Tracking List: Health Forward Foundation
| HB1871 - Rep. Peggy McGaugh (R) - Modifies provisions relating to elections | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SS SCS HCS HB 1871 -- ELECTIONS
This bill designates August 12th of each year as "Election Worker Appreciation Day" in Missouri (Section 9.515, RSMo). The bill provides that a person who registers as a lobbyist will not be prohibited from maintaining a candidate committee seeking certain local offices, provided that the lobbyist is not registered to lobby the office that the candidate committee is designated to seek (Section 105.465). The bill provides that, in the case of a bond election, if an election contest is not filed within 30 days after the official announcement of the election result, all conditions of state election law must be deemed to have been complied with in the issuance of the bond (Section 108.240). This bill allows a notice of election to be sent by email (Section 115.125). Current law requires notice of election to be published twice. The first notice of election must be published within two weeks prior to the election, and the second must be published within one week prior to the election. This bill requires both notices to be published within six weeks prior to the election. Currently, jurisdictions with populations under a certain size and in which no newspaper meeting the legal requirements is published are permitted to send legal notice to voters via mail instead of publishing the notice in a newspaper. This bill allows any election authority the option to mail legal notice rather than publishing the notice in a newspaper. The mailing must occur within six weeks prior to the election. The election authority is permitted to exclude from the mailing any voter designated as inactive. Currently, the filing time for declarations of candidacy for offices in political subdivisions or special districts not otherwise specified in law or charter is from the 17th Tuesday prior to the election through the 14th Tuesday prior to the election. This bill moves the filing time by one week, from the 16th Tuesday prior to the election to the 13th Tuesday prior to the election. The bill also provides that, if the 13th Tuesday prior to the election is a State or Federal holiday, the closing filing date will be the next day that is not a State or Federal holiday (Section 115.127). Currently, no person on probation or parole after conviction of a felony is entitled to vote until finally discharged from probation or parole. This bill specifies certain offenses for which this will be the case, allowing persons on probation or parole after conviction of felonies not listed in the bill to vote prior to being finally discharged from probation or parole (Section 115.133). Currently, the election authority must have automatic tabulating equipment tested within 14 days prior to an election. This bill specifies that this test must occur no later than one week prior to an election (Section 115.233). 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. The bill allows them to vote for those electors at the office of the election authority on election day (Section 115.277). 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 (Section 115.284). The 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 (Section 115.306). The bill applies existing procedures for voters using provisional ballots to voters voting absentee in person at the office of the election authority or at another authorized location designated by the election authority (Section 114.427). This bill allows a provisional ballot to be cast in any public election (Section 115.430). The bill provides that votes for write-in candidates must be counted only for candidates who have filed a declaration of intent to be a write-in candidate, even if no candidate has filed for that office (Section 115.453). The bill adds petitioning to the list of activities prohibited to be within a certain distance from the polling place. The bill also applies election-day electioneering rules to any building in which voting is occurring during the absentee voting period. This bill allows an election authority to, after public notice, expand the distance from the polling location within which these activities are prohibited from 25 feet to 50 feet for most electioneering activities. However, candidates not seeking to vote can still engage in these activities within 25 feet from the polling location, and campaign signs will also be permitted within that distance (Section 115.637). Currently, no contribution or expenditure of public funds can be made directly by any officer, employee, or agent of any political subdivision, school district, or charter school to advocate, support, or oppose the passage or defeat of any ballot measure or candidate for public office. This bill adds special districts to the list of public entities in this prohibition (Section 115.646). This bill requires all solicitations for campaign contributions to state, in a clear and conspicuous manner, the committee that will benefit from the contribution. The solicitation must also indicate what percentage of the contribution will be received by the committee, and any other entity that will receive any part of the contribution. The bill allows the solicitation of automatically-recurring contributions only if the contributor gives affirmative consent for the recurring contribution. The passive action of a contributor, including but not limited to failing to uncheck a prechecked box, does not constitute affirmative consent. This bill requires committees soliciting recurring contributions to provide receipts to the contributors, the contents of which are specified in the bill, and to cancel the recurring contributions upon request prior to the next scheduled deduction date. Any committee that solicits and receives a contribution in violation of this bill must return the contribution to the donor immediately. The bill allows the Missouri Ethics Commission to impose a civil penalty on a committee violating the provisions of this bill of up to 100 times the amount of the contribution received in violation of these provisions. The bill requires recurring contributions to expire automatically after the election at which the candidate or measure benefiting from the contribution appears on the ballot. Recurring contributions made to a candidate who wins a primary election can continue until the general election (Section 130.031). This bill adds childcare expenses that result directly from campaigning for office or in connection with the duties of public office and expenses associated with personal security of the holder of elective office to the list of permissible uses of campaign funds (Section 130.034). |
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| Progress: | Governor | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/28/2026
G
- Sent to the Governor
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| HB2372 - Rep. Tara Peters (R) - Modifies provisions relating to health care | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SS SCS HCS HB 2372 -- HEALTH CARE
AWARENESS DAYS (Sections 9.021, 9.025, 9.238, 9.412, 9.418, 9.501, and 9.502, RSMo) This bill designates the month of January as "Blood Donor Awareness Month", each September as "Brain Aneurysm Awareness Month" and "Pediatric Cancer Awareness Month", the last full week of April each year as "Infertility Awareness Week", March 26th of each year as “Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS)/Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcus (PANDAS) Awareness Day”, the first full week in September as "June's Week" and "Rare Pediatric Disease Week", and the week beginning the last Monday in September as "Frontotemporal Degeneration (FTD) Awareness Week". HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158) This bill 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 bill permits investment of up to 50% of "available funds" defined as funds not required for operations or other obligations in the manner described in the bill, with the remaining portion to be invested into any investment in which the state Treasurer is allowed to invest. These provisions will only apply if the hospital receives less than 3% of its annual revenues from municipal, county, or state taxes, or appropriated funds from the municipality in which such hospital is located. Under this bill, municipal hospitals in third class cities can operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals can operate in areas where municipal hospitals in third and fourth class cities and county hospitals operate. LYME DISEASE (Sections 103.190, 192.026, 192.027, 192.028, and 192.029) This bill requires the Missouri consolidated health care plan to provide coverage for testing, treatment, and management of Lyme disease and post-treatment Lyme disease syndrome for certain participants. The bill requires health care providers, laboratories, and local health departments to report confirmed or suspected cases of Lyme disease to the Department of Health and Senior Services (DHSS) within seven days of diagnosis. The DHSS will then compile an annual report on the incidence and prevalence of Lyme disease in Missouri, as described in the bill. The DHSS will also collaborate with public four-year institutions of higher education to integrate Lyme disease surveillance data into existing tick-borne disease monitoring programs. This bill creates the "Lyme Research and Eradication Fund" within the State Treasury. The DHSS will use the moneys in the Fund to distribute grants for the purposes of developing treatments, studying novel therapies, and researching eradication strategies. Grants will be prioritized as described in the bill, with no less than 20% of funds utilized to support eradication efforts in rural counties. This bill also establishes within the Department the "Lyme Disease Task Force", with membership and responsibilities specified in the bill. Under this bill, a health care provider will not be subject to any discipline, suspension, or revocation of license or denial of a license renewal, solely for prescribing, administering, or dispensing treatments or therapies for Lyme disease or Post- Treatment Lyme Disease Syndrome (PTLDS), including extended antibiotic therapy or similar treatment deemed medically necessary. EPINEPHRINE PRODUCTS (Sections 167.627, 167.630, 190.246, 196.990, and 321.621) This bill changes the term "epinephrine auto-injector" to "epinephrine delivery system" throughout statute, defined as a single-use device or system used for the delivery of a premeasured dose of epinephrine into the human body. This bill adds epinephrine delivery systems to provisions of statute that permit the possession and self-administration of the medication to treat a student's chronic health condition, such as asthma or anaphylaxis. The bill authorizes each Board of Education in this State to grant permission to pupils, as well as each school board in this State to grant permission to school nurses to use this medication. This bill additionally modifies existing provisions for epinephrine possession, use limitations, and stock supply by adding epinephrine delivery systems as eligible products and nursing homes and facilities, as well as child care facilities, to the list of authorized entities. Current law authorizes qualified first responders, as defined in the bill, to administer epinephrine auto-injectors to a person who is suffering from an apparent anaphylactic reaction. This bill extends that authorization to epinephrine delivery systems. PEDIATRIC DISEASE TASK FORCE (Section 173.690) This bill creates the "Pediatric Disease Task Force" within the Department of Higher Education and Workforce Development (DHEWD), with membership as described in the bill, including two members appointed by the Speaker of the House of Representatives and two members appointed by the President Pro Tem of the Senate. Beginning January 1, 2027, the Task Force will meet at least quarterly, and the Task Force is required to submit an annual public report to the Governor and the General Assembly by December 31st of each year. Such report will detail research initiatives within the sState focused on genetic and pediatric diseases, including rare pediatric diseases; summarize key outcomes achieved by the research initiatives; account for funds expended and leveraged by the research initiatives; and include any legislative recommendations. This provision will expire on December 31, 2030. COMMUNITY PARAMEDIC SERVICES (Sections 190.098 and 190.165) This bill modifies provisions relating to certification of community paramedics and the provision of community paramedic services. "Community paramedic services" mean those services provided by an entity that employs licensed paramedics certified by DHSS 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. Ambulance services will enter into written contracts with other ambulance service providers to provide community paramedic services in that provider's service area. The DHSS will establish regulations for the purpose of recognizing community paramedic services entities that have met the standards necessary to provide such services. The DHSS will endorse such entities to provide community paramedic services for a period of five years. EMERGENCY MEDICAL SERVICE SCOPE OF PRACTICE (Section 190.142) The bill authorizes each level of licensed emergency medical technicians to perform only patient care that is consistent with the current National EMS Scope of Practice Model. SICKLE CELL STANDING COMMITTEE (Section 191.117) This bill creates the "Lori Zena Baker Act". The bill establishes the "Sickle Cell Standing Committee" as a subcommittee of the Missouri Genetic Advisory Committee within DHSS, with membership as specified in the bill. The Director of DHSS will appoint the committee members. The Committee will assess the impact of sickle cell disease on the State and make recommendations to the General Assembly and Governor regarding services and policies to address the State's needs, as described in the bill. DOULA SERVICES (Sections 191.708, 208.662, 208.1400, 208.1405, 208.1410, 208.1415, 208.1420, and 208.1425) This bill allows for the chief medical officer or chief medical director of DHSS, the MO HealthNet division of the Department of Social Services (DSS), or any licensed physician acting with the written consent of any of the aforementioned department directors, to issue nonspecific recommendations for doula services, a medical standing order for prenatal vitamins, or a medical standing order for purposes not related to that of controlled substances or of nonemergency pregnancy termination. Additionally, the bill adds childbirth education classes to covered services for unborn children enrolled in the Show-Me Healthy Babies Program. The bill also establishes the "Missouri Doula Reimbursement Act". Under the provisions of this bill, the MO HealthNet program is required to cover the following doula services: (1) A combined total of six support sessions, provided that a participant who needs more than the six is entitled to up to 10 additional support sessions for a combined total of 16 support sessions; (2) One birth attendance, including attendance at a scheduled cesarean section delivery; (3) Up to two visits for general education and support on lactation at any time during the prenatal and postpartum periods; and (4) Community navigation services, except that those services provided outside any of the above visits or sessions will only be billed up to 10 times total over the course of the pregnancy and postpartum period. The bill specifies under what conditions a doula is eligible for participation as a provider of doula services and that once enrolled as a provider, a doula is eligible to enroll as a provider with fee-for-service, and managed care payers affiliated with MO HealthNet program, but that services must be reimbursed on a fee-for-service schedule. The MO HealthNet division will promulgate all necessary rules and regulations for the administration of this provision. TELEHEALTH (Sections 191.1146 and 334.108) Currently, the establishment of a physician-patient relationship for purposes of telehealth must include an interview and a physical examination. Under this bill, an evaluation is required, but a physical examination will be required only if needed to meet the standard of care. 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 bill permits such questionnaires if the information provided is sufficient as though the medical evaluation was performed in person, with a report to be provided to the patient's primary health care provider within 14 days of evaluation, as described in the bill. Additionally, current law requires a physician-patient relationship for purposes of telehealth to include a sufficient dialogue with the patient regarding treatment. This bill changes "dialogue" to "exchange" with the patient regarding treatment options. 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 bill, a health care provider must not prescribe any drug, controlled substance, or other treatment to a patient in the absence of a proper provider-patient relationship and medical records of such prescriptions must be collected, stored, and maintained in accordance with the Health Insurance Portability and Accountability Act of 1996. DISEASE SURVEILLANCE (Section 192.020) This bill adds alpha-gal syndrome to the list of diseases that must be reported to DHSS. Any alpha-gal syndrome case report must be submitted to DHSS within seven days of receiving a positive laboratory confirmation. Subject to appropriations, DHSS can follow up on reported cases by applying a random sampling method for confirmation that the cases meet the most current surveillance case definition of alpha-gal syndrome of the Centers for Disease Control and Prevention (CDC). The bill requires DHSS to submit an annual report to the CDC summarizing its findings related to the reporting and incidence of alpha-gal syndrome. The laboratory and DHSS are prohibited from disclosing the identifiable test result or other protected health information relating to any individual for which a blood test is obtained to any person other than the individual for which the blood test is obtained and the health care provider ordering the blood test. PREGNANCY-ASSOCIATED MORTALITY REVIEW BOARD (Section 192.990) This bill modifies the "Pregnancy-Associated Mortality Review Board" within DHSS. Under this bill, board membership includes at least one member from each congressional district and membership will be demographically diverse, including rural and urban populations. Board members are increased from no more than 18 members to no more than 22 members. Additionally, the board will, in its study and review of maternal deaths, consider: the level and timing of prenatal and postnatal care; the presence or absence of "maternity care deserts", as defined in the bill; 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 will be disaggregated by race, ethnicity, language, nationality, age, zip code, and level and timing of prenatal and postnatal care. DEMENTIA SERVICES COORDINATOR (Section 192.2155) This bill requires the Division of Senior and Disability Services within DHSS to establish a dementia services coordinator as a full-time position. The coordinator will perform duties specified in the bill, including, but not limited to, coordinating information resources affecting Missourians living with dementia and their caregivers, streamlining applicable services to increase efficiency and improve the quality of care in certain settings, identifying any duplicated services, promoting public awareness and education, and collecting and monitoring relevant data. MULTIDISCIPLINARY ADULT PROTECTION TEAMS (Sections 192.2400 and 192.2435) This bill modifies current law relating to protective services for elderly and disabled adults by authorizing "multidisciplinary adult protection teams", as defined in the bill, to access confidential reports of abuse and neglect and case information to the extent necessary to conduct team activities and to share such information with other team members. DISCLOSURE OF VITAL RECORDS (Section 193.245) This bill repeals a provision of law permitting DHSS to disclose a listing of persons who are born or who die on a particular date upon a person's request. 