVERAGE OF SELF-ADMINISTERED HORMONAL CONTRACEPTIVES (Section 376.1240)

This act requires health benefit plans issued or renewed on or after January 1, 2026, that provide coverage for self-administered hormonal contraceptives, as defined in the act, to cover a supply of the contraceptives which is intended to last up to one year.

This provision is identical to a provision in the perfected HCS/HB 2413 (2024) and substantially similar to SB 821 (2024) and SB 1321 (2024) and similar to SB 512 (2023), HB 287 (2023), SB 641 (2022), SB 472 (2021), HB 1373 (2021), and SB 346 (2019).

MAMMOGRAMS (repeal of Section 192.769)

This act repeals a provision of current law requiring the provision of a specific notice to patients upon the completion of a mammogram.

This provision is identical to a provision in the perfected HCS/HB 2413 (2024) and SB 1328 (2024).

SARAH HASKINS

This act is substantially similar to HB 2168 (2024).

JOSH NORBERG

This act is identical to SB 437 (2023) and HB 2523 (2020), and is substantially similar to SB 795 (2024) and to a provision in SB 382 (2023).

JOSH NORBERG

This act is identical to SB 974 (2024), HB 2355 (2024), HB 2357 (2024), SB 690 (2018), and SCS/SB 98 (2017); substantially similar to SB 720 (2016); and similar to SB 728 (2024), SB 1274 (2024), and a provision in SB 165 (2023).

OLIVIA SHANNON

Prior authorization shall not be required unless the health carrier or utilization review entity makes a determination that less than 90% of prior authorization requests submitted by that health care provider in the previous evaluation period, as defined in the act, were or would have been approved. The act establishes separate 90% thresholds for requiring prior authorization for individual health care services or requiring prior authorization for any health care service.

The act specifies requirements for notifying the provider of determinations under the act, requires health carriers and utilization review entities to establish an appeals process for determinations under the act, and requires carriers and utilization review entities to maintain an online portal giving providers access to certain information.

Lastly, no health carrier or utilization review entity shall deny or reduce payments to a health care provider who had a prior authorization, unless the provider made a knowing and material misrepresentation with the intent to deceive the carrier or utilization review entity, or unless the health care service was not substantially performed.

This act shall not apply to Medicaid, except with regard to a Medicaid managed care organization as defined by law. The act also does not apply to providers who have not participated in a health benefit plan offered by the carrier for at least one full evaluation period. This act shall not be construed to authorize providers to provide services outside the scope of their licenses, nor to require health carriers or utilization review entities to pay for care provided outside the scope of a provider's license.

This act is identical to HB 1976 (2024), and similar to SB 983 (2024) and SB 576 (2023), and to HB 1045 (2023).

ERIC VANDER WEERD

ECONOMIC BOYCOTTS (Section 34.650)

Under this act, public entities are prohibited from entering into certain contracts with a company unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract not to engage in, any kind of economic boycott, as that term is defined in the act. Any contract failing to comply with the provisions of this act shall be void against public policy.

Provisions are included allowing the Attorney General to enforce this act. A company that enters into a contract with a public entity that is subject to this act and engages in any economic boycott during the term of the contract shall be obligated to pay damages to the state in an amount equal to three times all monies paid to the company under the contract. Additionally, any person injured as a result of any violation or threatened violation of this act may bring a cause of action in Cole County Circuit Court and shall be entitled to injunctive relief as well as damages, including costs and attorney fees.

This act does not apply to contracts with a total potential value of less than $100,000 or to contractors with fewer than 10 employees.

This provision is identical to SB 430 (2023) and substantially similar to SB 1061 (2024).

UNLAWFUL BUSINESS PRACTICES - DEI CLASSIFICATIONS (Section 431.205)

The act also creates unlawful business practices relating to DEI classifications. A DEI classification is defined as race, ethnicity, nationality, socioeconomic status, sex, sexual orientation, gender, or gender identity.

Pursuant to the act, it is an unlawful business practice for any private business, in entering into, maintaining, or seeking to establish contractual relations with any other private business to:

• Fail or refuse to enter into a contract, maintain a contract, or entertain bids or offers to contract, based, in whole or in part, on the fact that the other private business: (a) does not provide information or data, or does not provide sufficient information or data, about the extent to which its workforce or ownership exhibit particular DEI classifications; or (b) Fails to satisfy any rule, standard, policy, goal, aspiration, or preference, whether express or implied, regarding the extent to which its workforce, managers, executives, or ownership exhibit or claim to exhibit particular DEI classifications.

• Consider: (a) Whether the owners, controllers, officers, or employees of another private business exhibit or claim to exhibit particular DEI classifications; or (b) Whether another private business has adopted or endorsed any particular policy or practice that promotes the hiring and promotion of employees based on the fact that those employees or prospective employees exhibit or claim to exhibit particular DEI classifications. It is a violation of this provision if any of the foregoing criteria is considered as one criterion among many other criteria, treated as a dispositive criterion in making a decision, or is part of an express or implied scoring or grading system;

• Require or suggest that individuals exhibiting particular DEI classifications, because of their DEI classifications, work on the contract or have particular roles in performing the contract, or to require or suggest that a particular quota or percentage of individuals working on the performance of a contract exhibit one or more particular DEI classifications; and

• Require or suggest that any other contracting party provide data regarding the extent to which its workforce, managers, executives, or ownership exhibit or claim to exhibit particular DEI classifications.

A civil action for violation of this provision may be brought within two years after the alleged unlawful business practice occurred or after its reasonable discovery by the alleged injured party. In any civil action brought pursuant to this act, the plaintiff shall bear the burden of proving the alleged unlawful practice was the direct proximate cause of the claimed damages. Any party to such an action has a right to a trial by jury. The court may award certain fees, damages, and court costs as described in the act.

The act additionally empowers the Attorney General to issue a civil investigative demand or bring a civil action in the Cole County Circuit Court seeking appropriate remedies if there is reasonable cause to believe that any private business or group of private businesses is engaged in an unlawful business practice prohibited by this provision.

This act contains various exemptions.

This act is identical to SB 980 (2024).

SCOTT SVAGERA

SCOTT SVAGERA

Currently, a health care practitioner shall not accept any portion of a controlled substance unused by a patient when the practitioner did not originally dispense the drug unless the controlled substance was delivered to the practitioner to administer to the patient for whom the medication was prescribed as authorized by federal law. This act removes the "as authorized by federal law" limitation.

This act requires a candidate applying for licensure as a physician to submit to a criminal background check and furnish certain educational and experience documents. This act also allows the Board of Registration for the Healing Arts (the "Board") to require applicants to list all licenses to practice as a physician currently or previously held in another state, territory, or country and to disclose any past or pending investigations, discipline, or sanctions for such licenses. The Board may also obtain a report on the applicant from the National Practitioner Data Bank or the Federation of State Medical Boards.

Additionally, this act specifies that an applicant who has completed an unaccredited postgraduate training in a medical subspecialty for which there is no program accredited by the Accreditation Council for Graduate Medical Education ("ACGME") shall satisfy the training requirements for permanent licensure as required by state rules if such training occurred in a teaching hospital accredited by ACGME. The training period shall be equal to or exceed an accredited postgraduate training program. The Board shall waive such training requirements for any applicant who has been a licensed physician in good standing in another state for more than three years.

This provision is substantially similar to SB 1030 (2024) and similar to HB 2753 (2024) and HB 1279 (2023).

Finally, this act modifies rulemaking authority regarding pharmacy services in hospitals. Under this act, the Department of Health and Senior Services shall have the sole authority to promulgate rules governing pharmacy services in hospitals. The Department and the Board of Pharmacy may jointly promulgate rules governing medication distribution and medication therapy services by a pharmacist at or within a hospital. The Board shall have the sole authority to promulgate rules governing inspection and licensure of Class B pharmacies.

This provision is identical to SB 1251 (2024) and HB 2349 (2024) and substantially similar to SB 511 (2023) and SB 538 (2021).

SARAH HASKINS

Subject to appropriations, a political subdivision that receives less than the allowable amount of total real and personal property tax revenues shall be eligible for reimbursement from the state in an amount equal to the amount by which such revenues are below the allowable amount.

This act is identical to SB 1086 (2024), SB 725 (2024), and SB 733 (2024), and to a provision in SS/SB 1207 (2024), and is substantially similar to SS/SCS/SB 8 (2023) and SB 493 (2023), and to a provision in HCS/SS/SB 23 (2023), HCS/SS#3/SCS/SB 131 (2023), SS/SCS/SB 133 (2023), as amended, HCS/SS/SB 143 (2023), HCS/SB 247 (2023), and SCS/HCS#2/HB 713 (2023).

JOSH NORBERG

This act is identical to SB 1188 (2024) and similar to SB 155 (2017).

ERIC VANDER WEERD

This act is identical to SB 1490 (2024) and HB 2591 (2024).

SARAH HASKINS

HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158)

This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other obligations. This act permits investment of up to 50% of funds not required for operations or other obligations in a manner described in the act, with the remaining portion to be invested into any investment in which the Treasurer is allowed to invest. These provisions shall only apply if the hospital receives less than three percent of its annual revenues from municipal, county, hospital district, or state taxes or appropriated funds from the municipality in which such hospital is located.

Under this act, municipal hospitals in third class cities may operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals may operate in areas where municipal hospitals in third class cities and county hospitals operate.

These provisions are identical to provisions in HCS/HB 943 (2025) and substantially similar to SB 244 (2025).

EMERGENCY SERVICES (Sections 190.053, 190.076, 190.098, 190.101, 190.109, 190.112, and 190.166)

This act modifies training requirements for members of an ambulance district board of directors. Under this act, board members shall complete three hours of continuing education for each term of office. Failure to do so shall result in immediate disqualification and the office shall be vacant until filled.