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 12-month period in any total amo unt greater than 43.2 grams without a valid prescription. This bill changes the total amount to 61.2 grams. Beginning October 1, 2026, any manufacturer of any drug product containing any detectable amount of ephedrine, phenylpropanolamine, or pseudoephedrine sold in this State must, on a monthly basis, pay fees to the administrator of the real- time electronic pseudoephedrine tracking system, as specified in the bill. A manufacturer who fails to knowingly pay such fee will have committed the offense of unlawful sale, distribution, or purchase of over-the-counter methamphetamine precursor drugs, which is a class A misdemeanor. CERTIFICATE OF NEED (Section 197.315) This bill provides that if, within 30 days of an applicant's receipt of a certificate of need, the Missouri Health Facilities Review Committee obtains evidence that a material fact was withheld from or misrepresented to the committee during the original hearing on the application before the committee, the committee must, at the next regularly scheduled meeting, vote to rescind the granted certificate of need and require the applicant to file a new application that corrects any omissions or misstatements. HOSPITAL WORKPLACE VIOLENCE (Section 197.708) This bill requires hospitals to display a printed sign in the waiting rooms of the emergency department and the labor and delivery department with the following text in all capital letters: "WARNING: ASSAULTING A HEALTH CARE PROFESSIONAL WHO IS ENGAGED IN THE PERFORMANCE OF HIS OR HER OFFICIAL DUTIES, INCLUDING STRIKING A HEALTH CARE PROFESSIONAL, IS A SERIOUS CRIME AND WILL BE PROSECUTED TO THE FULLEST EXTENT OF THE LAW." HOSPITAL PRICE TRANSPARENCY (Sections 197.1040 and 197.1045) Under this bill, a hospital that is not in material compliance with federal hospital price transparency laws on the date that items or services are purchased from, or provided to a patient by, the hospital, will not initiate or pursue a collection action against the patient for a debt owed for the items or services. INSPECTIONS OF LONG-TERM CARE FACILITIES (Section 198.022) Under this bill, DHSS can accept, in lieu of an inspection conducted by DHSS, a written report of a survey or inspection conducted by any State or Federal agency, provided the survey or inspection is comparable in scope or method to DHSS's inspections and conducted in accordance with Title XVIII of the Social Security Act. A residential care or assisted living facility will be subject to an inspection by DHSS if the facility fails to maintain an accredited status by a recognized accreditation entity. If a facility exempt from an annual inspection under this bill has one or more violations of any class I standards, then the facility must be subject to a full survey by DHSS. TICKET TO WORK HEALTH ASSURANCE PROGRAM (Section 208.146) The Ticket to Work Health Assurance Program is a program that provides medical assistance to certain people with disabilities who are employed. The Program expired on August 28, 2025. This bill repeals the expiration date and reinstates the program. MO HEALTHNET COVERAGE OF CERTAIN CLINICAL PATHOLOGY SERVICES (Section 208.149) This bill requires the professional component of clinical pathology services provided by a hospital-based pathologist to be recognized as distinct physician services by the MO HealthNet program, which will reimburse the professional component of clinical pathology services provided to MO HealthNet participants. The reimbursement amount will be set at no less than 30% of the approved MO HealthNet Independent Lab - Technical Component fee schedule. Payment will be made directly to the licensed physician providing the services or the entity that has been assigned the right to receive payment for services provided. If a state plan amendment is determined by DSS to be required, DSS must submit the amendment in a timely manner and make all reasonable efforts to obtain Federal approval. MO HEALTHNET THIRD PARTY LIABILITY (Section 208.215) Under this bill, any health benefit plan, third-party administrator, administrative service organization, or pharmacy benefits manager paying all properly submitted medical assistance subrogation claims or MO HealthNet subrogation claims will respond to any inquiry by the state regarding a claim for payment for any health care item or service not later than 60 days after receiving the inquiry. Additionally, such entity will not deny a claim submitted by the state for failure to provide prior authorization for the item or service, except that this provision will not apply to certain programs or plans, including the original Medicare fee-for-service program, a Medicare Advantage plan, a reasonable cost reimbursement plan, a health care prepayment plan, or a prescription drug plan. A health benefit plan, third-party administrator, administrative service organization, or pharmacy benefits manager will accept authorization provided by the State that an item or service is covered under the state plan or a waiver for the individual as if the authorization were the prior authorization made by the third party, except that this provision does not apply to certain programs or plans, including the original Medicare fee-for- service program, a Medicare Advantage plan, a reasonable cost reimbursement plan, a health care prepayment plan, or a prescription drug plan. MO HEALTHNET WAIVER FOR NUTRITION SERVICES (Section 208.270) This bill establishes the "Food is Medicine Act", allowing DSS to apply to the Centers for Medicare and Medicaid Services, within the Federal Department of Health and Human Services, for a Section 1115 demonstration waiver to implement the "Food is Medicine" program. The program will be designed to improve health outcomes for MO HealthNet participants with nutrition-related chronic diseases through nutrition services and to reduce the need for medical care for those participants. The bill specifies the covered nutrition services under this program, and specifies that whenever feasible, the MO HealthNet Division within DSS will prioritize the inclusion of community- based organizations and local growers to support the purchase of locally grown food in nutrition prescriptions. The bill requires DSS to promulgate all the necessary rules and regulations for the administration of this bill. PRIOR AUTHORIZATION (Sections 208.440 and 376.1364) Beginning July 1, 2028,health carriers will establish and maintain an online process that links directly to all e- prescribing systems and electronic health record systems that can accept and approve electronic prior authorization requests, as described in the bill. No health carrier will impose a fee or charge on any person accessing the online process under this provision. No later than July 1, 2028, a health carrier will provide the contact information of any third party vendor or other entity that the carrier will use to meet these requirements to any provider that requests such information. A carrier that fails to implement and maintain an online process for prior authorization of prescription drugs as required by this bill must not require providers to obtain prior authorization for prescription drugs, except as may be specified by the Department of Commerce and Insurance (DCI) by rule. By January 1, 2028, health carriers and utilization review entities will implement and maintain a prior authorization application programming interface (API) that conforms with federal law. If a health carrier cannot implement the prior authorization API by January 1, 2028, the health carrier must provide written notice to DCI requesting an extension, accompanied by a documented plan to come into compliance. By January 1, 2028, an enrollee's health care provider may use the prior authorization API to submit requests for prior authorization of health care services, excluding prescription drugs. A health carrier must accept prior authorization requests submitted through the API. For contracts between health carriers and participating health care providers entered into or renewed on or after January 1, 2028, a health carrier may include a provision that requires health care providers to submit prior authorization requests using the API. If a health care provider fails to utilize the API, cost-sharing for which the enrollee would have otherwise been responsible will not be affected. For plan years beginning on or after January 1, 2027, a health carrier using prior authorization will make statistics available regarding prior authorization approvals and denials for health care services, excluding drugs, on its website in a readily accessible format. The statistics will be updated annually, no later than June 30th, and include the required information as described in the bill. The URL for the statistics will be provided to DCI and DCI will publish the website locations in a central location on the Department's website. Every health carrier in this state offering a health benefit plan with a managed care component must report annually to DCI with a complete list of the health care services, excluding drugs, for which prior authorization is required. The DCI will review the reports and compile an annual report to be published on DCI's website no later than October 1st of each year. No later than May 31, 2028, and annually thereafter, every health carrier in this State offering a health benefit plan with a managed care component will provide a report to DCI with aggregated data related to practices and experience of the health carrier for the prior plan year for health care services submitted for payment, excluding drugs, as described in the bill. By July 1, 2027, MO HealthNet managed care organizations, MO HealthNet managed care plans, and the MO HealthNet division are required to comply with these provisions relating to the publishing of statistics regarding prior authorization approvals and denials for health care services; the annual reporting of a complete list of the health care services for which prior authorization is required; and the annual reporting of aggregated data related to practices and experience of the health carrier for the prior plan year for health care services submitted for payment. By July 1, 2028, in addition to compliance with the above-mentioned provisions, MO HealthNet managed care organizations, MO HealthNet managed care plans, and the MO HealthNet division are required to comply with these provisions relating to the implementation and maintenance of an API. CHILDREN'S HEALTH SCREENINGS (Section 210.110) Under this provision, a physician or nurse practitioner will perform a physical health screening on an abused or neglected child within 72 hours of the child entering the custody of the State, as described in the bill. No vaccine can be administered to the child during the physical without the consent of the parent or legal guardian. Within 30 days of the physical, a referral will be made for additional screenings, which may be performed by a licensed mental health professional or a primary care physician using a standardized assessment tool. ELIJAH’S LAW (Section 210.225) The bill establishes "Elijah's Law" and requires licensed child care providers to adopt a policy on allergy prevention and response, with priority given to addressing deadly foodborne allergies. The policy must contain elements specified in the bill and be adopted before July 1, 2028. The adoption of this policy is required for licensure. The Department of Elementary and Secondary Education (DESE) must develop a model policy or policies on allergy prevention and response before July 1, 2027. LICENSE PLATES AND PLACARDS FOR PERSONS WITH DISABILITIES (Section 301.142) This bill adds occupational therapists to the list of licensed professionals who can issue a statement so that disabled plates or a disabled windshield placard can be obtained by a patient. Additionally, removable windshield placards will be renewed every eight years, instead of the four years in current law. The Department of Transportation will have the authority to automatically renew placards, as described in the bill. PRACTICE OF DENTISTRY IN CORRECTIONAL CENTERS (Section 332.081) Current law provides that no corporation will practice dentistry unless that corporation is a nonprofit corporation or a professional corporation under Missouri law. This bill provides that such provision will not apply to entities contracted with the State to provide care in correctional centers. LICENSURE OF PHYSICIANS (Section 334.031) This bill requires a candidate applying for licensure as a physician to submit to a criminal background check and furnish certain educational and experience documents. This bill also allows the Board of Registration for the Healing Arts (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 can also obtain a report on the applicant from the National Practitioner Data Bank or the Federation of State Medical Boards. ADMINISTRATION OF MEDICATIONS (Section 335.081) This bill provides that the administration by technicians, nurses' aides, or their equivalent in long-term care facilities of epinephrine delivery systems and subcutaneous injectable medications to treat diabetes must not be prohibited by nurse licensing laws. SOCIAL WORKERS (Section 337.600) This bill modifies the definitions of a "qualified advanced macro supervisor," "qualified baccalaureate supervisor," and "qualified clinical supervisor" to provide that such person is a licensed social worker who has practiced social work for which he or she is supervising the applicant for a minimum of three, instead of five, years. ADMINISTRATION OF CERTAIN VACCINES (Section 338.010) Currently, the practice of pharmacy includes the ordering and administration of vaccines approved or authorized by the FDA, but excludes certain vaccines and those vaccines approved after January 1, 2023. This bill instead provides that the practice of pharmacy includes the ordering and administration of certain vaccines approved or authorized by the FDA as of January 1, 2026, but excludes certain vaccines and those that are not included by joint rules promulgated by the Board of Pharmacy and the State Board of Registration for the Healing Arts. DUTIES OF A PHARMACIST (Sections 338.012 and 338.206) Currently, a pharmacist with a certificate of medication therapeutic plan authority can provide certain medication therapy services if there is a statewide order issued by the Director or the Chief Medical Officer of DHSS if such person is a licensed physician or by a licensed physician designated by DHSS. This bill repeals this language and authorizes the provision of such medication therapy services pursuant to rules established by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This bill authorizes pharmacists to prescribe medical devices, as defined in the bill. The Board of Pharmacy and the State Board of Registration for the Healing Arts will jointly promulgate rules to implement this provision within six months of the effective date of this bill. IVERMECTIN AND HYDROXYCHLOROQUINE (Section 338.208) Under this bill, a pharmacist can dispense ivermectin and hydroxychloroquine to a person, without a prescription order, upon the approval of a warning label for the use and indication in accordance with any written, standardized procedures or protocols issued by the Board of Pharmacy. Any ivermectin or hydroxychloroquine that is dispensed by a pharmacist or by a pharmacy technician under a pharmacist's supervision without a prescription must be kept behind the counter or otherwise not available in a self-service area and be stored in a secure area accessible only to pharmacy personnel. LICENSURE OF WHOLESALE DRUG DISTRIBUTORS (Section 338.333) Under this bill, the Board of Pharmacy can 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. RX CARES FOR MISSOURI PROGRAM (Section 338.710) This bill removes the expiration date of August 28, 2026, from the RX Cares for Missouri Program. SPEECH-LANGUAGE PATHOLOGISTS (Section 345.050) Currently, a requirement for licensure for speech-language pathologists and audiologists is submitting evidence of completion of a clinical fellowship from supervisors. The period of employment must be under the direct supervision of a person who is licensed by the State of Missouri in the profession in which the applicant seeks to be licensed. This bill changes the period of employment to be under the direct supervision of a licensed speech-language pathologist in good standing. 340B DRUGS (Section 376.417) Under this bill, a health carrier, a pharmacy benefits manager, or an agent or affiliate of such, can not discriminate against a "covered entity", as defined in the bill, including by reimbursing the covered entity for a quantity of a 340B drug in an amount less than it would pay similarly situated non-covered entities for such drugs, imposing different terms and conditions as compared to similarly situated entities, refusing to cover 340B drugs or discriminating in reimbursement for 340B drugs, and other situations described under this bill. The Director of DCI must impose a civil penalty on any health carrier, pharmacy benefits manager, or agent or affiliate of such, that violates this provision, not to exceed $5,000 per violation, per day. MULTIPLE EMPLOYER SELF-INSURED HEALTH PLANS (Sections 376.1000, 376.1012, and 376.1017) This bill changes the definition of "multiple employer self- insured health plans" to include plans established for the purpose of offering benefits to two or more self-employed individuals, each with at least one common-law employee, and their dependents. Current law requires funds collected from participating employers under multiple employer self-insured health plans to be held in trust subject to certain requirements, including filing an annual report with the director of DCI showing the condition and affairs of the plan. This bill modifies that requirement by adding the report must be in compliance with Section 375.041 and also requires that the plan file an RBC report with the director. Additionally, current law requires health plans to establish loss reserves for incurred losses and unearned premiums, as well as surplus accounts equal to certain amounts. This bill requires the surplus accounts to be equal to the greater of the following: (1) $600,000; or (2) An amount equal to two times the authorized control level risk-based capital. CONTRAST ENHANCED MAMMOGRAPHY (Section 376.1183) Currently, each health carrier or health benefit plan that provides coverage for diagnostic breast examinations, supplemental breast examinations, coverage required under current law, or any combination of such coverage must not impose any cost-sharing requirements on diagnostic breast examinations or supplemental breast examinations. This bill modifies when supplemental breast examinations may be necessary and specifies that diagnostic and supplemental examinations may include contrast enhanced mammographies. INSURANCE COVERAGE OF SELF-ADMINISTERED HORMONAL CONTRACEPTIVES (Section 376.1240) This bill requires health benefit plans issued or renewed on or after January 1, 2027, that provide coverage for self- administered hormonal contraceptives, as defined in the bill, to cover a supply of the contraceptives that is intended to last up to one year. INSURANCE COVERAGE OF ANESTHESIA SERVICES (Section 376.1245) The bill prohibits health carriers or health benefit plans from establishing or implementing any policy or practice that imposes a time limit for the payment of anesthesia services provided during a medical or surgical procedure. Moreover, health carriers or health benefit plans are prohibited from establishing or implementing any policy or practice that restricts or excludes all anesthesia time in calculating the payment of anesthesia services. Excepted benefit plans will be subject to the requirements of this bill. These provisions do not apply to anesthesia services provided in connection with dental procedures. INSURANCE COVERAGE OF HOME BLOOD PRESSURE MONITORING DEVICES AND SERVICES (Section 376.1960) This bill creates "Nora's Law" and requires health benefit plans delivered, issued for delivery, continued, or renewed in this State to provide coverage for prescribed home blood pressure monitoring devices and home blood pressure monitoring device services for pregnant women and women within 12 months postpartum when determined to be medically appropriate by the prescribing practitioner in accordance with American College of Obstetricians and Gynecologist guidelines. Home blood pressure monitoring devices or home blood pressure monitoring device services prescribed will meet the requirements for medical necessity only and can only be prescribed again if the condition being monitored deteriorates as to necessitate another prescription, or as necessary for subsequent pregnancies. MEDICAL MALPRACTICE JOINT UNDERWRITING ASSOCIATION (Section 383.155) Current law authorizes the establishment of a medical malpractice joint underwriting association upon a determination that medical malpractice liability insurance is not reasonably available in the voluntary market. This bill authorizes the directors of the board of the association to suspend the operations of the association if such directors determine that medical malpractice insurance is reasonably available. The suspension will be in accordance with the plan of operations, and will include provisions for the administration of association funds. During any suspension of operations, the association will not collect dues or fees from its members, unless authorized by the Director of DCI. CRITICAL INCIDENT STRESS MANAGEMENT PROGRAM (Section 590.192) Under current law, all peace officers and first responders are required to have a mental health check-in with a program service provider once every three to five years. This bill allows a department to satisfy this requirement if they have an established behavioral health or mental health program that meets enumerated requirements. This bill also adds first responder commanding officers to the list of people approved to receive notification that the check-in requirement has been met. DETENTION FOR EVALUATION AND TREATMENT FOR MENTAL HEALTH (Section 632.305) Currently, an application for detention and evaluation for treatment at a mental health facility may be executed by any adult person, who is not required to be an attorney or represented by an attorney, without a notarization requirement. This bill repeals the provision that notarization is not required and specifies that no notarization will be required for any application, or for any affidavits, declarations, or other supporting documents, that were completed or executed by certain peace officers, licensed physicians, mental health professionals, registered professional nurses, or employees acting on behalf of a hospital, as specified in the bill. STATE-BASED HEALTH EXCHANGES (Repeal of section 376.1186) This bill repeals a provision of current law prohibiting the establishment of a state-based health benefit exchange under certain circumstances. |
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| Progress: | Governor | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/28/2026
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- Sent to the Governor
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| SB834 - Sen. Sandy Crawford (R) - Modifies provisions relating to mortgage modifications | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SS SB 834 -- MORTGAGE MODIFICATIONS
The bill creates the "Missouri Residential Sale Leaseback Protection Act", which regulates sale leasebacks. A "sale leaseback" is defined as a transaction or series of transactions in which a seller sells residential real estate that is or was the seller's residence to another party and, as a condition of the sale, or as part of the same or a related transaction, enters into a lease or rental agreement to remain in or re-occupy the property. In any sale leaseback transaction, a buyer is required to provide the seller with certain disclosures, specified in the bill, alerting the seller of the nature of the transaction and advising them of certain actions they may wish to take. The disclosure must be provided to the seller not more than 10 days and not less than 3 business days before the execution of any sale leaseback agreement, and the disclosure must be signed by both the seller and the buyer concurrently with the execution of the sale leaseback agreement. Violation of the sections in this are subject to a fine of up to $10,000 per violation. The Attorney General is permitted to enforce this act by bringing a cause of action seeking injunctive relief, civil penalties, and restitution. A seller is also permitted to bring a civil action if harmed by a violation of this act. A seller may recover actual damages, statutory damages up to $10,000, attorneys' fees and costs, and any equitable or injunctive relief. This bill may not be waived or modified by agreement of any party. The bill creates the "Uniform Mortgage Modification Act", establishing new procedures with respect to modifications of mortgages. The bill provides that, for any "mortgage modification", as defined in the bill, all of the following apply: (1) The mortgage continues to secure the obligation as modified; (2) The priority of the mortgage is not affected by the modification; (3) The mortgage retains its priority regardless of whether a record of the mortgage modification is recorded in the public land records; and (4) The modification is not considered a novation. This bill supersedes the federal Electronic Signatures in Global and National Commerce Act, as permitted by that Act, except as otherwise provided in the bill. |
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| Progress: | Governor | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/28/2026
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- Sent to the Governor
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| SB999 - Sen. Brad Hudson (R) - Modifies provisions relating to vulnerable persons | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SS#2 SB 999 - VULNERABLE PERSONS
Under this bill, a prosecuting attorney can request assistance from the Attorney General for the prosecution of the certain sexual offenses. The bill creates the "Born-Alive Abortion Survivors Protection Act". Under this bill, 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 present in the provider's professional capacity at the time a child is born alive during or after an abortion or attempted abortion will exercise the same degree of professional skill, care, and diligence to preserve the life, health, and comfort of the child as a reasonably diligent and conscientious provider would render to any other child born alive at the same gestational age. Any person who knowingly performs or attempts to perform an overt act that kills a child born alive will be guilty of first degree murder. A person will have the right to bring a cause of action for wrongful death or improper health care, as described in this bill. This bill modifies the Pregnancy-Associated Mortality Review Board within the Department of Health and Senior Services. Under this bill, board membership must include at least one member from each congressional district with demographically diverse membership. Board members are increased from no more than 18 members to no more than 22 members. Additionally, the Board will, in its study and review of maternal deaths, consider the level and timing of prenatal and postnatal care, the presence or absence of maternity care deserts, 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 must be disaggregated by race, ethnicity, language, nationality, age, zip code, and level and timing of prenatal and postnatal care. This bill adds cyberstalking to the list of conduct prohibited by an order of protection. Currently, a person can be released from jail upon recognizance or bond. This bill provides that a person that has been released under such circumstances that fails to comply with the conditions of such release that imposes no contact with the victim will be guilty of a class A misdemeanor and must forfeit any security that was pledged for their release. This bill modifies the offenses of assault in the first, second, third, and fourth degrees and the offenses of domestic violence in the first, second, third, and fourth degrees by removing the defined terms of "serious physical injury" and "physical injury" and providing for the following harms: (1) Great bodily harm: Bodily injury which creates a high probability of death, or which causes serious permanent or protracted loss or impairment of function of any bodily member or organ, or other serious bodily harm; (2) Substantial bodily harm: Bodily harm which involves a temporary but substantial disfigurement, or which causes temporary but substantial loss or impairment of the function of any bodily member or organ, or which causes a fracture of any bodily member; and (3) Bodily harm: Physical pain or injury, illness, or any impairment of physical condition. Under current law, the first offense of harassment in the first degree is a class E felony. This bill provides that a second or subsequent conviction of harassment in the first degree will be a class D felony where the individual has previously been found guilty of harassment in the first or second degree. Currently, a first offense of harassment in the second degree is a class A misdemeanor. Under this bill, provisions relating to a second or subsequent conviction of harassment in the second degree are modified to include a conviction of harassment in the first degree as a previous conviction in which case it is a class E felony. This bill modifies the offense of stalking in the first degree by repealing the elements of such offense and providing that a person commits the offense of stalking in the first degree when the person knowingly, through a course of conduct that is directed at another person or through technological abuse, as defined in the bill, engages in conduct that would cause a reasonable person under similar circumstances to: (1) Fear death or bodily injury, as defined in this bill; (2) Fear that an offense will be committed against a member of the person's family, household members, or an individual with whom the person has a dating relationship; (3) Fear that an offense will be committed against the person's property; or (4) Feel harassed, terrified, or intimidated. This bill modifies the offense of stalking in the second degree by repealing the elements of such offense and providing that a person commits the offense of stalking in the second degree when the person knowingly, through a course of conduct that is directed at another person or through technological abuse, as defined in the bill, engages in conduct that would cause a reasonable person under similar circumstances to feel harassed, terrified, or intimidated. This bill creates the offense of cyberharassment. A person commits this offense if he or she purposely or knowingly engages in a threatening, aggressive, or otherwise fear-inducing, course of conduct by using digital technology, internet service providers, electronic service providers or other electronic communications and devices cause reasonable fear, alarm, anxiety, undo stress, or terror to others by repeated contact with no legitimate purpose. This offense will be a class B misdemeanor upon a first offense and a class A misdemeanor for second or subsequent offenses. A person commits the offense of cyberstalking if such person purposely or knowingly engages in a threatening, aggressive, or otherwise fear-inducing, course of conduct by using digital technology, internet service providers, electronic service providers or other electronic communications and devices to enhance the ability to intimidate, track, follow or cause reasonable fear, alarm, anxiety, undo stress, or terror to another person. A first offense will be a class A misdemeanor and a second or subsequent offense will be a class E felony. This bill creates the offense of disclosure of an intimate digital depiction. A person will be guilty of such offense if he or she discloses or threatens to disclose an intimate digital depiction with the intent to harass or threaten another person. A violation of such offense is a class D felony if the person discloses an intimate digital depiction and a class E felony if the person threatens to disclose an intimate digital depiction. Any second or subsequent violation of such offense is a class C felony. Additionally, it will be a class C felony if the disclosure interferes with a government proceeding or causes violence. This bill creates the offense of sadistic online exploitation. A person commits this offense where he or she uses the internet to coerce a victim into committing certain acts. This offense shall be a class E felony. Certain provisions of this bill have an effective date of July 1, 2027. The provisions of this bill are nonseverable. |
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| Progress: | Governor | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/28/2026
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- Sent to the Governor
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| HB1766 - Rep. Mike McGirl (R) - Modifies provisions relating to personal property assessments | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | HB 1766 -- PERSONAL PROPERTY ASSESSMENTS (McGirl) |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/26/2026
S
- Referred to committee - Senate-Select Committee on Property Taxes and the State Tax Commission
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| HB2355 - Rep. Holly Jones (R) - Creates provisions relating to a MO HealthNet waiver for nutrition services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | HCS HB 2355 -- MO HEALTHNET WAIVER FOR NUTRITION SERVICES (Jones (88)) |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/07/2026
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- Placed on Informal Calendar
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| HB2387 - Rep. Brad Banderman (R) - Modifies provisions relating to the Presidential Preference Primary. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | HCS HBs 2387 & 2480 -- The Presidential Preference Primary (Banderman) |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/07/2026
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- Placed on Informal Calendar
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| HB2481 - Rep. Jamie Gragg (R) - Prohibits the use of SNAP benefits to purchase certain foods | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | HCS HB 2481 -- SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (Gragg) |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/29/2026
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- Hearing Conducted - Senate-General Laws
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| HJR154 - Rep. Darin Chappell (R) - Proposes a constitutional amendment relating to MO HealthNet work requirements | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | HCS HJR 154 -- MO HEALTHNET (Chappell) |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/23/2026
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- Voted Do Pass - Senate-Families, Seniors and Health
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| SB836 - Sen. Sandy Crawford (R) - Modifies provisions relating to elections | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SCS/SB 836 - This act modifies various provisions relating to elections. NOTICES OF ELECTION (Section 115.125) The act allows a notice of election to be sent by email. This provision is substantially similar to a provision in SCS/SB 182 (2025), SB 926 (2024), a provision in HCS/HB 1525 (2024), a provision in HCS/HB 2140 (2024), and a provision in HCS/HB 2895 (2024). CANDIDATE FILING DEADLINES - LOCAL OFFICES (Section 115.127) Under current law, the period for filing a declaration of candidacy in certain political subdivisions and special districts is from 8:00 a.m. on the 17th Tuesday prior to the election until 5:00 p.m. on the 14th Tuesday prior to the election. This act changes that period to 8:00 a.m. on the 16th Tuesday prior to the election until 5:00 p.m. on the 13th Tuesday prior to the election, unless the 13th Tuesday prior to an election falls on a holiday, then the closing of filing shall be at 5:00 p.m. on the next day that is not a holiday. This provision is identical to a provision in SCS/SB 182 (2025), SB 774 (2024), a provision in SB 926 (2024), a provision in HCS/HB 1525 (2024), HB 1604 (2024), a provision in SCS/HB 2084 (2024), a provision in HCS/HB 2140 (2024), a provision in HCS/HB 2206 (2024), a provision in HCS/HB 2895 (2024), a provision in SCS/SB 346 (2023), and CCS/HS/HCS/SS#2/SCS/SB 96 (2023) and substantially similar to HB 2225 (2024), HCS/HB 1214 (2023), provisions in the perfected HCS/HBs 267 & 347 (2023), and HCS/HB 783 (2023). TESTING OF ELECTION EQUIPMENT (Section 115.233) Current law requires, in any election in which an electronic voting system is to be used, an election authority to have the automatic tabulating equipment tested within 14 days prior to the election to ascertain that the equipment is in compliance with the law and that it will correctly count the votes cast for all offices and on all questions. This act changes the timeline for testing such that it must be completed at least 14 days, but no less than one week prior to the election. ABSENTEE VOTING (Sections 115.277 and 115.284) The act allows eligible covered voters to vote absentee by submitting a federal postcard application at the office of the election authority on election day even though the person is not registered. Interstate former residents and new residents may vote by absentee ballot at the office of the election authority on election day for the offices for which such voters are entitled to vote. This provision is identical to a provision in SCS/SB 182 (2025), SB 926 (2024), a provision in HCS/HB 1525 (2024), a provision in HCS/HB 2140 (2024), and a provision in HCS/HB 2895 (2024). The act provides that all lists of absentee ballot applications for persons with permanent disabilities shall be kept confidential. This provision is identical to provisions in SCS/SB 182 (2025), SB 926 (2024), a provision in HCS/HB 1525 (2024), a provision in HCS/HB 2140 (2024), and a provision in HCS/HB 2895 (2024), substantially similar to a provision in SCS/SB 346 (2023), and similar to a provision in the perfected HCS/HBs 267 & 347 (2023), a provision in HCS/HB 783 (2023), and a provision in CCS/HS/HCS/SS#2/SCS/SB 96 (2023). VOTER IDENTIFICATION REQUIREMENTS (Section 115.427) The act makes accommodations for individuals who appear at the office of an election authority to vote absentee and fail to present a form of personal identification by explicitly allowing such voters to cast a provisional ballot that will only be counted upon the voter returning to the office of the election authority by 7:00 p.m. on election day and presenting a form of personal identification for voting. CASTING PROVISIONAL BALLOTS (Section 115.430) The act expands a provision of law governing the casting and counting of provisional ballots to all public elections, rather than just particular primary or general elections. This provision is identical to provisions in SCS/SB 182 (2025), HCS/HB 1525 (2024), HB 2052 (2024), HCS/HB 2140 (2024), HCS/HB 2895 (2024), SCS/SB 346 (2023), the perfected HCS/HBs 267 & 347 (2023), and a provision in HCS/HB 783 (2023). WRITE-IN CANDIDATES - REPEAL OF EXEMPTION FOR ELECTIONS WITHOUT PARTY CANDIDATES (Section 115.453) Current law provides that votes for write-in candidates are only counted for candidates who have filed a declaration of intent to be a write-in candidate. Current law also provides an exemption to this requirement in instances where no candidate has filed for the office in question. This act repeals the exemption so that write-in candidates are only counted when a declaration of intent to be a write-in candidate has been filed with the proper election authority. This provision is identical to a provision in SCS/SB 182 (2025). SCOTT SVAGERA |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/19/2026
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- Placed on Informal Calendar
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| SB841 - Sen. Mike Bernskoetter (R) - Modifies provisions relating to health care | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SCS/SB 841 - This act modifies several provisions relating to health care, including: (1) awareness days; (2) hospital investments and service areas; (3) epinephrine products; (4) community paramedic services; (5) doula services; (6) telehealth; (7) Department of Health and Senior Services contracts for public health; (8) limits on the sale of over-the-counter drugs; (9) administration of medications; (10) hospital workplace violence; (11) inspections of long-term care facilities; (12) MO HealthNet coverage of certain clinical pathology services; (13) food-borne allergies; (14) the practice of dentistry in correctional centers; (15) the administration of certain vaccines; (16) licensure of wholesale drug distributors; (18) the "RX Cares for Missouri Program"; (19) insurance coverage of anesthesia services; and (20) insurance coverage of alternatives to opioid drugs.
AWARENESS DAYS (Sections 9.412 and 9.418) This act designates each September as "Brain Aneurysm Awareness Month" in Missouri and the last full week of April each year as "Infertility Awareness Week" in Missouri.
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 state 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 SCS/SB 317 (2025) and substantially similar to SB 244 (2025).
EPINEPHRINE PRODUCTS (Sections 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 similar to provisions in HB 165 (2025) and HB 553 (2025).
COMMUNITY PARAMEDIC SERVICES (Sections 190.098) 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, then the EMRA and ground ambulance service may enter into a MOU for the coordination of services. If the ground ambulance service provides those services after the EMRA begins to provide them, then the ground ambulance service and EMRA shall enter into a MOU for the coordination of services.
The Department shall establish regulations for the purpose of recognizing community paramedic services entities that have met the standards necessary to provide such services. The Department shall endorse such entities to provide community paramedic services for a period of 5 years.
These provisions are similar to a provision in SCS/HCS/HB 943 (2025) and SCS/SB 317 (2025), SB 548 (2025), SB 206 (2025), and SCS/SB 1382 (2024).
DOULA SERVICES (Sections 191.708, 208.152, 208.662, and 208.1400-1425) This act creates the "Missouri Doula Reimbursement Act". 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 Program" 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 provisions in HCS/SB 94 (2025) and HCS/HB 1095 (2025).
TELEHEALTH (Sections 191.1146, and 334.108) Currently, the establishment of a physician-patient relationship for purposes of telehealth shall include an interview and a physical examination. Under this act, an evaluation is required, but a physical examination shall be required only if needed to meet the standard of care.
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, with a report to be provided to the patient's primary health care provider within fourteen days of evaluation, as described 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.
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.
These provision are substantially similar to SB 108 (2025) and SB 851 (2024) and similar to SCS/SB 418 (2023) and HB 710 (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 an entity on a qualified vendor list comprised of Missouri affiliates of national public health associations or public health institutes 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 substantially similar to a provision in HCS/SB 94 (2025) and SB 549 (2025).
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), SCS/HCS/HB 943 (2025), SCS/SB 317 (2025), SS/SCS/HCS/HB 1659 (2024), and SCS/SB 1485 (2024) and similar to HB 2824 (2024).
Beginning October 1, 2026, any manufacturer of any drug product containing any detectable amount of ephedrine, phenylpropanolamine, or pseudoephedrine sold in this state shall fees to the administrator of the real-time electronic pseudoephedrine tracking system, as specified in the act. A manufacturer who fails to knowingly pay such fee shall have committed the offense of unlawful sale, distribution, or purchase of over-the-counter methamphetamine precursor drugs, which is a Class A misdemeanor.
These provisions are identical to a provision in SB 725 (2025) and HB 1036 (2025).
ADMINISTRATION OF MEDICATIONS (Sections 196.990 and 335.081) 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. Additionally, the administration by technicians, nurses' aides, or their equivalent in long-term care facilities of epinephrine delivery devices and subcutaneous injectable medications to treat diabetes shall not be prohibited by nurse licensing laws.
These provisions are similar to provisions in SCS/HCS/HB 943 (2025), SB 548 (2025), SCS/SB 317 (2025), and HCS/HB 2824 (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 a provision HCS/SB 94 (2025) and HCS/HB 1213 (2025) and substantially similar to SB 791 (2025).
INSPECTIONS OF LONG-TERM CARE FACILITIES (Sections 198.022 and 198.070) Under this act, the Department of Health and Senior Services may accept, in lieu of an inspection conducted by the Department, a written report of a survey or inspection conducted by any state or federal agency, provided the survey or inspection is comparable in scope or method to the Department's inspections and conducted in accordance with Title XVIII of the Social Security Act. A residential care or assisted living facility shall be subject to an inspection by the Department if the facility fails to maintain an accredited status by a recognized accreditation entity. Finally, if a facility exempt from an annual inspection under this act has one or more violations of any class I standards, then the facility shall be subject to a full inspection by the Department.