This provision is identical to a provision in SB 548 (2025), SB 7 (2025), SB 206 (2025), HCS/HB 943 (2025), SCS/SB 1382 (2024), and SB 1340 (2024).

Under this act, each ambulance district shall arrange for an audit of the district's records and accounts every three years by a certified public accountant. The audit shall be made available to the public on the district's website or otherwise freely available by other electronic means.

This provision is identical to a provision in SB 548 (2025), SB 7 (2025), SB 206 (2025), SCS/SB 1382 (2024), and SB 1340 (2024).

This act modifies provisions relating to certification of community paramedics and the provision of community paramedic services. Community paramedic services shall mean those services provided by an entity that employs licensed paramedics certified by the Department of Health and Senior Services as community paramedics for services that are provided in a nonemergent setting, consistent with the education and training of a community paramedic and the supervisory standard approved by the medical director, and documented in the entity's patient care plans or protocols.

Any ambulance service that seeks to provide community paramedic services outside of its service area shall have a memorandum of understanding (MOU) with the ambulance service of that area if that ambulance service is already providing those services or shall notify the ambulance services of that area if that ambulance service is not providing community paramedic services. Emergency medical response agencies (EMRAs) may provide community paramedic services in a ground ambulance service's service area. If the ground ambulance service is already providing those services or provides them after the EMRA offers them, then the EMRA and ground ambulance service shall enter into a MOU for the coordination of services.

The Department shall promulgate rules and regulations for the purpose of certifying community paramedic services entities and the standards necessary to provide such services. Certified entities shall be eligible to provide community paramedic services for 5 years.

This provisions is identical to a provision in HCS/HB 943 (2025) and similar to a provision in SB 548 (2025), SB 206 (2025), and SCS/SB 1382 (2024).

This act modifies the State Advisory Council on Emergency Medical Services by changing the number of council members from 16 to no more than 23 and specifying the members who shall serve on the Council. Currently, members are appointed by the Governor with the advice and consent of the Senate. Under this act, the Director of the Department of Health and Senior Services, the regional EMS advisory committees, and the Time-Critical Diagnosis Advisory Committee shall appoint members.

This provision is substantially similar to provisions in the perfected HCS/HB 943 (2025), SB 548 (2025), SB 206 (2025), SB 270 (2025), SB 1277 (2024), and a provision in SCS/SB 1382 (2024).

The Department of Health and Seniors Services, as a part of regulating ground ambulance service licenses, shall promulgate rules regarding participation with regional emergency medical services advisory committees and ambulance service administrator qualifications.

This act requires ambulance services to report to the Department individuals serving as ambulance service administrators. These administrators shall be required to complete training as described in the act.

Finally, the Department may refuse to issue, deny renewal of, or suspend a license required for ground ambulance services or take other corrective actions for reasons specified in the act. If the Department makes a determination of insolvency or insufficiency of services, then the Department may require the license holder to submit and complete a corrective plan, as described in the act.

The Department shall be required to provide notice of any determination of insolvency or insufficiency of services to persons or entities specified in the act. The Department shall immediately engage with other license holders in the area to determine how ground ambulance services may be provided to the affected area during the service disruption. Assisting license holders may be compensated for such assistance as described in the act.

These provisions are identical to provisions in HCS/HB 943 (2025) and substantially similar to provisions in SB 548 (2025), SB 7 (2025), SB 206 (2025), SB 1340 (2024), and provisions in SCS/SB 1382 (2024).

SEXUALLY TRANSMITTED INFECTIONS (Section 191.648)

Currently, a physician may utilize expedited partner therapy, meaning the practice of treating the sex partners of persons with chlamydia or gonorrhea without an intervening medical evaluation or professional prevention counseling, to prescribe and dispense medications for the treatment of chlamydia or gonorrhea even without an established physician/patient relationship.

Under this act, certain health care professionals may use expedited partner therapy and such therapy may be used for designated sexually transmitted infections beyond chlamydia and gonorrhea. This act repeals the requirement that antibiotic medications prescribed and dispensed through expedited partner therapy for the treatment of chlamydia or gonorrhea be in pill form.

This provision is identical to a provision in HCS/HB 943 (2025), substantially similar to a provision in SB 548 (2025), SB 178 (2025), the perfected HCS/HB 2413 (2024), and SB 1445 (2024), and similar to HB 1879 (2024).

TELEHEALTH SERVICES (Section 191.1145)

Under this act, "telehealth" or "telemedicine" shall include the delivery of health care services through audiovisual and audio-only technologies and shall not be limited only to services delivered via select third-party corporate platforms.

This provision is identical to SB 94 (2025) and HB 1873 (2024) and substantially similar to SB 931 (2024), SB 669 (2023), and HB 1098 (2023).

FORENSIC EXAMINATIONS OF VICTIMS OF SEXUAL OFFENSES (Section 192.2521)

Under this act, a specialty hospital, meaning a hospital other than a general acute care hospital, shall not be required to comply with certain statutory provisions relating to forensic examinations of victims of sexual assault if such hospital has in place a policy for the transfer of such victims to an appropriate hospital with an emergency department.

This provision is identical to a provision in SB 178 (2025), HCS/HB 943 (2025), and the perfected HCS/HB 2413 (2024) and substantially similar to SB 1326 (2024).

LIMITS ON SALE OF OVER-THE-COUNTER DRUGS (Sections 195.417 and 579.060)

Current law prohibits the sale, purchase, or dispensation of ephedrine, phenylpropanolamine, or pseudoephedrine to the same individual in a twelve-month period in any total amount greater than 43.2 grams without a valid prescription. This act changes the total amount to 61.2 grams.

These provisions are identical to provisions in SB 548 (2025), SB 143 (2025), HCS/HB 943 (2025), SS/SCS/HCS/HB 1659 (2024), and SCS/SB 1485 (2024) and similar to HB 2824 (2024).

ADMINISTRATION OF MEDICATIONS (Sections 196.990 and 335.081)

This act adds licensed long-term care facilities to the definition of "authorized entity" in current law permitting such entities to stock a supply of epinephrine auto-injectors for use in an emergency. Additionally, the administration by technicians, nurses' aides, or their equivalent in long-term care facilities of epinephrine auto-injectors and subcutaneous injectable medications to treat diabetes shall not be prohibited by nurse licensing laws.

These provisions are identical to provisions in SB 548 (2025), HCS/HB 943 (2025), and HCS/HB 2824 (2024).

INSPECTIONS OF CERTAIN LONG-TERM CARE FACILITIES (Section 198.022)

Under this act, if a residential care facility or assisted living facility is accredited by a recognized accrediting entity, then the facility may submit documentation of its current accreditation status to the Department of Health and Senior Services. If the facility is in good standing, then the Department shall not conduct an annual onsite inspection; provided, that the Department may still conduct an inspection for violations of other standards or requirements.

This provision is identical to SB 689 (2025), SB 813 (2024), and SB 685 (2023).

MO HEALTHNET COVERAGE OF HEARING-RELATED DEVICES (Section 208.152)

Currently, reimbursable MO HealthNet services include hearing aids for eligible needy children, pregnant women, and blind persons. This act mandates MO HealthNet coverage of medically necessary cochlear implants and hearing instruments for all eligible participants.

This provision is identical to provisions in HCS/HB 943 (2025) and SB 1443 (2024) and substantially similar to provisions in HCS/HBs 2626 & 1918 (2024).

PRENATAL TESTS FOR CERTAIN DISEASES (Section 210.030)

Currently, a physician or other health care provider shall draw and test a pregnant woman's blood at or soon after her first prenatal examination, with her consent, for syphilis, hepatitis B, or other similar diseases. Under this act, the testing of the pregnant woman's blood shall also occur at the twenty-eighth week of her pregnancy and immediately after birth. Additionally, the test shall include hepatitis C and HIV. If a mother tests positive for syphilis, hepatitis B, hepatitis C, or HIV, the physician or other health care provider shall treat the mother in accordance with the most recent accepted medical practice.

Current law requires the Department of Health and Senior Services to work in consultation with the Missouri Genetic Disease Advisory Committee to make rules pertaining to these blood tests. This act repeals the requirement to work with the Committee and requires that the tests be approved or accepted by the U.S. Food and Drug Administration.

This provision is identical to a provision in HCS/HB 943 (2025), substantially similar to provisions in SB 548 (2025), SB 178 (2025), and the perfected HCS/HB 2413 (2024) and similar to SB 1260 (2024).

PRACTICE OF DENTISTRY IN CORRECTIONAL CENTERS (Section 332.081)

Current law provides that no corporation shall practice dentistry unless that corporation is a nonprofit corporation or a professional corporation under Missouri law. This act provides that such provision shall not apply to entities contracted with the state to provide care in correctional centers.

This provision is identical to a provision in SB 143 (2025), SB 548 (2025), HCS/HB 943 (2025), SS/SCS/HCS/HB 1659 (2024), SB 1287 (2024), and HB 2280 (2024).

ADMINISTRATION OF CERTAIN VACCINES (Section 338.010)

This act provides that the practice of pharmacy shall include the ordering and administering of vaccines, except for the vaccine for chikungunya and those vaccines approved by the U.S. Food and Drug Administration after January 1, 2025, instead those after January 1, 2023.

This provision is identical to a provision in SB 548 (2025), HCS/HB 943 (2025), SB 1455 (2024), SCS/HB 2280 (2024), and HB 2879 (2024).

MAMMOGRAMS (repeal of Section 192.769)

This act repeals a provision of current law requiring the provision of a specific notice to patients upon the completion of a mammogram.

This provision is identical to SB 232 (2025), SB 1328 (2024), and a provision in the perfected HCS/HB 2413 (2024).

SARAH HASKINS

The Compact further provides that a dentist or dental hygienist with compact privilege shall function within the scope of practice authorized by the participating state in which they seek to practice and shall be subject to that state's regulatory authority. A dentist or dental hygienist whose privilege in a participating state is encumbered or removed is not eligible for compact privilege in other participating states until the encumbrance or removal has passed and all requirements are met.