This provision is substantially similar to a provision in SCS/HCS/HB 943 (2025) and similar to SB 689 (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 HCS/SB 94 (2025) and SCS/HCS/HB 943 (2025).
FOOD-BORNE ALLERGIES (Section 210.225) This act establishes "Elijah's Law". Before July 1, 2028, 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, 2027.
This provision is substantially similar to SB 783 (2025) and HB 580 (2025).
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 SCS/HCS/HB 943 (2025), SB 143 (2025), SB 548 (2025), SCS/SB 317 (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, 2026, instead those after January 1, 2023.
This provision is substantially similar to a provision in SCS/HCS/HB 943 (2025), SB 548 (2025), SCS/SB 317 (2025), SB 1455 (2024), SCS/HB 2280 (2024), and HB 2879 (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 a provision in SCS/HCS/HB 943 (2025), HCS/SB 94 (2025), and HB 1465 (2025).
RX CARES FOR MISSOURI PROGRAM (Section 338.710) This act removes the expiration date of August 28, 2026, from the "RX Cares for Missouri Program".
This provision is identical to HB 1445 (2025).
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 a provision in SCS/HCS/HB 943 (2025), HCS/SB 94 (2025), and HCS/HBs 1126 & 932 (2025).
INSURANCE COVERAGE OF ALTERNATIVES TO OPIOID DRUGS (Section 376.1280) This act provides that if an enrollee has an elevated risk of opioid misuse, as defined in the act, the enrollee's health benefit plan shall not deny coverage of a non-opioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the non-opioid prescription drug, or require a higher level of cost-sharing for a non-opioid prescription drug than for an opioid drug.
This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027.
This provision is substantially similar to SB 902 (2026) and substantially similar to SB 158 (2025). SARAH HASKINS |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/28/2026
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- Placed on Informal Calendar
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| SB843 - Sen. Lincoln Hough (R) - Modifies provisions relating to unpaid taxes and fees | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SCS/SB 843 - This act makes technical changes throughout state law relating to the sale of delinquent property to satisfy delinquent property taxes. (Multiple sections) Current law requires a parcel located in certain counties to have unpaid taxes for a period of at least two years prior to the county satisfying such delinquent taxes through judicial foreclosure rather than through sale at auction. This act repeals such two year requirement. (Section 140.010 and 141.230) Current law provides for the appointment of county land bank directors by various agencies. This act provides that the appointment of such directors shall be appointed by the county executive pursuant to the county charter. (Section 140.982) This provision is substantially similar to SB 845 (2026). Current law requires a land bank agency to verify that a buyer is not the original owner or relative owner of the property. This act repeals such requirement. (Section 140.987) Current law allows a land bank agency to purchase a parcel of real property only for the purpose of adding to a parcel already owned by the land bank agency. This act repeals such provision. (Section 141.984) This act is substantially similar to SB 1556 (2026) and HB 2898 (2026). JOSH NORBERG |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/18/2026
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- Voted Do Pass as substituted - Senate-Local Government, Elections, and Pensions
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| SB853 - Sen. Brian Williams (D) - Modifies provisions relating to property tax assessments | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 853 - Current law requires a county assessor to provide notification to a taxpayer by no later than June 15 if the assessor increases the taxpayer's real property valuation. This act requires such notice to be provided by no later than June 1. (Section 137.180) Additionally, current law requires a taxpayer to file an appeal of the taxpayer's assessed valuation by no later than the second Monday in July. This act requires such appeal to be filed by no later than the first Monday in August. (Sections 137.275 to 138.180) JOSH NORBERG |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/11/2026
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- Superseded by SB 1410
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| SB861 - Sen. Mike Moon (R) - Modifies provisions relating to gender transition | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 861 - Under this act, and unless clearly and specifically stated otherwise, the term "reproductive health care", as used in the laws and regulations of this state, shall not be construed to include gender transition surgeries or the use of cross-sex hormones or puberty-blocking drugs for the purpose of gender transition for minor children or adults. This provision is identical to SB 26 (2025), 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 provisions in SB 26 (2025), HCS#2/SS#2/SCS/SB 10 (2025), SB 249 (2025), SB 493 (2025), SB 1185 (2024), SB 726 (2024), and SB 776 (2024), substantially similar to SB 75 (2025), and similar to provisions in HCS/HBs 1520, 1519, 2355, and 2357 (2024). SARAH HASKINS |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/08/2026
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- Voted Do Pass - Senate-Families, Seniors and Health
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| SB871 - Sen. Barbara Washington (D) - Modifies the Pregnancy-Associated Mortality Review Board | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SCS/SB 871 - This act modifies the "Pregnancy-Associated Mortality Review Board" within the Department of Health and Senior Services. Under this act, board membership shall include at least one member from each congressional district and membership shall be demographically diverse, including by race, ethnicity, sex, age, and rural and urban populations. Board members are increased from no more than 18 members to no more than 22 members. Additionally, the board shall, in its study and review of maternal deaths, consider the level and timing of prenatal and postnatal care, the presence or absence of maternity care deserts, 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 substantially similar to SB 39 (2025), SCS/SBs 1357 & 888 (2024), and SCS/SBs 579 & 595 (2023). SARAH HASKINS
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/03/2026
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- Voted Do Pass as substituted - Senate-Progress and Development
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| SB875 - Sen. Angela Mosley (D) - Establishes a "Restaurant Meals Program" as part of the Supplemental Nutrition Assistance Program (SNAP) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 875 - This act requires the Department of Social Services to establish a "Restaurant Meals Program" as part of the Supplemental Nutrition Assistance Program (SNAP). Under this program, households containing certain elderly, disabled, or homeless individuals shall have the option, in accordance with federal law, to redeem their SNAP benefits at private establishments that contract with the Department to offer meals, including hot food and meals intended for immediate consumption, for eligible persons at concessional prices. This act is identical to SB 130 (2025), SB 973 (2024), SB 313 (2023), and the perfected SB 798 (2022). SARAH HASKINS |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/04/2026
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- Hearing Conducted - Senate-Families, Seniors and Health
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| SB897 - Sen. Ben Brown (R) - Enacts provisions relating to prior authorization of health care services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 897 - This act provides that 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. Additionally, 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 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. This act 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. This act is substantially similar to HB 618 (2025) and to provisions in HCS/SB 94 (2025), and is similar to SB 230 (2025), SB 983 (2024), HB 1976 (2024), SB 576 (2023), and HB 1045 (2023). TAYLOR MIDDLETON |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/03/2026
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- Hearing Conducted - Senate-Insurance and Banking
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| SB986 - Sen. Ben Brown (R) - Modifies provisions relating to elections | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 986 - This act modifies various provisions relating to elections. 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 115.195 and 115.221) 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. This act is substantially similar to SCS/SB 62 (2025). SCOTT SVAGERA |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/13/2026
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- Voted Do Pass as substituted - Senate-Local Government, Elections, and Pensions
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| SB1016 - Sen. Patty Lewis (D) - Modifies provisions relating to advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1016 - This act modifies provisions relating to the practice of advanced practice registered nursing. Specifically, prescription medications prescribed by advanced practice registered nurses ("APRNs") may include Schedule II stimulants for behavioral health patients. Under current law, collaborative practice arrangements between physicians and registered professional nurses may delegate to an APRN the authority to administer, dispense, or prescribe certain controlled substances. This act provides that the section of law providing for such agreements shall not apply to APRNs, excluding certified registered nurse anesthetists ("CRNAs"), who have been in a collaborative practice arrangement for a cumulative 2000 documented hours with a collaborating physician and whose license is in good standing. APRNs applying for licensure by endorsement may demonstrate to the Missouri State Board of Nursing completion of such hours. Additionally, any such APRN shall not be required to enter into or remain in such arrangement to practice in this state. This act also provides that an APRN's prescriptive authority shall include authority to prescribe, dispense, and administer controlled substances as provided in current law. Furthermore, the provision on prescriptive authority shall also apply to good-standing APRNs who have been in collaborative practice arrangements for a cumulative 2000 documented hours with collaborating physicians and who are no longer required to hold collaborative practice arrangements. This act is identical to SB 979 (2026), provisions in SB 1719 (2026), HB 3040 (2026), SCS/SBs 144 & 179 (2025), contains provisions identical to SB 809 (2025), and is substantially similar to HB 1875 (2024). KATIE O'BRIEN |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/31/2026
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- Superseded by SB 979
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| SB1075 - Sen. Brad Hudson (R) - Creates the "Food is Medicine Act" | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1075 - This act creates the "Food is Medicine Act". Under this act, the Department of Social Services shall submit a waiver to the Centers for Medicare and Medicaid Services for a "Food is Medicine" program. The program shall be designed to improve health outcomes for MO HealthNet participants with nutrition-related chronic diseases through nutrition services and to reduce the need for medical care for those participants. Covered nutrition services may include case management, nutrition counseling, meals or pantry stocking, nutrition prescriptions, and grocery provisions. When feasible, the MO HealthNet Division shall prioritize the inclusion of community-based organizations and local growers to support the purchase of locally grown food in nutrition prescriptions. SARAH HASKINS |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/04/2026
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- Hearing Conducted - Senate-Families, Seniors and Health
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| SB1082 - Sen. Jamie Burger (R) - Modifies provisions relating to a tax credit for donated food | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1082 - Current law authorizes a tax credit for donations of cash or food to local food pantries, local soup kitchens, and local homeless shelters in an amount equal to fifty percent of the value of the donation. For all tax years beginning on or after January 1, 2026, this act also authorizes a tax credit for donations of cash or food to local food banks, as defined in the act, and increases the tax credit amount to seventy percent of the value of the donation. Additionally, the total amount of tax credits that may be authorized in a fiscal year shall not exceed $1.75 million. This act increases such amount to $3.5 million. Finally, the act extends the sunset date from December 31, 2026, to December 31, 2032, unless reauthorized by the General Assembly. JOSH NORBERG |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/24/2026
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- Removed from Senate Hearing Agenda - 3/25/26 - 10:00 am - SCR 1 - Senate-Economic and Workforce Development
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| SB1089 - Sen. Maggie Nurrenbern (D) - Requires health benefit plans providing for maternity benefits to cover a home blood pressure monitoring device and associated services for pregnant and postpartum women | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1089 - This act provides that health benefit plans providing for maternity benefits shall provide coverage for a home blood pressure monitoring device and home blood pressure monitoring device services, as defined in the act, for pregnant and postpartum women. This act contains provisions identical to provisions in SB 539 (2025), substantially similar to provisions in HB 842 (2025), and similar to provisions in SB 498 (2025). TAYLOR MIDDLETON |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/24/2026
S
- Hearing Conducted - Senate-Insurance and Banking
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| SB1192 - Sen. Ben Brown (R) - Prohibits higher education accrediting agencies from considering diversity, equity, and inclusion practices | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1192 - This act prohibits agencies that accredit public institutions of higher education from considering diversity, equity, and inclusion (DEI) practices or procedures, as defined in the act, when making accreditation decisions. Accrediting agencies are also prohibited from collecting information related to DEI or including any DEI-related requirements in their accreditation decisions. Additionally, accrediting agencies shall implement policies ensuring that decision-makers involved in accreditation do not receive or consider information regarding DEI practices or procedures. Current or former students or employees of a public institution of higher education may bring a civil action against an accrediting agency for violations of this act. If the court finds that the accrediting agency violated the act, the agency shall pay the prevailing party's reasonable attorney's fees, court costs, damages in an amount specified in the act, and civil penalties of up to $1,000 per student who attended the institution at the time when the violation occurred or, if no students attended the institution at the time when the violation occurred, up to $1,000 per student who attended the institution in the immediately preceding semester. Violations of this act are classified as unlawful discriminatory practices under Missouri human rights law and unfair practices under the Missouri Merchandising Practices Act. The Attorney General is authorized to investigate and seek appropriate legal remedies for any violations to the full extent permitted by law. OLIVIA SHANNON |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/12/2026
S
- Removed from Senate Hearing Agenda - 3/24/26 - 8:00 am - Senate Lounge - Senate-Education
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| SB1229 - Sen. Barbara Washington (D) - Enacts provisions relating to health insurance coverage of maternity services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1229 - This act enacts provisions relating to health insurance coverage of maternity services. HEALTH INSURANCE COVERAGE OF MIDWIVES (Section 376.1755) This act requires that certain health benefit plans providing coverage for maternity services shall provide coverage for health care services provided by a midwife, as defined in the act. The act further enacts provisions relating to cost-sharing requirements, requires reimbursement for services lawfully provided by midwives as well as physicians, and specifies that terminology in a health benefit plan subject to the act which is deemed to discriminate against midwifery or to inhibit reimbursement for midwifery services at the in-network rate shall be void and unenforceable. (Section 376.1755). These provisions are identical to provisions in SB 260 (2025), SB 1238 (2024), SB 1222 (2024), SB 713 (2023), HB 900 (2023), and HB 1148 (2023). HEALTH INSURANCE COVERAGE OF DOULA SERVICES (Section 376.1758) 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). These provisions are identical to provisions in SB 260 (2025), similar to HB 890 (2025), and identical to provisions in SB 1238 (2024), SB 1222 (2024), SB 713 (2023), HB 900 (2023), and HB 1148 (2023). TAYLOR MIDDLETON |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/24/2026
S
- Hearing Conducted - Senate-Insurance and Banking
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| SB1291 - Sen. Brad Hudson (R) - Modifies provisions relating to an income tax deduction for certain farmers | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SCS/SB 1291 - Current law authorizes an income tax deduction for certain income received for the sale or lease of farmland to beginning farmers. This act adds a definition of "taxpayer" to such deduction. This act is substantially similar to SB 682 (2025) and HB 1042 (2025), and to a provision in HCS/SS/SB 67 (2025), HCS/HB 828 (2025), and HCS/SS/SCS/SB 466 (2025). JOSH NORBERG |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/12/2026
S
- Voted Do Pass as substituted - Senate-Agriculture, Food Production, and Outdoor Resources
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| SB1410 - Sen. Sandy Crawford (R) - Modifies provisions relating to property taxes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SCS/SBs 1410 & 853 - This act modifies provisions relating to property taxes.
PROPERTY TAX DEADLINES Current law requires a county assessor to provide notification to a taxpayer by no later than June 15 if the assessor increases the taxpayer's real property valuation. This act requires such notice to be provided by no later than June 1. (Section 137.180)
Additionally, current law requires a taxpayer to file an appeal of the taxpayer's assessed valuation by no later than the second Monday in July. This act requires such appeal to be filed by no later than the first Monday in August. (Sections 137.275 to 138.180)
These provisions are identical to SB 853 (2026).
PROPERTY TAX INSTALLMENTS Current law authorizes counties to provide for the payment of real and personal property taxes in installments, but excludes township counties from utilizing such payment plans. This act repeals such prohibition for township counties and allows the form of the installments to be determined by the governing body of the county. (Section 139.053)
This provision is substantially similar to SB 1211 (2026) and HB 388 (2025).
DELINQUENT PROPERTY TAX NOTICES This act authorizes a collector to offer a trusted contact program to a taxpayer, who may designate one or more trusted contacts for the collector to contact in the event the taxpayer has not paid the taxpayer's property tax liability by March 1 of a calendar year. (Section 140.010) JOSH NORBERG |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/04/2026
H
- Referred to committee - House-Special Committee on Property Tax Reform
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| HB1635 - Rep. Matthew Overcast (R) - Modifies provisions relating to advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Currently, an advanced practice registered nurse (APRN) must be in a collaborative practice arrangement with a collaborating physician. All collaborative practice arrangements must include geographic proximity requirements, meaning that the APRN must practice within a certain number of miles from the collaborating physician. This bill removes the geographic proximity requirement. Currently, it is the responsibility of the collaborating physician to determine and document the completion of at least a one-month period of time during which the APRN must practice with the collaborating physician continuously present before practicing in a setting where the collaborating physician is not continuously present. This bill removes that requirement. The bill specifies that, an APRN who is not a certified registered nurse anesthetist will no longer be required to enter into a collaborative practice arrangement when the ARPN: (1) Has a license in good standing and has been in a collaborative practice arrangement or arrangements for a cumulative total of 2,000 documented hours with a collaborating physician or physicians; or (2) Has applied for and received licensure by endorsement and successfully demonstrated at the time of such application to the State Board of Nursing the completion of a cumulative total of 2,000 documented hours of practice. This bill expands the practice of advanced practice nursing to include the prescription of pharmacologic and nonpharmacologic therapies. This bill is similar to HB 392 (2025), HB 763 (2025), and HB 1773 (2024). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1636 - Rep. Matthew Overcast (R) - Modifies provisions relating to the requirements for collaborative practice arrangements between physicians and advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Currently, an advanced practice registered nurse (APRN) must be in a collaborative practice arrangement with a collaborating physician. All collaborative practice arrangements must include geographic proximity requirements, meaning that the APRN must practice within a certain number of miles from the collaborating physician. This bill removes the geographic proximity requirement. Currently, it is the responsibility of the collaborating physician to determine and document the completion of at least a one-month period of time during which the APRN must practice with the collaborating physician continuously present before practicing in a setting where the collaborating physician is not continuously present. This bill removes that requirement. This bill is similar to HB 392 (2025), HB 763 (2025), and HB 1773 (2024). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1650 - Rep. Matthew Overcast (R) - Modifies provisions relating to assistant physicians | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill modifies several provisions relating to assistant physicians. The bill adjusts the definition of "assistant physician" by expanding the eligibility to persons who have completed step 2 or 3 of the United States Medical Licensing Examination (USMLE). The bill also repeals certain provisions governing the conditions of the three-year period preceding the application for licensure as an assistant physician that included graduation from a medical or osteopathic medical college, as well as whether the person was serving as a resident physician. This bill also adds to the definition of an "assistant physician collaborative practice arrangement" to include such arrangements occurring in a federally qualified health center, as well as providing that the provisions limiting the assistant physician within the collaborative practice arrangement do not apply to those receiving postgraduate training under an authorized preceptor, as specified in the bill. Current law requires health benefit plans or carriers to reimburse assistant physicians for services on the same basis as reimbursement for comparable mid-level health care providers, including physician assistants. This bill adds certified nurse practitioners to this provision. The bill also designates the Department of Commerce and Insurance as the entity enforcing the above provisions of this bill. The bill provides a pathways for an assistant physician with a license in good standing to become a licensed physician. The assistant physician is eligible if he or she: (1) Has an active license without any disciplinary actions; (2) Has completed Step 3 of the USMLE or the equivalent; (3) Has completed 60 months of cumulative, full-time, hands-on active collaborative practice, which includes bimonthly didactic training reports to the collaborative physician; (4) Has completed at least 100 hours of continuing medical education every two years; and (5) Has submitted to the board letters of recommendation from certain physicians. After August 28, 2031, an assistant physician applying to become a licensed physician will also be required to completed postgraduate training under a preceptor as specified in the bill. This bill is similar to HB 1010 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1675 - Rep. Brian Seitz (R) - Creates provisions relating to prior authorization of health care services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill provides that a health carrier or utilization review entity cannot require health care providers to obtain prior authorization for health care services, except under certain circumstances. Prior authorization is not required unless a determination is made that less than 90% of prior authorization requests submitted by the health care provider in the previous evaluation period, as defined in the bill, were or would have been approved. The bill establishes separate thresholds for requiring prior authorization for individual health care services or requiring prior authorization for all health care services. The bill specifies requirements for notifying the provider of determinations in the bill, requires carriers and utilization review entities to maintain an online portal giving providers access to certain information, and provides that prior authorizations may be required beginning 25 business days after notice to the provider until the end of the evaluation period. Failure to notify providers of a determination as required in the bill will constitute prior authorization of the applicable health care services. A health carrier or utilization review entity cannot 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 bill will not apply to Medicaid, except with regard to a Medicaid managed care organization, as defined by law. The bill 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 bill should 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 bill is similar to HB 618 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1679 - Rep. Brian Seitz (R) - Prohibits health care providers from denying a child health care services based on the child's vaccination status | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill prohibits a health care provider, as that term is defined in the bill, from refusing, withholding from, or denying a minor child any health care services based on the child's vaccination status. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1680 - Rep. Brian Seitz (R) - Creates provisions relating to insurance coverage of alternatives to opioid drugs | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill requires that when a licensed health care professional acting within the scope of his or her license prescribes a nonopioid medication for the treatment of acute pain to an enrollee, it will be unlawful for a health benefit plan to: (1) Deny coverage of the nonopioid prescription drug in favor of an opioid prescription drug; (2) Require the enrollee to try an opioid prescription drug before providing coverage of the nonopioid prescription drug; or (3) Require a higher level of cost-sharing for the nonopioid prescription drug than for an opioid prescription drug. This will apply to health benefit plans delivered, issued for delivery, continued, or renewed on or after January 1, 2027. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/29/2026
H
- Superseded by HB 2642
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| HB1681 - Rep. Brian Seitz (R) - Creates provisions relating to cost-sharing under health benefit plans | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill provides that when calculating an enrollee's overall contribution to an out-of-pocket maximum or any cost-sharing requirement under a health benefit plan, a health carrier or pharmacy benefits manager must include any amounts paid by the enrollee or paid on behalf of the enrollee for medication where a generic substitute is not available. The bill additionally prohibits a health carrier or pharmacy benefit manager from varying an enrollee's out-of-pocket maximum or any other cost-sharing requirement, as well as designing benefits in a manner that takes into account, the availability of any cost-sharing assistance program for any medication where a generic substitute is not available. The provisions of this bill apply to health benefit plans entered into, amended, extended, or renewed on or after August 28, 2026. This bill is similar to HB 79 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/12/2026
H
- Superseded by HB 1941
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| HB1699 - Rep. Mazzie Christensen (R) - Modifies provisions relating to county health officers | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | COMMITTEE ACTION: Voted "Do Pass with HCS" by the Special
Committee on Rural Issues by a vote of 11 to 0.
The following is a summary of the House Committee Substitute for HB 1699. This bill specifies that in instances in which a vacancy is created or the county health officer is not reappointed, the officer must vacate the office and the county commission must appoint an interim county health officer until the vacancy is filled. This bill is similar to HB 460 (2025). The following is a summary of the public testimony from the committee hearing. The testimony was based on the introduced version of the bill. PROPONENTS: Supporters say that this bill clarifies the process for replacing a county health officer in the event he or she is not reappointed. Testifying in person for the bill was Representative Christensen. OPPONENTS: There was no opposition voiced to the committee. Written testimony has been submitted for this bill. The full written testimony and witnesses testifying online can be found under Testimony on the bill page on the House website. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/21/2026
H
- Reported Do Pass - House-Rules-Legislative
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| HB1715 - Rep. Greg Sharpe (R) - Establishes tax incentives in relation to workforce and disaster recovery housing | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill establishes the "Workforce Housing Tax Incentives Program" within the Department of Economic Development. To be eligible for the Program, proposed housing projects must meet at least one of three specified dwelling unit minimums; projects consist of three types of rehabilitation and two project types that relate to greenfield sites. The bill specifies maximums for average dwelling unit costs for the project type and location. The Department must primarily consider the most recent annual Census Bureau Building Permits Survey and historical program data in determining the maximum average dwelling unit cost. The units must meet the Federal housing quality standards in the Federal code (24 CFR 982) and all applicable local safety standards (Section 620.2024). Housing businesses must apply to the Department, as specified by rule, to access the Program's tax incentives. Applications must include: (1) Information about local participation in the project, which includes a supporting resolution by the governing body of the community where the housing project will be located, and documentation of local matching funds of at least $1,000 per dwelling unit; (2) An agreement between the business and the Department that specifies the eligibility requirements and how they will be maintained. The business must also report any environmental or worker safety law violations within the last five years, which the Department can use to deny assistance unless it finds the violations did not seriously affect the public health, public safety, or the environment; (3) Total costs and funding sources to allow determination of adequate financing, actual dwelling unit cost, and the qualifying amount of the investment; and (4) Other necessary information required for the Department's evaluation of the application. Applications will be reviewed and scored competitively by the Department as specified in the bill. After all applications are reviewed, the Department can make a tax incentive award to a housing project, which must be approved by the Department Director. The Department must notify the housing business of the tax incentive award; the bill specifies the contents of the notice. Upon receiving the tax incentive award, the housing business must enter an agreement with the Department; the agreement identifies the award amount and date, project completion deadline, and total costs. The bill establishes two compliance fees and requires that projects be completed in three years from their registration with the Department. The Department can extend the deadline for good cause by up to 12 months, with the option for another 12 months. Upon completion of the project, the housing business must submit an examination completed by a certified public accountant, authorized to practice in this State, on standards for attestation engagements and a statement of the final amount of qualifying new investment, plus any other information the Department requires for compliance. The maximum aggregate amount of tax incentives for a housing project is $1 million. If a housing business qualifies for a higher amount than is allowed, the Department and business can negotiate an apportionment of the reduction in tax incentives between the sales tax refund and the housing investment tax credits as long as the total aggregate amount of incentives does not exceed the amount set by the bill. The incentives must be issued on a first-come, first-served basis until the maximum amount of incentives is reached. The Department must maintain a list of registered projects and projects awarded incentives; it will also establish a wait list. Failure of a housing business to complete a project or to comply with requirements can result in revocation, reduction, termination, or rescission of awards or incentives. Repayment of incentives is considered as a tax payment due and payable to the Department of Revenue. The county has the authority to recover the value of property taxes not collected as a result of exemption awarded to a business under the Program. The Department can establish a disaster recovery housing project application period after the declaration of a major disaster. The bill specifies that tax incentives will be issued on a first- come, first-served basis until the maximum amount of incentives is allocated. The bill allots $35 million to these projects, with $17.5 million for projects in small cities. All other housing projects that are not disaster recovery have a $35 million cap (Section 620.2026). A housing business can claim a refund of sales and use taxes paid prior to the completion of the housing project that are directly related to the project and specified in the project agreement. The bill establishes a process for the refund. For tax years beginning January 1, 2027, a housing business can claim a tax credit that is a percentage of the qualifying new investment for housing projects in an urban area or a small city and a disaster recovery project. The bill also allows a pro rata share of an individual's earnings from a partnership, limited liability company, S corporation, estate, or trust to a taxpayer who elects to have income taxed directly to the individual. The bill creates a procedure for including tax credit certificates with the taxpayer's tax return. Under this procedure, considerations paid for the transfer of the tax credit are not included as income or deducted from income tax under Chapter 143. Any required information, documents, or records under specified subsections is exempt from the Personal Privacy Protection Act in Section 105.1500. The provisions of the bill sunset six years after the effective date (Section 620.2028). This bill is similar to HB 240 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1716 - Rep. Greg Sharpe (R) - Creates an opportunity for entities to establish a workforce housing investment fund | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | COMMITTEE ACTION: Voted "Do Pass with HCS" by the Standing
Committee on Economic Development by a vote of 13 to 0 with 1
member voting present.
The following is a summary of the House Committee Substitute for HB 1716. This bill establishes the "Rural Workforce Housing Investment Act". A workforce housing grant program is created in the Department of Economic Development (DED) to foster and support the development of workforce housing in rural communities. A nonprofit development organization can apply to DED for approval of a workforce housing grant for a workforce housing investment fund. Grants will be awarded on a competitive basis through 2029. Grant maximums must not exceed $1 million to any one nonprofit development organization over a two-year period, with no more than $2 million cumulative for any single grantee through Fiscal Year 2029. Grants will require a minimum four-to-one in matching moneys to be considered a qualified grant application. Grants will be awarded in the following manner: (1) A demonstrated and ongoing housing need as identified by a recent housing study; (2) A community or region that has a low unemployment rate and is having difficulty attracting workers and filling employment positions; (3) A community or region that exhibits a demonstrated commitment to growing its housing stock; (4) Projects that can reasonably be ready for occupancy in a period of 24 months; and (5) A demonstrated ability to grow and manage a workforce housing investment fund. A nonprofit development organization must: (1) Invest or intend to invest in workforce housing eligible activities; (2) Use any fees, interest, loan repayments, or other funds it receives as a result of the administration of the grant to support qualified activities; and (3) Have an active board of directors with expertise in development, construction, and finance that meets at least quarterly to approve all qualified investments made by the nonprofit development organization. A nonprofit development organization must have a formal plan and proven expertise to invest unused workforce housing investment fund balances and must have an annual audit of all financial records conducted by an independent certified public accountant. This bill creates the "Rural Workforce Housing Investment Fund". The Fund will consist of moneys appropriated to the Fund by the General Assembly and the State Treasurer will be the custodian of the Fund. In the event that a nonprofit development organization fails to engage in the initial qualified activity within 24 months after receiving grant funding, the funds must be returned to DED for credit to the Rural Workforce Housing Investment Fund. If a nonprofit development organization fails to allocate any remaining initial grant funding within 24 months after engaging in initial qualified activity, the unallocated funds will be returned to DED for credit to the Rural Workforce Housing Investment Fund. The Director of DED will have discretion to transfer any unused funds to any qualifying trust or fund before August 28, 2031. Beginning August 28, 2031, any funds held by DED and not designated by the Director to be disbursed to an alternate fund will be transferred to the Missouri housing trust fund. Each nonprofit must submit an annual report to the Director of DED. The annual report must include the following: (1) The name and geographical location of the reporting nonprofit development organization; (2) The number, amount, and type of workforce housing investment funds invested in qualified activities; (3) The number, geographical location, type, and amount of investments made; (4) A summary of matching funds and where the matching funds were generated; and (5) The results of the annual audit. If a nonprofit development organization ceases administration of a Workforce Housing Investment Fund, it must file a final report. If a nonprofit fails to file a complete annual report by February 15th, the Director can impose a civil penalty of $5,000 for the violation. The DED must also be expected to commit itself to: (1) Ensure that grant funds awarded to nonprofit development organizations are targeted to the geographic communities or regions with the most pressing economic and employment needs; and (2) Ensure that the allocation of grant funds provides equitable access to the benefits provided in the bill to all eligible geographical areas. The Department must submit an annual report to the General Assembly and the Governor that includes: (1) The number and geographical location of nonprofit development organizations establishing workforce housing investment funds; (2) The number, amount, and type of workforce housing investment funds invested in qualified activities; and (3) The number, geographical location, type, and amount of investments made by each nonprofit development organization. This bill is similar to HB 245 (2025). The following is a summary of the public testimony from the committee hearing. The testimony was based on the introduced version of the bill. PROPONENTS: Supporters say that there are more jobs available throughout the State than there are homes available, which is impacting small rural areas. Everyone in Missouri should have access to safe and affordable housing, and this bill will help do that. This bill supports everyday Missourians and workforce housing, which the State desperately needs. Affordable housing is an economic driver in rural areas as people will move to these areas for jobs. The supporters of the bill highlight that this bill only allows for non-profits to receive the tax credits. Testifying in person for the bill were Representative Sharpe; Missouri Association of Realtors; Northeast Missouri Economic Development Council; Joshua McKim, Nodaway County Economic Development; Associated Industries of Missouri; Missouri Economic Development Council; Missouri Chamber of Commerce and Industry; Derek Weber, Northeast Missouri Regional Planning Commission; Erica Robbins, Empower Missouri; Missouri Electric Cooperatives; Missouri Municipal League; and Jack Gamble, Missouri Association of Councils of Government. OPPONENTS: Those who oppose the bill say that this is a socialist bill because the state government is trying to control the economy and how construction is supposed to be built and who can use the grants outlined in this bill. The people of Missouri do not want to see their taxes increased to build homes that are too expensive for the everyday individual. Testifying in person against the bill were Armorvine ; and Arnie Dienoff. Written testimony has been submitted for this bill. The full written testimony and witnesses testifying online can be found under Testimony on the bill page on the House website. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/03/2026
H
- Reported Do Pass as substituted - House-Economic Development
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| HB1750 - Rep. Scott Miller (R) - Modifies provisions for initiative petitions | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill requires any individual who files an initiative or referendum petition and any individual who is paid to collect signatures for an initiative or referendum petition to register with the Missouri Ethics Commission as a lobbyist. The bill requires each page of an initiative or referendum petition to advise petitioners of the crime of petition signature fraud and the penalties associated with the crime. This bill requires any individual being paid to collect signatures for an initiative or referendum petition to be a resident of the state of Missouri for at least 180 days prior to the date the petition is filed with the Secretary of State. Currently, petition signature fraud is a class A misdemeanor. This bill makes any second or subsequent conviction a class D felony. This bill requires the Secretary of State to forward the name of any person who fraudulently signs an initiative petition to the Attorney General. It also grants the Attorney General concurrent jurisdiction with the local prosecutor to file charges for petition signature fraud. The bill requires any person filing an initiative or referendum petition to be a U.S. citizen, a resident of Missouri, and a registered voter in Missouri for at least one year prior to the date of filing the petition. This bill prohibits a person from filing more than one initiative petition proposing an amendment to the constitution per general election cycle. This applies only to petitions that are approved for circulation. It also imposes a fee of $10,000 for filing a statutory initiative petition or referendum petition if the filing is the person's second or subsequent filing in that general election cycle, or if the person filing the petition is being compensated to do so. If a court orders a change that substantially alters the content of the ballot title of an initiative petition or referendum, this bill invalidates any signature gathered prior to that date. The bill also makes any entity that funds an initiative or referendum petition liable for any cause of action that arises out of the actions of an individual being paid to file, collect signatures, or otherwise support the petition. This bill updates the definition of a "campaign committee" to include any entity that pays individuals to file initiative petitions and referendums or circulators to collect signatures for initiatives petitions and referendums and requires the committee to be register with the Ethics Commission. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
H
- Referred to committee - House-Elections
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| HB1782 - Rep. John Voss (R) - Removes the sunset provisions of the "Donated Food" food pantry tax credit | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill repeals the sunset on the existing food pantry tax credit, which is set to expire on December 31, 2026. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/31/2026
H
- Reported Do Pass as substituted - House-Ways and Means
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| HB1817 - Rep. Becky Laubinger (R) - Requires reporting of the number of individuals receiving public assistance in each city, town, village, municipality, or county over 1,000 inhabitants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | COMMITTEE ACTION: Voted "Do Pass with HCS" by the Standing
Committee on Government Efficiency by a vote of 11 to 1 with 1
member voting present.