Additionally, the Compact creates a joint government agency ("Commission") and provides for its powers and duties, including the development and maintenance of a coordinated database and reporting system containing licensure, adverse actions, and investigative information on all licensees and applicants.

Furthermore, the Compact shall come into effect on the date in which the seventh state enacts the Compact into law. Any participating state may withdraw from the Compact by repealing the Compact, but such withdrawal shall not take effect until 180 days after the enactment of the repeal. Finally, the Compact shall be binding upon participating states and shall supersede any conflict with state law.

This act is identical to a provision in SS/SB 778 (2024) and is substantially similar to provisions in HB 2075 (2024).

KATIE O'BRIEN

This act is identical to SB 1212 (2024) and HB 1161 (2023).

SARAH HASKINS

The Secretary of State shall prepare materials regarding voter registration to be distributed at each voter registration activity conducted pursuant to the provisions of the act.

Each school district and charter school shall file a report regarding voter registration activities with the Department of Elementary and Secondary Education by December 31 of each year.

OLIVIA SHANNON

NUISANCE ACTIONS

This act authorizes St. Louis County and any municipality located within St. Louis County to enact ordinances to provide for the building official of the county to petition the circuit court for the appointment of a receiver to rehabilitate, demolish, or sell a nuisance building or structure. (Section 67.399)

This act also allows the owner of a property located within one thousand two hundred feet of an alleged nuisance property located in St. Louis County or any municipality located within St. Louis County to bring a nuisance action against the offending property owner for damages caused by the nuisance. The property owner or a neighborhood organization may bring injunctive action to abate a nuisance, as described in the act. The act specifies notice requirements for the actions, provides for the proceedings to be expedited, details a prima facie showing for injunctive relief and prohibits jury trials in the actions, provides for attorneys' fees and expenses, specifies that these provisions do not abrogate other legal rights or remedies or grant standing to challenge zoning laws, and provides for an affirmative defense that the property is in compliance with an order of certain government entities specified in the act. (Section 67.452)

Additionally, current law provides for procedures for bringing a nuisance action in the cities of St. Louis and Kansas City. This act applies such provisions to the cities of Springfield and St. Joseph. The act also provides that such actions for injunctive relief shall be heard by the court without a jury.

Current law also provides for an award of attorney fees and expenses for property owners who prevail in a nuisance action against the owner of commercial or industrial property. This act allows for such award regardless of the type of property owner an action is brought against. (Sections 82.1025 to 82.1031)

This act is identical to HB 739 (2025).

These provisions are identical to HB 1258 (2025).

LAND BANKS

This act repeals a provision that prohibits land bank agencies from purchasing certain properties unless they are adjacent to real property already owned by the land bank agency. (Section 140.984)

JOSH NORBERG

This provision is identical to a provision in HCS/SS/SB 7 (2025), in the perfected SS/SB 61 (2025), in the perfected HCS/HB 268 (2025), in the perfected HB 478 (2025), in HB 765 (2025), and in SCS/HB 834 (2025).

KATIE O'BRIEN

This act is identical to HB 596 (2025).

KATIE O'BRIEN

Additionally, this act modifies the offense of providing explicit sexual material to a student to include situations where a person approves of the provision of such material. The act also adds library board members to the definition of persons who are "affiliated with a public or private elementary or secondary school in an official capacity".

This act is identical to SB 1272 (2024).

OLIVIA SHANNON

OLIVIA SHANNON

This constitutional amendment is identical to HJR 89 (2024).

SARAH HASKINS

The amendment also prohibits public funds from being used to pay for certain abortions; prohibits the use of surgeries, hormones, or drugs to assist a child with a gender transition; prohibits certain abortions performed or induced as a result of a prenatal diagnosis indicating a disability in an unborn child; requires consent prior to an abortion; prohibits fetal organ harvesting; and ensures that a woman's ability to access health care in cases of miscarriages, ectopic pregnancies, and other medical emergencies shall not be infringed by the state.

The General Assembly shall have the authority to enact laws to carry out these provisions as well as the authority to enact laws to regulate abortions, abortion facilities, and abortion providers to ensure the health and safety of the mother.

SARAH HASKINS

This amendment is identical to HJR 79 (2024), HCS/HJR 68 (2024), SJR 46 (2022), SJR 10 (2021), SJR 47 (2020), and SJR 17 (2017) and is substantially similar to SJR 55 (2024) and SJR 13 (2023).

JOSH NORBERG

This amendment is similar to SJR 76 (2024), provisions of SJR 4 (2023) and HCS/HJR 117 (2022), SJR 60 (2020), and SJR 32 (2020).

SARAH HASKINS

Currently, any constitutional amendment or new constitution takes effect when approved by a simple majority of the votes cast on the measure. This constitutional amendment requires any constitutional amendment or new constitution to be approved by both a simple majority of the votes cast on the measure statewide as well as a simple majority of the votes cast in a majority of the state House of Representatives districts.

The amendment creates new restrictions relating to the activity of foreign nationals and sources connected to foreign nationals, as those terms are defined in the act, with respect to proposing and advocating for or against proposed constitutions and constitutional amendments. Specifically, it shall be unlawful for:

1. A foreign national or a source connected to a foreign national to sponsor an initiative petition proposing a constitutional amendment;

2. A foreign national or a source connected to a foreign national to directly or indirectly make contributions or donations of money, or make an express or implied promise to make such contributions or donations, in connection with an election on a proposed constitution or constitutional amendment or contributions in support of or opposition to a proposed constitution or constitutional amendment;

3. A foreign national or a source connected to a foreign national to directly or indirectly make an expenditure, independent expenditure, or disbursement for an electioneering communication, whether print, broadcast, or digital media, or otherwise, related to a proposed constitution or constitutional amendment;

4. A foreign national or a source connected to a foreign national to directly or indirectly make a contribution to an individual or entity for the purpose of funding preliminary activity preceding the formation of a committee in support or opposition to proposed constitution or constitutional amendment; or

5. A person to solicit, accept, or receive, directly or indirectly, a contribution or donation from a foreign national or a source connected to a foreign national, in connection with a proposed constitution or constitutional amendment.

If a constitutional amendment is proposed by initiative petition, and the petition proponent, or committee associated with the proponent, knowingly violated the foreging restrictions governing foreign activity, the amendment shall be deemed void even if it received the requisite votes for approval.

Certain provisions in this constitutional amendment are similar to the introduced SJR 74 (2024), SJR 48 (2024), SJR 59 (2024), SJR 61 (2024), and a provision in SJR 83 (2024), SJR 28 (2023), SJR 33 (2023), provisions in SJR 2 (2023), SJR 10 (2023), SJR 17 (2023), HJR 18 (2023), and HCS/HJR 30 (2023).

SCOTT SVAGERA

The assessed value of residential real property shall reflect the value added to the property as a result of new construction or improvements, as described in the act.

This amendment is substantially similar to SJR 90 (2024) and HCS#2/HJR 78 (2024), and is similar to HJR 85 (2024), HJR 120 (2024), HJR 184 (2024).

JOSH NORBERG

HCS HBs 195 & 1119 -- BORN-ALIVE ABORTION SURVIVORS PROTECTION ACT (Seitz)

COMMITTEE OF ORIGIN: Standing Committee on Health and Mental Health

This bill establishes the "Born-Alive Abortion Survivors Protection Act". The bill mandates that a child born alive during or after an abortion or attempted abortion will have the same rights, privileges, and immunities as any other person, citizen, and resident of Missouri, including any other live-born child.

Any licensed, registered, or certified health care provider who is present at the time a child is born alive during or after an abortion or attempted abortion must exercise the same degree of professional skill, care, and diligence to preserve the life and health of the child as a reasonably diligent and conscientious provider would render to any other child born alive at the same gestational age, as well as ensure that the child is transported and admitted to a hospital following such care.

Health care providers or employees of a hospital, physician's office, or abortion clinic who have knowledge of a violation of the provisions of this bill are required to immediately report the violation to an appropriate law enforcement agency, and anyone who fails to do so will be punished upon conviction by no more than five years' imprisonment, by fine in the range between $2,500- $10,000, or by both imprisonment and fine.

Additionally, any person who intentionally performs or attempts to perform an overt act that kills a child born alive, as specified in the provisions of this bill, is guilty of first degree murder.

A person is civilly liable, as specified in the bill, when he or she:

(1) Knowingly, recklessly, or negligently causes the death of a child born alive during or after an abortion or attempted abortion;

(2) Knowingly fails to comply with the health care provider standards of care provided in the bill;

(3) Knowingly performs or induces, or attempts to perform or induce, an unlawful abortion;

(4) Knowingly, recklessly, or negligently supplies or makes available any instrument, device, medicine, drug, or any other means or substance for another person to undergo a self-induced abortion or attempted self-induced abortion, or to procure an unlawful abortion or attempted unlawful abortion; or

(5) Knowingly incites, solicits, or otherwise uses speech or writing as an integral part of conduct in violation of a valid criminal statute to influence another person to undergo a self- induced abortion or attempted self-induced abortion, or to procure an unlawful abortion or attempted unlawful abortion.

A cause of action for personal injury, bodily injury, or wrongful death can be brought if injury or death arises out of or results from any of these circumstances to:

(1) A person upon whom an unlawful abortion or attempted abortion was performed or induced;

(2) A person who underwent a self-induced abortion or attempted self-induced abortion, or who procured an unlawful abortion or attempted unlawful abortion;

(3) A child who was born alive during or after an abortion or attempted abortion; or

(4) An unborn child.