The following is a summary of the House Committee Substitute for HB 1817. This bill requires the Department of Health and Senior Services and the Department of Social Services to make a monthly report available on each of their websites that lists the following information related to each of the public assistance programs administered by those Departments for every city, town, village, and county with more than 1,000 inhabitants: (1) The total number of households enrolled; (2) The total number of people served; (3) The average monthly benefits received per household receiving benefits; and (4) The number of households that became ineligible to receive benefits. The bill prohibits the Departments from reporting confidential information and requires that they only report aggregate data. The following is a summary of the public testimony from the committee hearing. The testimony was based on the introduced version of the bill. PROPONENTS: Supporters say that the less people depend on state and local welfare, the stronger those individuals become. Supporters further state that private, community-driven welfare benefits are far better than long-distance assistance from a state government agency, because local communities are in a much better position to understand local needs. Supporters also state that this bill will change the way in which the state administers aid because with the right data, local communities will be able to judge whether or not they are in fact reducing poverty. Testifying in person for the bill were Representative Laubinger; FGA Action; Americans For Prosperity; Arnie Dienoff. OPPONENTS: There was no opposition voiced to the committee. Written testimony has been submitted for this bill. The full written testimony and witnesses testifying online can be found under Testimony on the bill page on the House website. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/01/2026
H
- Voted Do Pass - House-Rules-Legislative
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| HB1821 - Rep. Tiffany Price (D) - Creates provisions relating to automatic enrollment in the supplemental nutrition assistance program for certain MO HealthNet participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Subject to any necessary waivers or approvals from the United States Department of Agriculture that the Department of Social Services is required to seek, this bill provides that any person who pays a spenddown to become or remain eligible for MO HealthNet benefits is automatically enrolled in the supplemental nutrition assistance program (SNAP). This bill is similar to HB 1380 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1822 - Rep. Tiffany Price (D) - Specifies that children diagnosed with certain conditions shall be eligible for MO HealthNet benefits | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Subject to approval of a state plan amendment or waiver by the Centers for Medicare and Medicaid Services (CMS), this bill provides that any child under 19 years of age who has received a positive diagnosis of phenylketonuria, or any other metabolic or genetic disease for which testing is prescribed by the Department of Health and Senior Services, is eligible to be enrolled in MO HealthNet coverage. The child will remain eligible and be continuously enrolled, without consideration of asset or income limit provisions or any changes thereto, until he or she reaches age 19. A parent or guardian is not required to recertify eligibility for the child before the 19th birthday unless the child moved out of the State or the parent or guardian opted out of coverage for the child after the initial enrollment. This bill is similar to HB 1382 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1849 - Rep. John Hewkin (R) - Modifies the duration of unemployment benefits based on the unemployment rate | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Under current law, the maximum duration for an individual to receive unemployment benefits is 20 weeks. Beginning January 1, 2027, this bill modifies the duration an individual can receive such benefits by basing it on the Missouri average unemployment rate, as follows: (1) Twenty weeks if the Missouri unemployment rate is higher than 9% percent; (2) Nineteen weeks if the Missouri unemployment rate is higher than 8.5% but no higher than 9%; (3) Eighteen weeks if the Missouri unemployment rate is higher than 8% but no higher than 8.5%; (4) Seventeen weeks if the Missouri unemployment rate is higher than 7.5% but no higher than 8%; (5) Sixteen weeks if the Missouri unemployment rate is higher than 7% but no higher than 7.5%; (6) Fifteen weeks if the Missouri unemployment rate is higher than 6.5% but no higher than 7%; (7) Fourteen weeks if the Missouri unemployment rate is higher than 6% but no higher than 6.5%; (8) Thirteen weeks if the Missouri unemployment rate is higher than 5.5% but no higher than 6%; (9) Twelve weeks if the Missouri unemployment rate is higher than 5% but no higher than 5.5%; (10) Eleven weeks if the Missouri unemployment rate is higher than 4.5% but no higher than 5%; (11) Ten weeks if the Missouri unemployment rate is higher than 4% but no higher than 4.5%; (12) Nine weeks if the Missouri unemployment rate is higher than 3.5% but no higher than 4%; and (13) Eight weeks if the Missouri unemployment rate is at or below 3.5%. This bill is the same as SB 8 (2025) and similar to HB 771 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
H
- Referred to committee - House-Government Efficiency
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| HB1850 - Rep. John Hewkin (R) - Modifies provisions relating to pharmacy benefits managers | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | COMMITTEE ACTION: Voted "Do Pass with HCS" by the Standing
Committee on Health and Mental Health by a vote of 16 to 0.
The following is a summary of the House Committee Substitute for HBs 1850 & 1975. This bill adds and modifies provisions relating to pharmacy benefits managers (PBMs). Current law requires a one-week notice for an on-site audit. This bill changes that timeframe to 14 days and requires the notice to specify which prescriptions will be audited. The notice is required to be in writing and to be sent by means allowing tracking of delivery. The bill includes an exception to this notice requirement if certain conditions are met. Any audit involving clinical judgment will be conducted by a licensed pharmacist, who must be made available to the audited pharmacy to discuss clinical rationale and Missouri legal requirements. Under this bill, a pharmacy has the right to submit amended claims within 30 days of the discovery of an error to correct such errors in lieu of recoupment if the prescription was dispensed in accordance with state or federal requirements. This bill limits audits to 40 unique and randomly selected prescriptions, with a maximum of 200 separately adjudicated claims, and the bill specifies additional provisions applicable to audits, including that an entity is prohibited from initiating an audit of a pharmacy more than two times in a calendar year. Recoupments will not be based on a requirement that a pharmacy or pharmacist perform a professional duty in addition to or exceeding professional duties prescribed by the Missouri Board of Pharmacy, and recoupment will only occur following the correction of a claim and is limited to amounts adjudicated by a pharmacy benefits manager. Except for MO HealthNet claims, approval of drug, prescriber, or patient eligibility upon adjudication of a claim cannot be reversed unless the pharmacist or pharmacy obtained the adjudication by means of fraud, waste, or abuse, a misrepresentation of claim elements, or claims that were not properly rendered or billed by a pharmacy or pharmacist. Currently, the period covered by the audit does not exceed a two- year period beginning two years prior to the initial date of the on-site portion of the audit, unless otherwise provided by contractual agreement or if there has been a previous finding of fraud. This bill changes that provision to be the date the claim was submitted for payment, unless there has been a previous finding of fraud. Currently, an audit cannot be initiated or scheduled during the first three business days of any month. This bill changes that timeframe to the first five business days of any month. Currently, the preliminary audit report is delivered to the pharmacy within 120 days after conclusion of the audit. This bill provides that reports not delivered to the pharmacy in such timeframe will be deemed to have no discrepancies and no recoupment will be made. The bill prohibits the limitation of days' supply for unit-of-use items beyond manufacturer recommendations and establishes provisions for situations when the only commercially available package size exceeds an entity's maximum days' supply. This bill establishes provisions for any entity conducting a wholesale invoice audit to comply with, including what will be accepted as evidence and what may or may not form the basis for recoupment. This bill requires PBMs to provide plan sponsors with the sponsor's pharmacy claims data as reasonably requested by the plan sponsor. It additionally requires PBMs to provide to each plan sponsor and the Department of Commerce and Insurance (DCI) with documentation of any benefit design that encourages or requires enrollees to fill prescriptions at the pharmacy benefits manager's affiliates. All required disclosures must be provided to the plan sponsor in a universally accessible manner. If a pharmacy benefits manager has an affiliate, the pharmacy benefits manager is required to disclose to the plan sponsor and DCI: (1) The amount charged per dosage unit to the affiliate; and (2) The median amount charged per dosage unit at in-network pharmacies that are not affiliates. The Department of Commerce and Insurance may audit a pharmacy benefits manager to ensure compliance with the provisions of this bill. The bill prohibits PBMs from reimbursing a "critical-access care pharmacy", as defined in the bill, for a prescription drug or device in an amount that is less than the actual cost to that pharmacy for the drug or device, plus a professional dispensing fee of $10.50 per claim. The bill requires a pharmacy benefits manager to establish a process by which a pharmacy can appeal a reimbursement. If a critical-access care pharmacy chooses to contest a reimbursement for failing to pay at least the actual cost that the pharmacy incurred for a drug, medical product, or device, the pharmacy has the right to designate a pharmacy services administrative organization or other agent to file and handle its appeal. If a critical-access care pharmacy or agent acting on its behalf prevails in an appeal, the pharmacy benefits manager or covered entity must do the following within seven business days after notice of the appeal is received: (1) Make the necessary change to the challenged rate of reimbursement or actual cost; (2) If the product involved in the appeal is a drug, provide to the pharmacy or agent the National Drug Code number for the drug; (3) Permit the challenging pharmacy to reverse and rebill the claim upon which the appeal is based; (4) Pay or waive the cost of any transaction fee required to reverse and rebill the claim; (5) Reimburse the pharmacy at least in an amount equal to the pharmacy?s actual cost for the drug or device; and (6) Apply the findings from the appeal as to the rate of reimbursement and actual cost for the drug or product or device to other similarly situated critical-access care pharmacies. The bill establishes additional provisions for situations in which a critical-access care pharmacy or agent acting on its behalf loses or is denied an appeal. The bill requires health benefit plans beginning on or after January 1, 2027, to comply with the provisions of H.R. 7148, the Consolidated Appropriations Act, 2026. For plan years beginning on or after January 1, 2027, no contract or arrangement, renewal, or extension thereof entered into on or after January 1, 2027, for services between a covered plan and a covered service provider or between a sponsor of a covered plan and a covered service provider, through a health insurance issuer offering group insurance coverage, a third-party administrator, an entity providing pharmacy benefit management services, is reasonable within the meaning of this bill?s provisions unless the entity providing pharmacy benefit management services: (1) Remits 100% of rebates, fees, alternative discounts, and other remuneration received from any applicable entity that are related to the utilization of drugs or drug spending under the health plan or health insurance coverage, to the group plan or to the health insurance issuer offering group health insurance coverage on behalf of the plan; and (2) Does not enter into any contract for pharmacy benefit management services on behalf of such a plan or coverage with an applicable entity unless 100% of rebates, fees, alternative discounts, and other remuneration received under such contract that are related to the utilization of drugs or drug spending under such group health plan or health insurance coverage are remitted to the group health plan or the health insurance issuer on behalf of the plan by the entity providing pharmacy benefit management services. With respect to rebates, fees, alternative discounts, and other remuneration, the rebates, fees, alternative discounts, and other remuneration under this section shall be remitted: (1) On a quarterly basis, to the group health plan or, in the case of a health insurance issuer offering group health insurance coverage in connection with a group health plan, to the group health insurance issuer on behalf of the plan, not later than 90 days after the end of each quarter; or (2) In the case of an underpayment in a remittance for a prior quarter, as soon as practicable, but not later than 90 days after notice of the underpayment is first given; (3) Fully disclosed and enumerated to the group health plan or health insurance issuer; and (4) Returned to the covered service provider for pharmacy benefit management services on behalf of the group health plan if any audit by a plan sponsor, issuer, or third party designated by a plan sponsor indicates that the amounts received are in excess of correct amounts after such amounts have been paid to the group health plan, in the amount of such excess. The bill additionally repeals an existing section of law relating to limitations and restrictions on PBMs. The following is a summary of the public testimony from the committee hearing. The testimony was based on the introduced version of the bill. PROPONENTS: Supporters say that this bill is designed to allow the consumer to understand the cost of medication and for pharmacies to better negotiate costs. PBMs are generally responsible for the rise in prescription drug costs, and these provisions have passed in other states trying to rein PBMs in. The bill's intention is to allow pharmacies to continue serving their communities and improve patient outcomes as pharmacists are a critical part of the overall care team. Testifying in person for the bill were Representative Hewkin; Brandon Gregory; Martin Hintelrong, The Medicine Shoppe #0961; Martin Hinterlong, The Medicine Shoppe; Brandon Gregory, Good Graces Pharmacy; Amy Mitchell, Mo PBC; Anthony Desha, Summit Pharmacy; Missouri Pharmacy Association; Arnie Dienoff; Missouri State Medical Association; Missouri Association of Osteopathic Physicians and Surgeons; Anthony Desha, Flow's Pharmacy; and Missouri Pharmacy Business Council. OPPONENTS: Those who oppose the bill say that if a dispensing fee is imposed, such fee will be paid at the pharmacy counter and come directly out of the patient's pocket. PBMs just process claims, and are not payers. The bill could mandate minimum reimbursement, and should not pass down costs to consumers. Testifying in person against the bill were PCMA; America's Health Insurance Plans, Missouri Insurance Coalition; and Mid-America Carpenters Regional Council. Written testimony has been submitted for this bill. The full written testimony and witnesses testifying online can be found under Testimony on the bill page on the House website. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/20/2026
H
- Placed on Informal Calendar
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| HB1889 - Rep. Wendy Hausman (R) - Instructs the department of social services to apply for a waiver to the USDA to allow SNAP to prioritize the purchase of healthy food and discourage the purchase of highly processed foods | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill requires the Director of the Department of Social Services to submit a waiver request to the U.S. Department of Agriculture to authorize the State to operate SNAP in a manner prioritizing healthy foods and nutritional value, discouraging foods that are high in added sugar and ultra processed, and supporting Missouri agriculture. The Director is required to explore and recommend other strategies to incentivize the purchase of fresh fruits, vegetables, and Missouri-produced meat and dairy products within SNAP by utilizing and enhancing existing health food education and access programs. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1949 - Rep. LaKeySha Bosley (D) - Creates provisions relating to maternal health care services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill allows for 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, or any licensed physician acting with the written consent of any of the aforementioned department directors, to issue nonspecific recommendations for doula services, a medical standing order for prenatal vitamins, or a medical standing order for purposes not related to that of controlled substances. Additionally, the bill requires MO HealthNet coverage of doula services and childbirth education classes for pregnant women and a support person. The Department of Social Services is required to study the impact of the childbirth education classes on infant and maternal mortality among pregnant women. This report must be submitted to the General Assembly before January 1, 2029. The bill adds childbirth education classes to covered services for unborn children enrolled in the Show-Me Healthy Babies program. This bill also establishes the "Missouri Doula Reimbursement Act". Under the provisions of this bill, the MO HealthNet program is required to cover the following doula services: (1) A combined total of six prenatal and postpartum support sessions; (2) One birth attendance; (3) Up to two visits for general consultation on lactation at any time during the prenatal and postpartum periods; and (4) Community navigation services, except that those services provided outside any of the above visits or sessions can only be billed up to 10 times total over the course of the pregnancy and postpartum period. The bill specifies under what conditions a doula is eligible for participation as a provider of doula services and that once enrolled as a provider, a doula is eligible to enroll as a provider with fee-for-service, and managed care payers affiliated with MO HealthNet program, but that services must be reimbursed on a fee-for-service schedule. This bill is similar to HCS HB 1095 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
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| HB1950 - Rep. LaKeySha Bosley (D) - Creates provisions relating to maternal care | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill requires the Department of Health and Senior Services to establish a fetal and infant mortality review process in which all local public health agencies may voluntarily participate. A local public health agency that participates in the fetal and infant mortality review process established by the Department would annually investigate, track, and review at least 20% of the jurisdiction's cases of term infants who were born following labor with the outcome of intrapartum stillbirth, early neonatal death, or postneonatal death, focusing on demographic groups that are disproportionately impacted by infant death. A jurisdiction that has less than five deaths in a year must investigate at least one death. The Department must also provide grief counseling to surviving family members. This bill creates the "Fetal and Infant Mortality Review Fund". The Fund will consist of money appropriated by the General Assembly, as well as gifts, contributions, grants, or bequests. Currently, the Department has a "Pregnancy-Associated Mortality Review Board", which collects data, consults with experts and analyzes cases regarding child mortality. The Board also examines racial and social disparities in maternal deaths. The Board compiles the data and creates a report that is sent to the Director of the Centers for Disease Control and Prevention. The Board also reports the findings to policy makers. This bill adds additional duties regarding tracking and examining disparities experienced by lesbian, bisexual, transgender, intersex, and gender-nonconforming individuals and reporting findings, to the extent possible. This bill also requires the Board to consult with pertinent surviving family members or support people present with direct knowledge of, or involvement in, the event, including the patient in cases of severe maternal morbidity. Subject to appropriation, the bill also requires the Department to contract with programs that train certified nurse midwives and programs that train professional midwives in accordance with the global standards for midwifery education and the international definition of the term "midwife" as established by the International Confederation of Midwives in order to increase the number of students receiving quality education and training as a certified nurse midwife or as a professional midwife. This bill creates the "Midwifery Education Fund" to be used for these provisions. This bill is similar to HB 256 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB1951 - Rep. LaKeySha Bosley (D) - Establishes the "Missouri Dignity in Pregnancy and Childbirth Act" | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill establishes the "Missouri Dignity in Pregnancy and Childbirth Act". Any hospital, clinic, or other health care facility that provides perinatal care, as defined in the bill, is required to implement an evidence-based implicit bias program for all health care providers involved in the perinatal care of patients within those facilities. The bill specifies what should be included in any implicit bias program. This bill also requires the Department of Health and Senior Services to track data on severe maternal morbidity, as well as to track data on pregnancy-related deaths, and both are to include, but not be limited to, the conditions specified in the bill. The data collected will be published at least once every three years after it has been aggregated by state regions and disaggregated by racial and ethnic identity. Furthermore, the bill requires that information entered into the electronic death registration system include information indicating whether the decedent was pregnant at the time of death, or within a year prior to the death, if known. The bill also requires hospitals to provide each patient, upon admission or as soon thereafter as reasonably practical, written information regarding the rights of the patient, as specified in the bill. If a hospital chooses to include this information along with existing notices to the patient regarding patient rights, any newly required information must be provided when the hospital exhausts its existing inventory of written materials and prints new written materials. This bill is similar to HB 255 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/09/2026
H
- Referred to committee - House-Health and Mental Health
|
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| HB1952 - Rep. LaKeySha Bosley (D) - Requires insurance coverage for childbirth education classes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill requires insurance coverage for childbirth education classes. The requirement is for all individual and group health insurance policies including government plans that are delivered, issued for delivery, continued, or renewed on or after January 1, 2027. The Department of Social Services must study the impact that the childbirth education classes have on the infant and maternal mortality of certain pregnant women. The study must be submitted to the General Assembly by January 1, 2029. This bill is similar to HB 251 (2025) and HB 1592 (2024). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB1958 - Rep. LaKeySha Bosley (D) - Creates provisions relating to warning labels for food products containing unsafe chemicals | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill establishes the "Missouri Chemical Label Integrity Act", which requires any business that sells or manufactures a food product containing an unsafe chemical, as defined in the bill, to ensure the food product contains a warning label that meets certain requirements specified in the bill before the product reaches the ultimate consumer. This bill is similar to HB 260 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB1974 - Rep. Bennie Cook (R) - Prohibits temporary assistance for needy families (TANF) benefit cards from being used at ATMs or to access cash, and limits the items that may be purchased with TANF benefits | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill modifies the law regarding the use of Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP) benefits via electronic benefit transfer (EBT) transaction. The bill adds pornography to the list of items that are prohibited from being purchased with TANF or SNAP benefits using an EBT card. The bill requires that upon a first violation of the prohibition against using TANF benefits via an EBT card in a prohibited establishment or to purchase prohibited items, a TANF recipient will be disqualified from receiving benefits for three months; upon a second violation, the recipient will be disqualified for six months; and upon any third or subsequent violation, the recipient will be disqualified for five years. An individual can resume participation in the program at the end of the disqualification period by applying and qualifying again. The bill prohibits a recipient of TANF or SNAP from using his or her EBT card at any ATM, to receive cash back on a purchase, or to otherwise access the benefits as cash. If the Department of Social Services determines that a waiver is necessary for implementation of the prohibition, the Department will apply for a waiver from the Federal Department of Health and Human Services. The bill also repeals provisions regarding pilot projects in certain counties to provide EBT cards to public assistance recipients. This bill is similar to HB 315 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/25/2026
H
- Public hearing completed - House-General Laws
|
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| HB1981 - Rep. Bennie Cook (R) - Modifies provisions relating to the administration of controlled substances by nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill permits a certified registered nurse anesthetist to select, issue orders for, and administer controlled substances that are listed in Schedules II, III, IV, and V during the course of providing anesthesia care to a patient. A certified registered nurse anesthetist is not permitted to prescribe these controlled substances and is not required to obtain a certificate of controlled substance prescriptive authority from the State Board of Nursing, within the Division of Professional Registration. The bill modifies a provision governing collaborative practice arrangements between physicians and advanced practice registered nurses (APRNs). Current law states that these arrangements do not delegate an APRN the authority to administer any controlled substances in Schedules III, IV, and V, and Schedule II - hydrocodone. This bill changes the term "administer" to "prescribe" to account for the change made to the prescriptive authority of nurse anesthetists. This bill is similar to HB 831 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB1989 - Rep. Dave Hinman (R) - Modifies provisions relating to advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Currently, an advanced practice registered nurse (APRN) must be in a collaborative practice arrangement with a collaborating physician. All collaborative practice arrangements must include geographic proximity requirements, meaning that the APRN must practice within a certain number of miles from the collaborating physician. This bill removes the geographic proximity requirement. The bill specifies that, an advanced practice registered nurse who is not a certified registered nurse anesthetist will no longer be required to enter into a collaborative practice arrangement when the ARPN: (1) Has a license in good standing and has been in a collaborative practice arrangement or arrangements for a cumulative total of 4,000 documented hours with a collaborating physician or physicians; or (2) Has applied for and received licensure by endorsement and successfully demonstrated at the time of such application to the State Board of Nursing the completion of a cumulative total of 4,000 documented hours of practice. This bill expands the practice of advanced practice nursing to include the prescription of pharmacologic and nonpharmacologic therapies. This bill is similar to HB 1635 (2026) and HB 392 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB1998 - Rep. Mark Meirath (R) - Prohibits educational institutions from using state funding for diversity, equity, and inclusion purposes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill creates the "Defunding Diversity, Equity, and Inclusion in Elementary and Secondary Education Act" and the "Defunding Diversity, Equity, and Inclusion in Higher Education Act". The bill provides definitions for "Diversity, Equity, and Inclusion" or "DEI" and requires that educational institutions no longer use state funding for the implementation, teaching, or support of DEI programs or initiatives. The bill requires any educational institution that uses state funding for a prohibited program to repay the funding. Offending institutions will also have funding suspended in the current fiscal year and in subsequent years until the DEI violation is fixed. The bill requires that the Department of Higher Education and Workforce Development and the Department of Elementary and Secondary Education issue an annual report on the number of violations and the amount of state funding recovered due to DEI violations. This bill is similar to HB 1024 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
H
- Removed from House Hearing Agenda - 1/28/26 - 2:30 pm - HR 7 - House-Legislative Review
|
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| HB1999 - Rep. Jamie Gragg (R) - Prohibits paying circulators for initiative petitions | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill prohibits circulators of initiative petitions from being paid. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/22/2026
H
- Referred to committee - House-Elections
|
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| HB2067 - Rep. David Casteel (R) - Modifies provisions relating to the prescriptive authority of advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill adds Schedule II stimulants to the prescriptive authority of an advanced practice registered nurse (APRN) who holds a certificate of controlled substance prescriptive authority. The bill also permits an APRN who is in a collaborative practice arrangement with a physician to prescribe and administer Schedule II stimulants. This bill is similar to HCS HB 327 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2079 - Rep. Ben Keathley (R) - Exempts the retail sale of food from state sales and use tax and phases out local sales and use tax on the retail sale of food over four years | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Under the provisions of this bill, beginning August 28, 2026, there will be no state sales or use tax on retail food. Beginning January 1, 2027, the rate of local sales and use tax on retail food will be annually reduced in four equal increments over a period of four years. Beginning January 1, 2031, there will be no local sales or use tax on retail food. This bill is similar to HB 345 (2025); HB 2055 (2024); and SB 1062 (2024). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2088 - Rep. Aaron Crossley (D) - Creates provisions relating to court-ordered involuntary outpatient treatment for persons with mental disorders | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill allows a petition for an order authorizing involuntary outpatient treatment to be filed by the director, administrator or treating physician of a mental health program or of an emergency receiving center or by the Department of Health and Senior Services, Department of Mental Health, or any local public health agency located within the jurisdiction where the petition is filed. A petition can also be filed by the appointed guardian or limited guardian when the respondent is a ward. The bill provides the procedures for the hearing to determine if the respondent should be required to participate in assisted outpatient treatment and the circumstances under which a court can issue an order. Prior to issuing an order, the court or the jury must consider a number of factors related to the respondent, as specified in the bill. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/05/2026
H
- Public hearing completed - House-Health and Mental Health
|
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| HB2192 - Rep. Kem Smith (D) - Promotes DEI initiatives in public institutions | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill authorizes public institutions to establish and fund diversity, equity, and inclusion (DEI) initiatives. Such initiiatives include: (1) DEI positions, offices, and programs; (2) Inclusive curriculum and antibias training; and (3) DEI statements and voluntary employee-engagement efforts. The bill requires that DEI initiatives not be prohibited, defunded, or restricted and authorizes the Missouri Commission on Human Rights to receive and investigate complaints of any violations, recommend measures to reinstate programs, and remedy any such violations. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2370 - Rep. Tara Peters (R) - Modifies provisions relating to insurance coverage of self-administered hormonal contraceptives | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | COMMITTEE ACTION: Voted "Do Pass" by the Standing Committee on
Health and Mental Health by a vote of 13 to 0.
In this bill, current law requiring certain health benefit plans to provide coverage for contraceptives lasting up to 90 days, or 180 days for generic self-administered hormonal contraceptives, will no longer be in effect after December 31, 2026. Instead, certain health benefit plans issued or renewed on or after January 1, 2027, will be required to cover a supply of self-administered hormonal contraceptives, including brand-name and generic contraceptives, intended to last up to one year. This bill is similar to SB 929 (2026). PROPONENTS: Supporters say that coverage of an annual supply is evidence-based, improves health outcomes, and reduces costs. This medication is effective only when used consistently, and barriers to access increase the likelihood of unintended pregnancy. Additionally, the State's Medicaid program, MO HealthNet, covers a year's supply. Testifying in person for the bill were Representative Peters; Rylea Luckfield, Beacon Reproductive Health Network; Missouri Nurses Association; Missouri State Medical Association; Missouri Rural Health Association; Arnie Dienoff; The Missouri Section of the American College of Obstetricians and Gynecologists. OPPONENTS: Those who oppose the bill say that the bill repeals language recently authorized, demonstrating a rapid policy shift for insurers to adapt to. There are situations in which a person is on a plan with his or her employer receiving a year benefit, but changes employers partway through, requiring the prior plan to maintain coverage. Testifying in person against the bill were America?s Health Insurance Plans; Missouri Insurance Coalition. OTHERS: Others testifying on the bill say that a person's geographic and insurance status influence access to medications and the ease of maintaining refills. Most counties in the State lack access to primary medical care, making refills difficult. Dispensing a 12-month supply increases adherence and decreases unintended pregnancy, reducing the likelihood of abortion by about 46%. Many plans typically cover a one-to-three month supply at one time, and changing the default standardized prescription can increase the frequency of yearlong prescriptions, but such change does not always result to changes in prescription coverage. Testifying in person on the bill was Jennifer Bean, Most Policy Initiative. Written testimony has been submitted for this bill. The full written testimony and witnesses testifying online can be found under Testimony on the bill page on the House website. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
04/16/2026
H
- Reported Do Pass - House-Health and Mental Health
|
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| HB2371 - Rep. Tara Peters (R) - Requires MO HealthNet and health benefit plans providing for maternity benefits to cover a home blood pressure monitoring device for pregnant and postpartum women | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | COMMITTEE ACTION: Voted "Do Pass with HCS" by the Standing
Committee on Health and Mental Health by a vote of 16 to 0.
The following is a summary of the House Committee Substitute for HB 2371. This bill requires MO HealthNet coverage of home blood pressure monitoring devices and home blood pressure monitoring device services, as those terms are defined in the bill, for pregnant and postpartum women. This bill requires, beginning January 1, 2027, all health benefit plans that provide maternity benefits to provide coverage for a home blood pressure monitoring device and home blood pressure monitoring device services for pregnant and postpartum women. This bill is similar to HB 842 (2025). The following is a summary of the public testimony from the committee hearing. The testimony was based on the introduced version of the bill. PROPONENTS: Supporters say that many people do not have reliable access to these tools, which can save the lives of both the mother and the child, reduce ER visits, and support early interventions before they become emergencies. Testifying in person for the bill were Representative Peters; American Heart Association; Nurture KC; Elizabeth Grace Riley, The Missouri Chapter of the American College of Obstetricians and Gynecologists; Kids Win Missouri; Rylea Luckfield, Beacon Reproductive Health Network; Arnie Dienoff; REACH Healthcare Foundation; and BJC Healthcare System. OPPONENTS: Those who oppose the bill say that their concern lies with the provisions of the bill relating to reporting and data collection and the imposition of a new insurance mandate, which can raise costs for others on the health benefit plans. Testifying in person against the bill was Missouri Insurance Coalition. Written testimony has been submitted for this bill. The full written testimony and witnesses testifying online can be found under Testimony on the bill page on the House website. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/26/2026
H
- Reported Do Pass as substituted - House-Health and Mental Health
|
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| HB2373 - Rep. Brad Christ (R) - Creates provisions relating to children's access to health care services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill prohibits a health care provider, as that term is defined in the bill, from refusing, withholding from, or denying a minor child any health care services based on the child's vaccination status. Additionally, the bill prohibits a physician or a physician group in a medical practice from dismissing a minor child patient from the practice based on the child's parent's or guardian's willingness or refusal to consent to vaccinate the child. This bill is the same as HB 2374 (2026) and similar to HB 1679 (2026). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2374 - Rep. Holly Jones (R) - Creates provisions relating to children's access to health care services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill prohibits a health care provider, as that term is defined in the bill, from refusing, withholding from, or denying a minor child any health care services based on the child's vaccination status. Additionally, the bill prohibits a physician or a physician group in a medical practice from dismissing a minor child patient from the practice based on the child's parent's or guardian's willingness or refusal to consent to vaccinate the child. This bill is the same as HB 2373 (2026) and similar to HB 1679 (2026). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2538 - Rep. Tara Peters (R) - Modifies provisions relating to administrative remedies in MO HealthNet cases | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill adds the Missouri Medicaid Audit and Compliance Unit as an appropriate division as it relates to existing statutes governing the appeals process for applicants or recipients of benefits or services. It additionally repeals a provision of existing law prohibiting the administrative hearing commission from granting a stay order where the claim has arisen under a program funded by Federal dollars unless it is specified in writing by the financial section of the appropriate Federal agency that Federal financial participation would continue under the stay order. This bill is similar to HB 1223 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2602 - Rep. Melanie Stinnett (R) - Exempts entities registered with the department of health and senior services that distribute hypodermic needles or syringes from the crime of unlawful delivery of drug paraphernalia | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill requires the Department of Health and Senior Services to create a registration process for organizations interested in operating a syringe access program intended to mitigate health risks associated with unsterile injectable drug use. The bill requires the Department, as a condition for registration, to ensure that any entity seeking registration has a collaborative agreement with an organization that provides access to mental health and substance use treatment options. Any entity registered with the Department cannot be located within 500 feet of any school building if the school building was established prior to the entity's operation. In addition, this bill exempts any entity registered with the Department, as well as any staff member, volunteer, or participant in a syringe access program that is operated by an entity registered with the Department, that possesses, distributes, delivers, or manufactures hypodermic needles or syringes for the operation of a syringe access program or to otherwise mitigate health risks associated with unsterilized injection drugs, from the laws controlling the unlawful distribution, delivery, sale, possession, and manufacturing of drug paraphernalia. This bill is similar to HB 824 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2702 - Rep. Jeff Knight (R) - Modifies provisions relating to telemedicine | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Currently, the establishment of a physician-patient relationship for purposes of telehealth includes an interview and a physical examination. Under this bill, an evaluation is still required, but a physical examination is required only if needed to meet the standard of care. 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 bill permits such questionnaires if the information provided is sufficient as though the medical evaluation was performed in person, and provided that the physician is employed or contracted with a business entity licensed to provide health care in this state. When a health care provider uses an online or telephone questionnaire, the provider must send a written report to the primary care provider if the patient provides his or her primary care provider information. The report must be sent within 14 days of the appointment and contain specified information, including the diagnosis and any treatment provided. Current law requires a physician-patient relationship for purposes of telehealth to include a sufficient dialogue with the patient regarding treatment. This bill changes the term "dialogue" to "exchange" with the patient regarding treatment. Additionally, 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 bill, a health care provider must 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 must be collected, stored, and maintained in accordance with the Federal Health Insurance Portability and Accountability Act of 1996. This bill is similar to HCS HB 710 (2025). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2706 - Rep. George Hruza (R) - Instructs the department of social services to apply for a waiver to the USDA to allow SNAP to prioritize the purchase of healthy food and discourage the purchase of highly processed foods | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill requires the Director of the Department of Social Services to submit a waiver request to the U.S. Department of Agriculture to authorize the State to operate SNAP in a manner prioritizing healthy foods and nutritional value, discouraging foods that are high in added sugar and ultra processed, and supporting Missouri agriculture. The Director is required to explore and recommend other strategies to incentivize the purchase of fresh fruits, vegetables, and Missouri-produced meat and dairy products within SNAP by utilizing and enhancing existing health food education and access programs. This bill is similar to HB 1889 (2026). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB2749 - Rep. Bishop Davidson (R) - Modifies provisions relating to collaborative practice arrangements between physicians and physician assistants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | COMMITTEE ACTION: Voted "Do Pass" by the Standing Committee on
General Laws by a vote of 8 to 4, with 1 member voting Present.