In a cause of action for wrongful death, the spouse, partner, parents, siblings, and children of the deceased person will be entitled to bring the action and receive damages, attorney's fees, and other costs, as specified in the bill. A defendant cannot plead or prove a defense that the plaintiff assumed or otherwise consented to certain risks involving self-induced or unlawful abortions, or attempted self-induced or unlawful abortions.

The bill specifies the natural and spontaneous loss of an unborn child before fetal viability will not be construed to be an abortion.

HCS HBs 575 & 551 -- INITIATIVE AND REFERENDUM PETITIONS (Banderman)

COMMITTEE OF ORIGIN: Standing Committee on Elections

The following is a summary of the House Committee Substitute for HB 575.

This bill requires initiative and referendum petition signature pages to be printed on a form as specified by the Secretary of State. Signature page forms will be made available in electronic format (Sections 116.045 and 116.050, RSMo).

The bill requires petition circulators to be citizens of the United States, residents of Missouri or physically present in Missouri for at least 30 consecutive days prior to the collection of signatures, and prohibits them from being compensated based on the number of signatures collected. Circulator affidavits are updated to reflect these requirements (Sections 116.030, 116.040, 116.080).

Signatures will be recorded using black or dark ink. (Section 116.130)

Currently, any citizen can challenge the official ballot title or fiscal note for a Constitutional amendment, initiative petition, or referendum measure. This bill changes this to only allow any Missouri registered voter to make a challenge (Sections 116.190 and 116.200).

The bill requires final adjudication relating to a challenge of the official ballot title or fiscal note to occur at least eight weeks before the date of the election (Section 116.190).

Currently, the Secretary of State and Attorney General review initiative and referendum petitions for sufficiency as to form and approve or reject them on that basis. This bill changes this to require these officials to review initiative and referendum petitions for compliance with Section 116.050 and with Article III of the Missouri Constitution (Section 116.332).

The bill repeals the requirement that the Joint Committee on Legislative Research hold a hearing to take public comment on a proposed measure within 30 days of the Secretary of State issuing certification that the petition contains a sufficient number of valid signatures (Section 116.153).

This bill is similar to HB 1749 (2024) and HB 703 (2023).

HCS HB 507 -- ELECTIONS (McGaugh)

COMMITTEE OF ORIGIN: Standing Committee on Elections

Currently, election challengers can be physically present in polling locations while ballots are cast on election day. This bill allows election challengers in first class counties and charter counties to be physically present while ballots are cast during the in-person absentee voting period.

The bill requires the chair of the county committee of each political party named on the ballot to designate election watchers four days before a watcher can enter a polling or counting location. Information is to be presented to and signed off by the local election authority. If an election authority determines that a watcher does not meet the statutory qualifications, the chair can designate a replacement watcher before 5:00 pm on the Monday before the election.

This bill allows election watchers in first class counties and charter counties to be physically present at in-person absentee voting locations while ballots are being counted or prepared for counting.

This bill allows a notice of election to be sent by email.

The bill moves the filing dates for a declaration of candidacy in certain political subdivisions and special districts back by one week, from the 17th Tuesday prior to the election until the 14th Tuesday prior to the election, to the 16th Tuesday prior to the election until the 13th Tuesday prior to the election.

Currently, covered voters eligible to register to vote can vote in certain elections by submitting a Federal postcard application to apply to vote at their polling place. This bill changes this requirement from the polling place to the office of the election authority on election day.

Currently, interstate former residents and new residents can vote absentee for presidential and vice presidential electors. This bill allows them the option to vote for those electors at the office of the election authority on election day.

This bill provides that all lists of absentee ballot applications for people with permanent disabilities will be kept confidential and must not be posted or displayed in an area open to the general public nor shown to any unauthorized person. This bill requires any person who files as a candidate for a public office that performs county functions in the City of St. Louis to provide copies of paid receipts or no-tax-due statements for local personal and real property taxes received from the Assessor to the election authority.

Currently, a provisional ballot can be cast only in a State or Federal election. This bill allows a provisional ballot to be cast in any public election.

The bill provides that votes for write-in candidates must only be counted for candidates who have filed a declaration of intent to be a write-in candidate, even if no candidate has filed for that office.

This adds the following activities to class III election offenses:

(1) Threatening to harm or engaging in conduct reasonably calculated to harass an election official or a member of their family;

(2) Attempting to pressure an election official or member of their family to violate a provision of election law;

(3) Disseminating through any means the personal information of an election official or member of their family for the purpose of threatening to harm or attempting to pressure the official or member of their family to violate a provision of election law.

If a violation results in death or bodily injury to an election official or a member of their family, the offense is a class B felony.

The act outlines the topics that the curriculum framework shall address. Such topics shall include, but shall not be limited to, a study of the dehumanization practices that have occurred in Missouri's history and the interventions that may be available to prevent such dehumanization practices in the future. The curriculum framework shall also include the story of Celia, a victim of chattel slavery and sexual violence who was executed in Missouri in 1855 for defending herself against her owner, Robert Newsom.

The act describes certain marginalized groups that shall be included in the curriculum framework and awareness weeks or months with which the curriculum framework may be aligned.

DESE shall conduct a pilot program to study the impact and success of the curriculum framework in consultation with the work group in up to 25 school districts or schools within a school district in the 2026-27 and 2027-28 school years. All participating schools or districts shall be provided the curriculum framework and offered the opportunity to participate in the "Celia Professional Development Program for Teachers" that shall be developed by the work group and DESE. Such program shall include instructional guidance and examples of curriculum resources that are age appropriate and consistent with the curriculum framework, as described in the act. The program shall also include instructional guidance on class visits to historic sites in Missouri relating to the story of Celia's enslavement, abuse, and execution. All schools or districts that participate in the pilot program shall provide a plan of professional development to such district's or school's teachers and may voluntarily participate in the Celia Professional Development Program for Teachers.

Upon the completion of the first year of the pilot program, DESE shall evaluate the success and impact of the pilot program and shall report the results of such evaluation to the General Assembly, as specified in the act. Beginning in the 2028-29 school year and in all subsequent school years, the curriculum framework and Celia Professional Development Program for Teachers shall be made available to all school districts and charter schools in the state.

This act is substantially similar to SB 1446 (2024).

OLIVIA SHANNON

Additionally, the board shall, in its study and review of maternal deaths, consider the level and timing of prenatal and postnatal care, approaches taken in this state and other states to reduce or eliminate racial inequities in maternal deaths, and the adequacy of data collected by the board. Data reported by the board shall be disaggregated by race, ethnicity, language, nationality, age, zip code, and level and timing of prenatal and postnatal care.

This act is identical to SCS/SBs 1357 & 888 (2024) and substantially similar to SCS/SBs 579 & 595 (2023).

SARAH HASKINS

GENERAL MUNICIPAL ELECTION DAY

Under current law, elections to elect officers of political subdivisions and special districts are held on the first Tuesday after the first Monday in April each year. This act requires all municipal elections to be held on the first Tuesday after the first Monday in November each year if they are held for the purpose of electing officers of political subdivisions and special districts or to decide a ballot measure submitted solely to the qualified voters of a particular political subdivision or special district.

These provisions are identical to SB 150 (2021) and similar to HB 920 (2021) and provisions in SB 414 (2021).

PARTISAN LOCAL ELECTIONS

This act also modifies provisions relating to the conduct of local elections. Current law provides that municipal offices are elected on a nonpartisan basis. This act requires all candidates for offices in cities, towns, villages, and townships to declare a political party affiliation when filing for office.

This provision is identical to SB 202 (2023), HB 1203 (2023), and SB 1049 (2022) and similar to HB 1640 (2022) and SB 414 (2021).

SCOTT SVAGERA

Current law prohibits the use of an internet or telephone questionnaire completed by a patient from constituting an acceptable medical interview for the provision of treatment by telehealth. This act permits such questionnaires if the information provided is sufficient as though the medical evaluation was performed in person.

Additionally, current law requires a physician-patient relationship for purposes of telehealth to include a sufficient dialogue with the patient regarding treatment. This act changes "dialogue" to "exchange" with the patient regarding treatment.

Finally, current law prohibits a health care provider from prescribing any drug, controlled substance, or other treatment to a patient based solely on an internet request or questionnaire. Under this act, a health care provider shall not prescribe any drug, controlled substance, or other treatment to a patient in the absence of a proper provider-patient relationship.

This act is substantially similar to SB 851 (2024) and similar to SCS/SB 418 (2023) and HB 710 (2023).

SARAH HASKINS

SANCTUARY CITIES - (Section 67.307)

The act provides that any municipality that enacts or adopts a sanctuary policy shall be subject to a fine of $25,500 for each day on which the municipality has such sanctuary policy in effect.

E-VERIFY (Section 285.530)

Current law requires only public employers to enroll and actively participate in a federal work authorization program, while all other employers are permitted, but not required, to enroll and participate. This act requires all employers to enroll and actively participate in a federal work authorization program.

This provision is identical to a provision in SB 1373 (2024) and similar to a provision in HB 1515 (2024), a provision in HCS/HB 2489 (2024), a provision in HB 2844 (2024), and a provision in HCS/HB 188 (2023).

OFFENSE OF TRANSPORTATION, CONCEALMENT, OR INDUCEMENT OF ILLEGAL ALIENS (Section 577.675)

The act expands the offense of transportation of an illegal alien to include the concealment or inducement of an illegal alien. Any person is guilty of such an offense, punished as a class D felony, if he or she knowingly:

• Conceals, harbors or shields or attempts to conceal, harbor or shield an illegal alien from detection in any place in this state, including any building or any means of transportation, if the person knows or recklessly disregards the fact that the alien has come to, has entered, or remains in the United States in violation of law; or

• Encourages or induces an alien to come to or reside in this state.

LOCAL ENFORCEMENT OF FEDERAL IMMIGRATION LAWS (Section 590.250)

The act allows any law enforcement officer or agency to enforce the provisions of federal immigration law that establish criminal penalties.

This act is substantially similar to SB 1138 (2024), SB 1373 (2024), HB 2470 (2024), SB 130 (2023), and SB 1227 (2022).

SCOTT SVAGERA

VOTER REGISTRATION (Sections 115.013 through 115.221)

Current law permits an election authority to remove a registered voter's name from the list of registered voters on the precinct register on the ground that the voter has changed residence under certain circumstances. This act requires, rather than permits, such removal if:

• The voter confirms in writing that the voter has changed residence to a place outside the election authority's jurisdiction in which the voter is registered; or

• The voter fails to respond to a notice and has not engaged in voter activity, as that term is defined in the act, during the period beginning on the date of the notice and ending on the day after the date of the second general election that occurs after the date of the notice.

State agencies are required to provide information and data to the Secretary of State (SOS) that the SOS deems necessary to maintain the statewide voter registration database. Additionally, the clerk of each circuit court shall, on or before the 10th day of each month, prepare and transmit to the SOS a complete list of all persons who identify themselves as not being citizens of the United States during their qualification to serve as a juror during the preceding calendar month in that county.

The SOS is required to enter into agreements to share information or data that is in the possession of the SOS with other states or groups of states, as the SOS considers necessary, to maintain the statewide voter registration database. The SOS shall ensure that any information or data provided to the SOS that is confidential remains confidential while in the possession of the SOS.

Each election authority is required to investigate the qualifications of any person who has not engaged in voter activity within the preceding two calendar years. Furthermore, if the election authority determines that a registered voter has not engaged in voter activity within the two preceding calendar years, the election authority must include such registered voter in any canvass.

The act additionally reorganizes and consolidates various provisions relating to voter registration list maintenance throughout the various election laws.

These provisions are substantially similar to SB 1025 (2024), SB 44 (2023), provisions in SB 695 (2022), SB 1065 (2022), and SB 137 (2021).

OFFICE OF ELECTION CRIMES AND SECURITY (Section 115.642)

This act creates the Office of Election Crimes and Security within the Secretary of State's office. The SOS is responsible for appointing a director and investigators for the Office. The Office is given the following responsibilities and authority:

• The Office shall respond to notifications and complaints alleging a violation of state election laws;

• The Office shall review notices and reports of alleged violations of state election law and conduct investigations as deemed necessary;

• The Office shall initiate independent inquiries and conduct investigations into alleged violations of state election law; and

• The Office shall oversee a voter fraud hotline.

The Office is given subpoena power in the course of investigating complaints pursuant to this act. If any person refuses to comply with a subpoena issued pursuant to this act, the Secretary of State may seek to enforce the subpoena before a court of competent jurisdiction. The court may issue an order requiring the person to produce the documents relating to the matter under investigation or in question. Any person who fails to comply with the order may be held in contempt of court. Any investigator conducting an investigation into an alleged violation of this act shall not be restricted from entering any polling place or office of election authority under investigation.

If, during the course of an investigation, the Office determines that there may be a violation of any criminal law or state election law, the Office shall submit its findings and investigation to the Attorney General and respective prosecuting attorney for further investigation or prosecution. The Attorney General is specifically given investigative authority and concurrent jurisdiction to prosecute any election offense.

The Office is responsible for preparing and delivering a report, not later than January 15th of each year, to the Governor, the Speaker of the House of Representatives, and the President Pro Tem of the Senate disclosing the details of complaints filed with the Office.

This provision is substantially similar to SB 724 (2024) and HB 1833 (2024) and similar to SB 350 (2023).

FEDERAL ELECTION COMMUNICATIONS (Section 115.1500)

Any state agency, whether that agency is involved in elections or not, or any person, group, or entity charged by the state to administer any official election occurring within the state, who receives or responds to a communication, as defined in the act, with the United States Department of Justice or any other federal executive branch agency related to new or existing voting or election laws, shall provide notice to the Governor and General Assembly of this communication within five business days.

This provision is substantially similar to a provision in SB 235 (2023).

IMPLEMENTATION OF FEDERAL ELECTION GUIDANCE (Section 115.1505)

Any person, group, or entity charged by the state of Missouri to administer any official election occurring within the state who intends to implement any new federal election guidance, as that term is defined in the act, shall provide notice to the General Assembly of its intent to do so at least 30 days before implementing the guidance. Furthermore, all new federal election guidance shall be approved by concurrent resolution approved by a majority of each house of the General Assembly before it is implemented. It shall be presumed that the General Assembly has approved the implementation of the new federal election guidance if the General Assembly fails to vote on a concurrent resolution within 30 days from when notice is provided.

A violation of this provision shall result in a fine in the amount of $5,000 to be levied every 30 days until the implemented guidance is formally withdrawn.

This provision is substantially similar to a provision in SB 235 (2023).

FEDERAL ELECTION FUNDS (Section 115.1510)

Any person, group, or entity charged by the state to administer any official election occurring within Missouri who intends to accept or disperse federal election funds, as that term is defined in the act, shall provide notice to the General Assembly of its intent to do so at least 30 days before accepting the funds. If funds have already been accepted, then notice must be provided to the General Assembly 30 days before the funds are dispersed. Furthermore, all new federal election funds shall be approved by concurrent resolution approved by a majority of each house of the General Assembly before they may be accepted or dispersed by any person, group, or entity charged by the state to administer any official election occurring within the state.

It shall be presumed that the General Assembly has approved the acceptance and dispersal of new federal election funds if the General Assembly fails to vote on a concurrent resolution within 30 days from when notice is provided.

A violation of this provision shall result in a fine in the amount of the new federal election funds accepted or dispersed in violation of this provision plus an additional $1,000.

The act repeals certain provisions relating to the administration of election funds. (Sections 115.074 and 115.078)

This provision is identical to a provision in SB 235 (2023).

This act is effective January 1, 2026.

SCOTT SVAGERA

SARAH HASKINS

The Department of Economic Development shall publish guidelines for determining who is a qualified provider of employment services, employment, or housing to homeless persons, as described in the act.

This act shall sunset on December 31, 2031, unless reauthorized by the General Assembly.

This act is identical to SB 434 (2023) and SB 1196 (2022), and is substantially similar to SB 794 (2024) and HB 1587 (2020), and to a provision in HCS/SS/SCS/SB 570 (2020).

JOSH NORBERG

This act is identical to SB 973 (2024), SB 313 (2023), and the perfected SB 798 (2022).

SARAH HASKINS

Schools shall determine which students may be eligible for free or reduced price lunch under the National School Lunch Program and shall provide information and assistance to parents and guardians for purposes of filling out applications for such Program. Schools shall not publicly identify or stigmatize students who are eligible for such assistance.

This act creates the "School Meals Fund", which shall be used to reimburse schools for the costs of providing free lunches as provided in the act. The State Board of Education shall promulgate rules to implement the program, including the process by which schools may apply for reimbursement.

This act is similar to SB 1154 (2024), HB 2392 (2024), SB 321 (2023), HB 878 (2024), and HB 977 (2024).

OLIVIA SHANNON

The offense of improper entry by an alien is punishable by a fine of $100,000 and shall be subject to an order of removal to a federal port of entry, as provided in the act.

The offense of improper entry by an alien is additionally subject to the provisions of the Criminal Activity Forfeiture Act.

The act allows any law enforcement officer whose duty it is to enforce criminal laws to arrest or detain such person upon probable cause that a person who has violated this act.

This act is substantially similar to SB 1520 (2024), SB 1372 (2024), and SB 1331 (2024).

SCOTT SVAGERA

JOSH NORBERG

This act also requires health benefit plan enrollees' cost-sharing for prescription insulin drugs to be calculated at the point of sale, and based on a price that is reduced by an amount equal to at least 100% of all rebates received, or to be received, in connection with the dispensing or administration of the drug. Nothing in the act shall prohibit copayments not based on the price of a drug, provided that the copayment does not exceed the reduced price of the drug.

The act shall not require a health carrier or its agents to reveal information regarding the actual amount of rebates a carrier receives on a product, manufacturer, or pharmacy-specific basis. The act also provides confidentiality protections, as specified in the act, which the carriers shall follow as well as impose on any third party that performs health care or administrative services on behalf of the carrier and may receive or have access to rebate information.

This act applies to health benefit plans delivered, issued, continued, or renewed in the state on or after January 1, 2026.

This act identical to HB 2262 (2024), substantially similar to SB 1182 (2024), identical to SB 283 (2023), and similar to SB 815 (2022), SB 264 (2021), provisions in HB 2682 (2020), and provisions in HB 1987 (2020), and contains provisions similar to SB 814 (2022), and SB 112 (2021).

ERIC VANDER WEERD

This act is similar to HB 2369 (2024).

SARAH HASKINS

This act is identical to SB 844 (2024), SB 1106 (2024), SB 1190 (2024), and provisions in HCS/HB 442 (2023), substantially similar to HB 1628 (2024), and similar to SB 269 (2023) and SB 1031 (2022).

ERIC VANDER WEERD

This act has an emergency clause.

Provisions of this act are identical to SB 1135 (2024) and substantially similar to SB 108 (2023).

SARAH HASKINS

This act is identical to HB 2493 (2024).

SCOTT SVAGERA

CLOSED PRIMARIES

Under current law, at each primary election voters are entitled to pick any ballot among the various established political parties, regardless of their political party affiliation or unaffiliation. This act stipulates that voters are only entitled to cast a ballot in the primary of the political party with which they are affiliated, according to their voter registration.

The act permits voters to change political party affiliation at any time, provided that changes made less than 23 weeks prior to the primary election will not take effect until after such election has taken place. Any person who has not previously registered to vote in Missouri and who registers to vote after the last day to change party affiliation but before the last day to register to vote may vote in the primary election if the person chooses a political party affiliation or unaffiliation upon registering to vote.

Any person registered to vote prior to the effective date of this act shall be considered to be unaffiliated with a political party unless the person votes in the primary election held in August 2026, in which case the election authority must change the person's voter registration to reflect that the ballot chosen by the person is the political party with which the person is affiliated.

The act requires that any person who files a declaration of candidacy as a party candidate for nomination or election to any office must be affiliated with that political party no later than twenty-three weeks prior to the last Tuesday in February (the opening of candidate filing) immediately preceding the primary election in question. Likewise, any person running as an independent candidate or as the candidate for a new party shall be registered as unaffiliated as of the same deadline.

Current law allows party nominating committees of any established political party to select a party candidate under certain situations. This act requires any candidate selected by the committee to be affiliated with such party.

These provisions are substantially similar to SB 1140 (2024), HB 1410 (2024), SB 392 (2023), SB 240 (2023), HB 31 (2023), SB 907 (2022), SB 154 (2021), HB 1450 (2022), SB 571 (2020), HB 1258 (2020), HB 1639 (2020), SB 109 (2019), and HCS/HBs 26 & 922 (2019).

PARTISAN LOCAL ELECTIONS

This act also modifies provisions relating to the conduct of local elections. Current law provides that municipal offices are elected on a nonpartisan basis. This act requires all candidates for offices in cities, towns, villages, and townships to declare a political party affiliation when filing for office. This provision is identical to SB 202 (2023), HB 1203 (2023), and SB 1049 (2022) and similar to HB 1640 (2022) and SB 414 (2021).

SCOTT SVAGERA

This act is identical to SB 1185 (2024), SB 726 (2024), and SB 776 (2024) and similar to provisions in HCS/HBs 1520, 1519, 2355, and 2357 (2024).

SARAH HASKINS

This act is identical to SB 1320 (2024).

JOSH NORBERG

The act directs the Department of Health and Senior Services to promulgate rules for registration allowing a "doula", as defined in the act, to receive reimbursement for doula services. The act shall not be construed to prohibit any person from practicing as a doula, regardless of registration with the Department. (Section 376.1758).

This act is identical to SB 1238 (2024), SB 1222 (2024), SB 713 (2023), HB 900 (2023), and HB 1148 (2023).

ERIC VANDER WEERD

Subject to appropriations, a political subdivision that receives less than the allowable amount of total real and personal property tax revenues shall be eligible for reimbursement from the state in an amount equal to the amount by which such revenues are below the allowable amount.

This act is identical to SB 725 (2024), SB 733 (2024), and SB 1086 (2024), and to a provision in SS/SB 1207 (2024), and is substantially similar to SS/SCS/SB 8 (2023) and SB 493 (2023), and to a provision in HCS/SS/SB 23 (2023), HCS/SS#3/SCS/SB 131 (2023), SS/SCS/SB 133 (2023), as amended, HCS/SS/SB 143 (2023), HCS/SB 247 (2023), and SCS/HCS#2/HB 713 (2023).

JOSH NORBERG

ACCESS TO SNAP BENEFITS (Section 208.247)

This act repeals provisions of law allowing for individuals convicted of certain drug offenses to participate in SNAP only if certain conditions are met. Under this act, individuals convicted of a state or federal felony drug offense shall not be excluded from SNAP for such conviction.

This provision is identical to provisions in SB 905 (2024), SB 1012 (2024), HCS/HBs 1777, 2203, 2059, & 2502 (2024), the perfected SS/SB 82 (2023), and the perfected HCS/HB 719 (2023).

PREGNANT OFFENDERS (Section 221.520)

Under this act, all county and city jails shall be prohibited, except in extraordinary circumstances, from using restrains on a pregnant offender in her third trimester, including during transportation or labor, delivery, and 48 hours post-delivery. Pregnant offenders shall be transported in vehicles equipped with seatbelts. In cases of extraordinary circumstances requiring restraints to be used, the sheriff or jailer shall document in writing within 48 hours of the incident the reasons for the restraints used, as specified in the act.

If restraints are used, they shall be the least restrictive available and the most reasonable under the circumstances. No leg, ankle, or waist restraints or mechanical restraints shall be used and any wrist restraints used shall be placed in front of the offender's body.

Jails shall offer staff training on the provisions of this act and inform offenders of policies and practices developed under this act.

By January 1, 2026, all county and city jails shall develop specific procedures for intake and care of pregnant offenders, including maternal health evaluations, dietary supplements, nutritious meals, substance abuse treatment, HIV treatment, hepatitis C, sleeping arrangements, mental health, sanitary materials, postpartum recovery, and a requirement that a female medical professional be present during examinations.

These provisions are identical to provisions in SB 905 (2024), SB 1012 (2024), and HCS/SS/SB 900 (2024), substantially similar to provisions in SCS/SB 803 (2018), HB 1002 (2017), and SB 180 (2017), and similar to provisions in HCS/HBs 1777, 2203, 2059, & 2502 (2024).

ADMISSIBILITY OF CERTAIN EVIDENCE IN CRIMINAL CASES (Sections 491.075 and 492.304)

Under current law, a statement made by a child under 14 years of age may be admissible in criminal proceedings under certain circumstances. This act changes the age to a child under the age of 18 years of age.

Additionally, this act provides that visual or audio recordings of a child under 18 years of age or a vulnerable person relating to certain criminal offenses shall be admissible in criminal proceedings under certain circumstances.

These provisions are identical to provisions in SB 905 (2024), SCS/SB 897 (2024), SCS/HCS/HB 2700 (2024), SB 906 (2024), SB 1245 (2024), SCS/HCS/HB 2064 & HCS#2/HB 1886 (2024), SB 1398 (2024), HCS/HBs 1777, 2203, 2059, & 2502 (2024), SCS/HCS/HBs 1706 & 1539 (2024), the perfected HCS/HB 454 (2023) and SCS/HS/HCS/HBs 1108 & 1181, et al (2023) and substantially similar to provisions in HCS/SS#2/SB 862 (2024).

SARAH HASKINS

SCOTT SVAGERA

This act is identical to SB 1209 (2024), SB 135 (2024), HB 2766 (2022) and HB 1269 (2021), is substantially similar to HB 2263 (2024), HB 2296 (2024), HB 2530 (2024), SB 285 (2023), SB 915 (2022), SB 207 (2021), SB 658 (2020), HB 2283 (2020), HB 516 (2019), and HB 2141 (2018).

KATIE O'BRIEN

Any state agency that has previously issued a person an identity document with a gender designation that does not correspond to the person's biological sex shall revoke such document and reissue the document with the gender designation that corresponds to the person's biological sex.

This act repeals provisions of current law that permit a birth certificate to be changed upon receipt of a court order indicating the sex of the person has been changed by surgical procedure and that the person's name has been changed.

SARAH HASKINS

The Commission shall use a competitive procurement process to form the public-private partnerships, including publishing notice as specified in the act. The Commission shall ensure that at least 25% of the workforce fulfilling the contracts awarded under this act belongs to a racial minority group. As part of a contract award under the act, the private partnering entity may use the excess fiber capacity to provide internet services, as long as the services provided meet the state minimum standard for broadband.

This act is identical to SB 1323 (2024), HB 2388 (2024), SB 219 (2023), and HB 1037 (2023), similar to provisions in HCS/HB 461 (2023), and identical to SB 1199 (2022) and HB 2908 (2022).

ERIC VANDER WEERD

Under the act, public institutions of postsecondary education and proprietary schools shall not require any applicant, student, employee, or contractor to submit a diversity, equity, and inclusion statement. Such institutions and schools are further prohibited from giving preferential consideration in admissions or employment on the basis of an individual's or entity's submission of an unsolicited statement relating to a discriminatory ideology.

The act shall not be construed to restrict academic research or prevent an institution from requiring an applicant to discuss the content of such applicant's research or artistic creations.

An applicant, employee, student, or contractor who is compelled to submit a diversity, equity, and inclusion statement or who is adversely affected by a violation of the act's prohibition on preferential consideration may pursue an action for injunctive or declaratory relief. An injunction granted pursuant to the provisions of the act may include an order requiring the institution to take certain actions relating to student admissions or the employment and tenure of staff members.

An employee who violates the act shall, upon the first violation, be placed on unpaid leave for the next academic year and be ineligible for employment at any other institution in the state during such unpaid leave. Upon an employee's second violation of the act, the employee shall be terminated from employment and shall be ineligible for employment at any institution in the state for at least five years.

This act is identical to SB 1125 (2024) and SB 680 (2023) and is similar to provisions in HB 1737 (2024), HB 2198 (2024), and HCS/HB 1196 (2023).

OLIVIA SHANNON

The coverage is subject to benefit limits and restrictions on out-of-pocket costs, as specified in the act.

This act is similar to SB 1046 (2024) and HB 2393 (2024).

ERIC VANDER WEERD

This provision is substantially similar to SB 409 (2023) and HB 754 (2023).

Current law also requires that personal property be assessed at 33.3% of its true value in money. Beginning January 1, 2026, this act requires that personal property be assessed at 31% of its true value in money. (Section 137.115)

This provision is identical to a provision in HB 2403 (2024) and SS/SCS/SB 8 (2023).

This act is identical to HB 2430 (2024).

JOSH NORBERG

PRECINCT CODES (Sections 115.008 and 115.283)

The act requires the Secretary of State (SOS) to establish a unique identification coding system for all precincts in the state resulting in unique identification codes for each precinct in the state. Such system shall be based upon the Federal Information Processing Standards codes issued by the National Institute of Standards and Technology. Election authorities shall be responsible for implementing the unique identification coding system for all precincts within its jurisdiction in compliance with the format set out by the SOS. Additionally, all statements that are attached to an absentee ballot envelope shall contain the precinct code that corresponds to the voter's voting address.

VOTER REGISTRATION LIST PUBLISHED (Section 115.157)

The act requires the SOS to publish a voter registration list on the Secretary's website containing only the following information for each person registered to vote as of the 4th Wednesday prior to the election: unique voter identification numbers, voters' names, year of birth, addresses, townships or wards, and precincts. Such list shall be published not later than the 3rd Wednesday prior to the election.

ELECTRONIC VOTING SYSTEM STANDARDS (Section 115.225)

The act modifies the standards for electronic voting systems to be approved by the SOS. Specifically, electronic voting systems must be developed, owned, and maintained by a business entity registered in the United States and owned by United States citizens. If the business entity is publicly held, the board of directors and the majority stockholders shall be United States citizens. The business entity shall not be a subsidiary of any multinational firm and shall have its principal place of business located within the United States.

Additionally, any software, or hardware containing software or firmware, used in an electronic voting system in this state shall have the full corresponding source code, as that term is defined in the act, of the software or firmware made publicly available by the SOS at no cost, upon request of any resident or citizen of this state. The full corresponding source code provided shall exactly match the code necessary to recreate any object code currently being used or deployed by the state or any of its political subdivisions for election tabulation purposes. Additionally, the full corresponding source code for any software or firmware used for election tabulation purposes in prior elections shall be retained by the SOS and made available upon request for a period of 10 years after the certification of the results of the relevant election.

These provisions are effective January 1, 2030.

These provisions are similar to SB 816 (2024).

DELIVERY OF VOTE ABSTRACTS (Section 115.507)

Current law requires verification boards to deliver to the Secretary of State the abstract of votes given in its jurisdiction by polling place or precinct for each primary and general election. This act requires the abstract to include both regular votes and absentee votes aggregated together and additionally requires reporting to be based solely by precinct.

SCOTT SVAGERA

MISSOURI CONSOLIDATED HEALTH CARE PLAN PHARMACY BENEFITS MANAGER (Section 103.200)

Before March 1, 2027, and annually thereafter, the pharmacy benefits manager ("PBM") utilized by the Missouri Consolidated Health Care Plan ("the Plan") shall file a report with the Plan for the immediately preceding calendar year. The report shall include certain information regarding the Plan, including the aggregate dollar amount of rebates the PBM collected from pharmaceutical manufacturers, and the aggregate dollar amount of the rebates that were not passed on to the Plan. (Section 103.200.2). The Plan shall establish a form for the reporting, in consultation with its PBM, designed to minimize administrative burden and cost. (Section 103.200.3). Documents, materials, and other information submitted to the Plan under these provisions shall not be subject to disclosure under the Sunshine Law, except to the extent they are reported in the aggregate in the reports submitted to the General Assembly or Director of the Department of Commerce and Insurance under the act. The Plan shall not disclose any information under these provisions in a manner that would compromise the financial, competitive, or proprietary nature of the information, or allow a third party to identify rebate values for a particular outpatient prescription drug or class of outpatient prescription drugs. (Section 103.200.4). The Plan shall also annually report to the General Assembly the aggregate dollar amount of pharmaceutical rebates received for covered drugs utilized by enrollees during the calendar year. (Section 103.200.5(1)). The Plan shall annually produce and provide to the General Assembly and Director of the Department of Commerce and Insurance a report for the immediately preceding calendar year describing the rebate practices of the Plan and its pharmacy benefits manager, as specified in the act. (Section 103.200.5(2)). The Plan may impose a penalty of up to $7,500 on its PBM for each violation of these provisions. (Section 103.200.6).

These provisions are identical to provisions in SB 1213 (2024), provisions in SB 402 (2023), provisions in HB 197 (2023), and substantially similar to provisions in SB 921 (2022), and provisions in HCS/HB 1677 (2022).

FREEDOM OF CHOICE FOR PHARMACY SERVICES (Sections 338.015)

The act specifies that certain provisions of law pertaining to pharmacists and pharmacies shall not be construed to prohibit patients' ability to obtain prescription services from any licensed pharmacist "or pharmacy", and repeals language specifying that the provisions do not remove patients' ability to waive their freedom of choice under a contract with regard to payment or coverage of prescription expenses. (Section 338.015.1). Under the act, no PBM shall penalize or restrict a covered person from obtaining services from a contracted pharmacy, as such terms are defined by law. (Section 338.015.4).

These provisions are identical to provisions in SB 1213 (2024), provisions in SB 843 (2024), provisions in SB 1105 (2024), provisions in HB 1627 (2024), provisions in HB 197 (2023), and substantially similar to provisions in SB 921 (2022), and provisions in HCS/HB 1677 (2022).

PHARMACY BENEFITS MANAGERS (Section 376.387 and 376.388)

Additionally, the act modifies the applicable definition of "covered person" for purposes of certain statutes governing PBMs to apply only to individuals who receive prescription drug coverage through a PBM (Section 376.387.1(1)), repeals a provision of law allowing PBMs to hold pharmacists or pharmacies responsible for fees related to charges for administering a health benefit plan (Section 376.387.4), and repeals a provision of law specifying that certain PBM regulations shall not apply with regard to Medicare Part D or other health plans regulated under federal law. (Former section 376.387.5). Pharmacy benefits managers shall notify contracted health carriers in writing of any conflict of interest, any commonality of ownership, or any other relationship between the PBM and any other health carrier with which the PBM contracts. (Section 376.387.5). The act provides standardized definitions for the terms "generic" and "rebate" applicable to PBMs and health carriers (Section 376.387.6-7), and specifies that PBMs shall owe a fiduciary duty to any entity with which it contracts. (Section 376.387.8).

The act repeals a portion of a definition to specify that certain provisions relating to the maximum allowable cost of a prescription drug are applicable to all pharmacies, rather than only to contracted pharmacies (Section 376.388.1(1)), and modifies the applicable definition of PBM to refer to any entity that administers or manages a pharmacy benefits plan or program, as defined in the act. (Section 376.388.1(5)). If the reimbursement for a drug to a contracted pharmacy is below the pharmacy's cost to purchase the drug, the PBM shall sustain an appeal and increase reimbursement for the pharmacy and other contracted pharmacies to cover the cost of purchasing the drug. (Section 376.388.5(2)). No PBM shall reimburse a pharmacist or pharmacy in the state an amount less than the amount that the PBM reimburses a PBM affiliate, as defined in the act, for providing the same pharmacist services. (Section 376.388.5(3)).

These provisions are identical to provisions in SB 1213 (2024), similar to provisions in SB 843 (2024), provisions in SB 1105 (2024), and provisions in HB 1627 (2024), identical to provisions in SB 402 (2023), provisions in HB 197 (2023), substantially similar to provisions in SB 921 (2022), and similar to provisions in HCS/HB 1677 (2022).

340B DRUG PRICING PROGRAM (Section 376.416)

No health carrier or PBM shall discriminate against a covered entity or a specified pharmacy, as such terms are defined in the act, by:

• Reimbursing a covered entity or specified pharmacy for a quantity of a 340B drug, as defined in the act, in an amount less than the carrier or PBM would pay to any other similarly situated pharmacy for such quantity of the drug on the basis that the entity or pharmacy is a covered entity or specified pharmacy, as defined in the act, or that the entity or pharmacy dispenses 340B drugs (Section 376.416.2(1));

• Imposing any terms or conditions on covered entities or specified pharmacies which differ from the terms or conditions applicable to other similarly situated pharmacies on the basis that the entity or pharmacy is a covered entity or specified pharmacy or dispenses 340B drugs, including but not limited to certain terms and conditions described in the act. (Section 376.416.2(2));

• Interfering with an individual's choice to receive a 340B drug from a covered entity or specified pharmacy. (Section 376.416.2(3));

• Requiring a covered entity or specified pharmacy to identify 340B drugs, either directly or through a third party. (Section 376.416.2(4)); or

• Refusing to contract with a covered entity or specified pharmacy for reasons other than those that apply equally to entities or pharmacies that are not covered entities or specified pharmacies, or on the basis that the entity or pharmacy is a covered entity or specified pharmacy, or on the basis that the entity or pharmacy is described as a covered entity under provisions of federal law. (Section 376.416.2(5)).

The Director of the Department of Commerce and Insurance shall impose a civil penalty on any PBM violating certain provisions of the act, not to exceed $5,000 per violation per day. (Section 376.416.3).

These provisions are substantially similar to provisions in SB 1213 (2024), similar to provisions in the truly agreed to and finally passed SS/SB 751 (2024), SCS/SB 978 (2024), SB 1035 (2024), HB 1977 (2024), provisions in HCS/HB 2267 (2024) identical to provisions in SB 402 (2023), provisions in HB 197 (2023), and similar to SB 426 (2023), provisions in HCS/HB 442 (2023), SB 679 (2023), HB 198 (2023), HB 1330 (2023), SB 921 (2022), provisions in HCS/HB 1677 (2022), provisions in SB 1129 (2022), and provisions in HB 2305 (2022).

PHARMACEUTICAL REBATE CERTIFICATION (Section 376.2066)

Beginning no later than March 1, 2027, this act requires health carriers to annually certify that they have accounted for rebates, as defined in the act, in calculating health benefit plan premiums.

These provisions are identical to provisions in SB 1213 (2024) and similar to provisions in SB 971 (2020).

ERIC VANDER WEERD

A dentist administering a vaccine under this act shall inform the patient that the administration of the vaccine will be entered into the ShowMeVax system administered by the Department of Health and Senior Services. Prior to administering the vaccine, the dentist shall review the patient's vaccination history in the ShowMeVax system and comply with all applicable record keeping requirements. A dentist shall not administer a vaccine to a child under 7 years of age or under the minimum age recommended by the Centers for Disease Control and Prevention. A dentist shall not delegate the authority to administer a vaccine under this act.

Lastly, all individual and group insurance policies providing coverage for vaccinations shall provide coverage for vaccinations administered under this act.

This act is identical to SB 1215 (2024), SB 270 (2023), and HCS/HB 1798 (2022) and similar to SB 965 (2022), provisions in HCS/SB 9 (2021), SB 322 (2021), and HCS/SB 330 (2021).

KATIE O'BRIEN

This act is substantially similar to SB 1240 (2024), SB 715 (2023), and HB 1234 (2023).

SARAH HASKINS

This act is identical to SB 1459 (2024).

SARAH HASKINS

This act is identical to SB 1175 (2024), HB 2090 (2024), and SB 661 (2023), and to a provision in SCS/HCS/HB 1775 (2024).

JOSH NORBERG

The act is identical to SB 1367 (2024) and HB 375 (2024).

JULIA SHEVELEVA

The act prohibits insurers from using these tests and counseling in underwriting decisions such as calculating premiums or determining coverage, and prohibits insurers from imposing cost-sharing with regard to the required coverage.

This act is identical to SB 1047 (2024) and HB 2394 (2024).

ERIC VANDER WEERD

• Voter has failed to sign the oath;

• Signature on the envelope does not appear to be valid;

• Oath has failed to be verified;

• Absentee ballot has been rejected for any other reason provided by law; or

• Voter is otherwise found disqualified to vote.

If one of the foregoing has been found by the election authority then the ballot shall be rejected and the election authority shall write "Rejected" on the face of the envelope and give the reason.

The election authority must promptly notify any voter if his or her absentee ballot has been rejected and the deadline and procedures for curing the defect for which the ballot was rejected.

This act is identical to SB 1345 (2024) and HB 2404 (2024), substantially similar to SB 149 (2023), HB 864 (2023), SB 900 (2022), and SB 266 (2021) and similar to SB 210 (2023) and HB 1184 (2023).

SCOTT SVAGERA

This act is identical to SB 1410 (2024) and HB 2071 (2024).

SARAH HASKINS

This act is identical to SB 1056 (2024) and substantially similar to HB 2278 (2024) and a provision in SCS/HCS/HB 1569 (2024).

OLIVIA SHANNON

This act is identical to the perfected HCS/HBs 2626 & 1918 (2024) and substantially similar to SB 1443 (2024).

SARAH HASKINS

This act is identical to SB 1243 (2024), SB 723 (2023), and SB 1194 (2022) and substantially similar to HCS/HBs 1818 & 2345 (2024) and HB 1379 (2020).

SCOTT SVAGERA

Additionally, current law limits the tax credit to qualifying taxpayers with an income of $27,500 or less, or $30,000 in the case of a homestead owned and occupied by a claimant for the entire year. This act increases such maximum income to $32,500, or $40,000 in the case of a homestead owned and occupied by a claimant for the entire year. (Section 135.030)

This act is substantially similar to SB 822 (2024), SB 930 (2024), HCS/HB 1428 (2024), HB 1670 (2024), HB 1939 (2024), HB 2050 (2024), HB 666 (2023), and HCS/HB 1134 (2023), and to provisions in HB 1636 (2024), SS/SCS/SB 15 (2023), HCS/SS/SB 143 (2023), HCS/SB 247 (2023), and HB 1351 (2023).

JOSH NORBERG

This act is substantially similar to HB 1883 (2024).

SCOTT SVAGERA

This act is substantially similar to SB 929 (2024), SB 479 (2023), and HB 1202 (2023).

JOSH NORBERG

Additionally, no private entity shall collect, capture, purchase, receive, or otherwise obtain biometric information unless the person whose biometric information is obtained:

(1) Is informed in writing that biometric information is being collected or stored;

(2) Is informed of the specific purpose and length of time for which biometric information is being collected, stored, or used; and

(3) Gives a written release.

A private entity in possession of biometric information shall not disclose a person's biometric information unless:

(1) The person provides a written release;

(2) The disclosure completes a financial transaction requested or authorized by the person;

(3) The disclosure is required by law; or

(4) The disclosure is required due to a valid warrant or subpoena.

Furthermore, no private entity in possession of biometric information shall sell, lease, or trade a person's biometric information. A private entity storing, transmitting, and protecting from disclosure any biometric information shall use the reasonable standard of care for the private entity's industry and shall keep such information in the same or in more protective manner as other confidential and sensitive information of the entity is kept.

A private entity shall not condition the provision of goods or services on the collection, use, disclosure, transfer, sale, retention, or processing of a biometric identifier unless the identifier is strictly necessary to provide the goods or services. Additionally, a private entity shall not charge different prices or provide a different level of quality to any individual who exercises his or her rights under this act.

Any person aggrieved by a violation of this act shall be entitled to a cause of action in which a prevailing plaintiff shall recover all attorney's fees and costs and may recover for each violation:

(1) Against a private entity that negligently violates this act, either liquidated damages of $1000 or actual damages, whichever is greater;

(2) Against a private entity that intentionally or recklessly violates this act, either liquidated damages of $5000 or actual damages, whichever is greater; and

(3) Any other relief deemed appropriate.

Nothing in this act shall be construed to affect the admission or discovery of biometric information nor shall the act be construed to conflict with provisions of state law regarding maintenance of medical records or with HIPAA. Furthermore, this act shall not be deemed to apply to financial institutions covered by federal law nor to contractors, subcontractors, or agents of a state agency or local government.

This act is substantially similar to HB 407 (2025), HB 500 (2025), HB 1584 (2024), HB 2594 (2024), HB 1047 (2023), HB 1225 (2023), and HB 2716 (2022).

KATIE O'BRIEN

SCOTT SVAGERA

This act is substantially similar to HB 546 (2025).

SCOTT SVAGERA

SARAH HASKINS

Any licensed, registered, or certified health care provider present at the time a child is born alive during or after an abortion or attempted abortion shall exercise the same degree of professional skill, care, and diligence to preserve the life and health of the child as a reasonably diligent and conscientious provider would render to any other child born alive at the same gestational age or fetal weight, as well as ensure that the child is transported and admitted to a hospital following such care if necessary.

A person shall be civilly liable under this act when he or she: (1) knowingly, recklessly, or negligently causes the death of a child born alive during or after an abortion or attempted abortion; (2) knowingly fails to comply with the health care provider standards of care described in this act; (3) knowingly performs or induces, or attempts to perform or induce, an unlawful abortion; (4) knowingly aids or abets another person to undergo a self-induced abortion or attempted self-induced abortion or to procure an unlawful abortion or attempted unlawful abortion; (5) knowingly, recklessly, or negligently supplies or makes available any instrument, device, medicine, drug, or any other means or substance for another person to undergo a self-induced abortion or attempted self-induced abortion or to procure an unlawful abortion or attempted unlawful abortion; or (6) knowingly incites, solicits, or otherwise uses speech or writing as an integral part of conduct in violation of a valid criminal statute to influence another person to undergo a self-induced abortion or attempted self-induced abortion or to procure an unlawful abortion or attempted unlawful abortion.

A cause of action for personal injury, bodily injury, or wrongful death may be brought if injury or death arises out of or results from any of these circumstances to: (1) a person upon whom an unlawful abortion or attempted unlawful abortion was performed or induced; (2) a person who underwent a self-induced abortion or attempted self-induced abortion or who procured an unlawful abortion or attempted unlawful abortion; (3) a child who was born alive during or after an abortion or attempted abortion; or (4) an unborn child. In a cause of action for wrongful death, the spouse, partner, parents, and children of the deceased person, child, or unborn child shall be entitled to bring the action and receive damages, attorney fees, and other costs as described in the act. A defendant may not plead or prove a defense that the plaintiff or deceased person assumed or otherwise consented to certain risks involving self-induced or unlawful abortions or attempted self-induced or unlawful abortions. No person shall maintain a cause of action or receive an award of damages under this act if the person engaged in criminal conduct, domestic violence, or sexual assault that caused the pregnancy, or who is a family or household member who aided or abetted in the criminal conduct, domestic violence, or sexual assault.

This act is substantially similar to SCS/SB 753 (2022), provisions in SCS/HCS/HB 2012 (2022), HCS/HBs 1593 & 1959 (2022), SB 168 (2021), and SB 665 (2020) and similar to SB 388 (2019).

SARAH HASKINS

SCOTT SVAGERA

This amendment is identical to SJR 55 (2024) and SJR 13 (2023) and substantially similar to HCS/HJR 68 (2024), SJR 46 (2022), SJR 10 (2021), SJR 47 (2020), and SJR 17 (2017).

JOSH NORBERG

This amendment also provides that the right to reproductive freedom shall not be construed to exempt any person, firm, or corporation from civil liability for medical malpractice, negligence, or wrongful death.

The General Assembly shall have the authority to enact laws to carry out these provisions.

SARAH HASKINS

This amendment also provides that the right to reproductive freedom shall not be construed to exempt any person, firm, or corporation from civil liability for medical malpractice, negligence, or wrongful death.

The General Assembly shall have the authority to enact laws to carry out these provisions.

SARAH HASKINS

The General Assembly may provide for an income tax credit for contributions made to agencies that provide support to pregnant and new mothers, born and unborn children, and their families, including nonprofit pregnancy resource centers, provided that any law authorizing such contributions shall not allow for tax credits to be authorized by an entity that performs, induces, or refers for abortions or holds itself out as performing, inducing, or referring for abortions.

This constitutional amendment is identical to SJR 87 (2024).

SARAH HASKINS

The General Assembly shall have the authority to enact laws to carry out the provisions of this constitutional amendment.

SARAH HASKINS

SARAH HASKINS

SARAH HASKINS

SARAH HASKINS

SARAH HASKINS

This amendment is identical to HCS#2/HJR 78 (2024), is substantially similar to SJR 90 (2024), and is similar to HJR 85 (2024), HJR 120 (2024), HJR 184 (2024).

JOSH NORBERG

This constitutional amendment is identical to SJR 63 (2024), SJR 20 (2023), and SJR 47 (2022) and substantially similar to SJR 50 (2022).

SARAH HASKINS

SCOTT SVAGERA