Currently, a physician can enter into a collaborative practice arrangement with a physician assistant. The physician is responsible for providing a written collaborative practice arrangement with specific criteria. Within 30 days of any change to the arrangement and on each renewal of the arrangement, the State Board of Registration for the Healing Arts requires every physician to identify whether the physician is engaged in any collaborative practice arrangement, including collaborative practice arrangements delegating the authority to prescribe controlled substances, and also report to the Board the name of each physician assistant with whom the physician has entered into such arrangement. This bill allows a licensed hospital to perform the administrative duties associated with any collaborative practice arrangement between a physician or physicians and a physician assistant or physician assistants for services delivered in that hospital as long as the hospital has identified in the collaborative practice arrangement one or more physicians affiliated with the hospital who will serve as the collaborating physician or physicians and established practice parameters for the physician assistant or physician assistants listed in the collaborative practice arrangement. A single collaborative practice arrangement can be between multiple physicians and physician assistants if a hospital has agreed to perform the administrative duties associated with the collaborative practice arrangement. If a hospital is performing the administrative duties associated with a collaborative practice arrangement, the hospital, rather than the physician, must report to the Board the information required at the time of any change to the arrangement and on each renewal of the arrangement. This bill is similar to HB 1567 (2025). PROPONENTS: Supporters say that this bill allows a hospital to cosign collaborative agreements so that they can continue to operate when a physician leaves the hospital. It does not change how the physicians operate, but it keeps the agreements from standing in limbo. It does not reduce the relationship-building; it only reduces the paperwork. Healthcare has changed, but the credentialing process is not changing. The bill does not affect access to care and physicians will still be responsible for chart reviews. Testifying in person for the bill were Representative Davidson; Missouri Hospital Association; and Paul Winter, Missouri Academy of Physician Assistants. OPPONENTS: Those who oppose the bill say that physicians generally support administrative burdens being lifted, but this bill goes too far. This bill is supposedly for physicians, but it may increase their liability. Physicians may disagree with the hospital whether a certain physician assistant is best for a patient. It is unclear whether this will increase or decrease liability generally. Testifying in person against the bill were Missouri State Medical Association, Missouri Association of Osteopathic Physicians & Surgeons; and Arnie C. Dienoff. Written testimony has been submitted for this bill. The full written testimony and witnesses testifying online can be found under Testimony on the bill page on the House website. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/12/2026
H
- Reported Do Pass - House-General Laws
|
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| HB3245 - Rep. Bennie Cook (R) - Prohibits temporary assistance for needy families (TANF) benefit cards from being used at ATMs or to access cash | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill modifies the law regarding the use of Temporary
Assistance for Needy Families (TANF) and Supplemental Nutrition
Assistance Program (SNAP) benefits via electronic benefit
transfer (EBT) transaction. The bill adds pornography to the
list of items that are prohibited from being purchased with TANF
or SNAP benefits using an EBT card.
The bill requires that upon a first violation of the prohibition against using TANF benefits via an EBT card in a prohibited establishment or to purchase prohibited items, a TANF recipient will be disqualified from receiving benefits for three months; upon a second violation, the recipient will be disqualified for six months; and upon any third or subsequent violation, the recipient will be disqualified for five years. An individual may resume participation in the program at the end of the disqualification period by applying again. The bill prohibits a recipient of TANF or SNAP from using his or her EBT card at any automated teller machine, to receive cash back on a purchase, or to otherwise access the benefits as cash. If the Department of Social Services determines that a waiver is necessary for implementation of the prohibition, the Department will apply for a waiver from the Federal Department of Health and Human Services. The bill also repeals provisions regarding pilot projects in certain cities and counties to provide EBT cards to public assistance recipients. |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB3247 - Rep. Mike Jones (R) - Modifies the definition of food to authorize a reduced sales tax on the purchase of dietary and nutritional supplements | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | Currently, a tax is levied on the retail sale of food at a rate
of 1%. This bill changes the definition of food for this purpose
to also include all "dietary and nutritional supplements", as
defined in the bill.
This bill is similar to HB 3151 (2026 and HCS HB 1107 (2025) . |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB3248 - Rep. Mike Jones (R) - Authorizes a sales tax exemption for supplies needed to care for infants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill exempts all sales of baby bottles, baby wipes, and
breast pump supplies from sales taxation.
This bill is similar to SB 872 (2026) and HB 3198 (2026). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| HB3269 - Rep. Tricia Byrnes (R) - Modifies the pregnancy-associated mortality review board | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | This bill modifies the "Pregnancy-Associated Mortality Review
Board" within the Department of Health and Senior Services.
Under this bill, Board membership must include at least one
member from each congressional district and membership must be
demographically diverse, including by race, ethnicity, sex, age,
and rural and urban populations. Board members are increased
from no more than 18 members to no more than 22 members.
Additionally, the Board will, in its study and review of maternal deaths, consider the level and timing of prenatal and postnatal medical care, the presence or absence of maternity care deserts, 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 bill is similar to SCS SB 871 (2026). |
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| Progress: | House: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
05/15/2026
H
- Referred to committee - House-Emerging Issues
|
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| SB837 - Sen. Mike Cierpiot (R) - Requires all elections for local tax increases to be held at a general or primary election | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 837 - This act requires all proposals for new local taxes, licenses, or fees, or for a renewal or increase in an existing tax, license, or fee, to be submitted to the voters on a general election day or primary election day. This act is identical to SB 929 (2024), SB 479 (2023), and HB 1202 (2023). JOSH NORBERG |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
S
- Referred to committee - Senate-Local Government, Elections, and Pensions
|
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| SB846 - Sen. Justin Brown (R) - Enacts provisions relating to insurance coverage of health care services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 846 - This act enacts provisions relating to insurance coverage of pharmacy services. 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 SB 13 (2025), the introduced SB 751 (2024), HCS/HB 2267 (2024), SB 26 (2023), HCS/HB 198 (2023), SB 1129 (2022), and HB 2305 (2022), and similar to provisions in SB 921 (2022), SB 1129 (2022), and 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 SB 13 (2025), the introduced SB 751 (2024), HCS/HB 2267 (2024), SB 26 (2023), HCS/HB 198 (2023), SB 1129 (2022), and HB 2305 (2022), and similar to provisions in SB 921 (2022), SB 1129 (2022), and 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 identical to provisions in SB 13 (2025), and similar to provisions in SB 372 (2025), HB 784 (2025), HB 785 (2025), HB 943 (2025), the introduced SB 751 (2024), SCS/SBs 978 & 1035 (2024), SB 1213 (2024), HCS/HB 2267 (2024), HB 1977 (2024), SB 26 (2023), HCS/HB 198 (2023), SB 426 (2023), HB 197 (2023), SB 921 (2022), HCS/HB 1677 (2022), SB 1129 (2022), and HB 2305 (2022). 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, 2027, 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, 2027, 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 HCS/SS#2/SB 79 (2025), HB 618 (2025), and similar to SB 230 (2025), SB 983 (2024), HB 1976 (2024), SB 576 (2023), and HB 1045 (2023). TAYLOR MIDDLETON |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
S
- Referred to committee - Senate-Insurance and Banking
|
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| SB857 - Sen. Rick Brattin (R) - Modifies provisions relating to personal property taxes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 857 - Current law requires that personal property be assessed at 33.3% of its true value in money. This act requires political subdivisions to annually reduce such percentage such that the amount by which the revenue generated by taxes levied on such personal property is reduced is substantially equal to one hundred percent of the growth in revenue generated by real property assessment growth, as defined in the act. Annual reductions shall be made until December 31, 2075. Thereafter, the percentage of true value in money at which personal property is assessed shall be equal to the percentage in effect on December 31, 2075. 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 294 (2025), SB 274 (2025), 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/SCS/SB 163 (2025), SB 171 (2025), SB 359 (2025), HB 464 (2025), SCS/HB 629 (2025), HB 903 (2025), HB 988 (2025), 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 |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
S
- Referred to committee - Senate-Select Committee on Property Taxes and the State Tax Commission
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| SB874 - Sen. Angela Mosley (D) - Requires public schools to provide free breakfast and lunch to all students | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 874 - Beginning in the 2026-27 school year, this act requires each public school to provide each student enrolled in such school one free breakfast and one free lunch each day the student attends classes. This act is identical to HB 112 (2025) and HB 172 (2023). OLIVIA SHANNON |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
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- Referred to committee - Senate-Education
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| SB900 - Sen. Tracy McCreery (D) - Modifies provisions relating to assisted reproductive technology | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 900 - This act modifies provisions relating to assisted reproductive technology. DEFINITION OF UNBORN CHILD (Section 1.205) This act modifies the definition of "unborn child" or "unborn children" to exclude human embryos created through assisted reproductive technology, including in vitro fertilization, prior to successful implantation in the uterus. These provisions are identical to SB 605 (2025), substantially similar to SB 1486 (2024), and similar to HB 2845 (2024). DIAGNOSIS AND TREATMENT OF INFERTILITY (Section 376.1211) This act requires certain health benefit plans providing pregnancy-related benefits to include coverage for the diagnosis and treatment of infertility, as described in the act. These provisions contain an exception for health benefit plans issued by or to religious institutions or organizations. These provisions are substantially similar to HB 487 (2025). TAYLOR MIDDLETON |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
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- Referred to committee - Senate-Families, Seniors and Health
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| SB934 - Sen. Mike Cierpiot (R) - Modifies provisions relating to amending birth certificates | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 934 - Under current law, a birth certificate may be amended by court order to reflect a surgical sex change. This act prohibits amending a birth certificate when the sex of an individual has been changed by non-surgical means. Additionally, no birth certificate shall be amended if the sex of the individual was changed for reasons other than a medically-verifiable disorder of sex development or to correct a typographic error. This act is substantially similar to SB 100 (2025) and SB 14 (2023). SARAH HASKINS |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
S
- Referred to committee - Senate-Families, Seniors and Health
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| SB951 - Sen. Mike Moon (R) - Modifies provisions relating to the protection of unborn children | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 951 - This act establishes the "Equal Protection Act". Under this act, the intent of the General Assembly is to acknowledge the sanctity of innocent human life, which should be protected from the beginning of biological development to natural death. This act also provides that any person accused of committing any criminal offense against a person under the laws of this state where the victim is an unborn child shall be prosecuted in a venue as provided in the act. The affirmative defense of duress for the offense of murder shall be available where the victim is an unborn child and the defendant is the child's mother. This act also provides it shall be a justifiable defense if a medical procedure is performed by a licensed physician on a pregnant female to avert the death of the female which the results in the accidental or unintentional death of the unborn child and all reasonable alternatives to save the life of the unborn child were unavailable or were unsuccessful. Finally, this act adds the definition of person in the criminal code to include a human being, including an unborn child at every stage of development from the moment of fertilization until birth. This act contains a referendum clause. This act is identical to SB 619 (2025) and provisions in SB 775 (2024) and SB 356 (2023). TRISTAN BENSON, JR. |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
S
- Referred to committee - Senate-Families, Seniors and Health
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| SB1037 - Sen. Doug Beck (D) - Modifies provisions relating to public health services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1037 - 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 act is identical to SB 549 (2025). SARAH HASKINS |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/15/2026
S
- Referred to committee - Senate-Families, Seniors and Health
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| SB1070 - Sen. David Gregory (R) - Creates provisions relating to illegal aliens | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1070 - This act modifies various provisions relating to illegal aliens. BUSINESS LICENSES (Section 67.5200) All political subdivisions are prohibited from issuing a license to an individual if the individual does not provide documentation of citizenship or lawful presence in this country. For purposes of this provision, the term "license" means any permit, certificate, approval, registration, charter or similar form of authorization that is required by law and that is issued by any political subdivision for the purposes of operating a business or to an individual who provides a service to any person where the license is necessary in performing that service. This provision contains certain exceptions. REAL PROPERTY TAX INCREMENT ALLOCATION REDEVELOPMENT ACT - Prohibition on Agreements with Illegal Aliens (Sections 99.820 and 99.845) Current law allows any municipality to establish a redevelopment plan that calls for the conveyance, lease, mortgage, or other disposition of land for certain purposes. This act prohibits conveying, leasing, mortgaging, or otherwise disposing of such land to a person unlawfully present in this country. Any appropriation distributed to a municipality for a redevelopment project found to be in violation of this prohibition shall be recaptured by the Department of Economic Development. ELIGIBILITY FOR PUBLIC BENEFITS (Section 208.009) The act creates new eligibility verification requirements for public benefits, specifically including the Supplemental Nutrition Assistance Program (SNAP) and Mo HealthNet. Specifically, only people who are United States citizens, United States Nationals, or meet the definition of an eligible alien and qualified alien under federal law are eligible for public benefits. Provisions are included dictating the manner of providing proof of identity as one of the aforementioned individuals. Failure to submit acceptable documentation establishing United States citizenship, United States national status, or alien status eligible for such public benefits within the temporary eligibility period shall result in denial or termination of public benefits. No additional period of eligibility for temporary benefits shall be granted to any applicant who has previously been denied public benefits at any time due to a failure to verify United States citizenship, United States national status, or alien status eligible for such public benefits. The act additionally creates new reporting requirements for Mo HealthNet with respect to illegal aliens receiving certain medical care. Current law prohibits any alien unlawfully present in the United States from receiving any state or local public benefit, including any health benefits, with the exception of emergency medical care, prenatal care, services offering alternatives to abortion, emergency assistance, or legal assistance. This act requires the Director of Mo HealthNet, not later than September 30 of each year, to submit to the Governor, the Speaker of the House of Representatives, and the President Pro Tem of the Senate, a report detailing the total amount of funds that were expended by health care providers in this state over the previous fiscal year for the rendering of emergency medical care, prenatal care, services offering alternatives to abortion, and emergency assistance to aliens unlawfully present in the United States. When administering SNAP benefits, the Department of Social Services shall: • Consider the entire income and financial resources of any individual rendered ineligible to receive SNAP benefits under subsection 1 of this section when determining the eligibility and benefit allotment of the household of which such individual is a member; and • Notwithstanding federal law to the contrary, not prorate or exclude the income or financial resources of ineligible individuals under this act. All such income and resources shall be fully considered. 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 private employers whose annual gross revenue exceeds $100,000 to enroll and actively participate in a federal work authorization program. TEMPORARY DETENTION CENTERS (Section 217.155) The Director of the Department of Corrections, in consultation with the Commissioner of Administration, shall identify any property owned by the state that could be used as a temporary detention center for detaining any persons not lawfully present in this country. BANK MONITORING REQUIREMENTS (Section 362.103) The act requires every bank and trust company created under the laws of this state to maintain a monitoring program for the purpose of monitoring transactions after their execution for potential violations of the federal Bank Secrecy Act, 31 U.S.C. sections 5311 to 5330, as well as any other activity the bank or trust company reasonably believes reflects suspicious activity specifically involving any suspected or actual alien unlawfully present in the United States. DEFENSES FOR THE OFFENSE OF TRESPASS OF AN ILLEGAL ALIEN (Section 544.680) Any person who is charged with the offense of trespass by an illegal alien shall have an initial appearance before the court in which the court shall make findings as to whether or not the defendant is seeking asylum under federal law. If the person is seeking asylum, the charges shall be dismissed and the defendant shall be released unless there are other pending criminal offenses. If the person is not seeking asylum and does not pose a risk of danger to the community, then such person may be released. Any person not seeking asylum who poses a risk of danger to the community shall be denied bail and not released from custody. Prior to the initial appearance of the defendant, the U.S. Immigration and Customs Enforcement (ICE) shall be notified of the initial appearance of the defendant and afforded the opportunity to take custody of a defendant prior to the initial appearance of the defendant, provided the ICE enters into an agreement with the Department of Public Safety to deport the person or maintain custody of the person until the person is lawfully present in this country. Any person arrested for the offense of trespass by an illegal alien while driving a motor vehicle shall have his or her vehicle confiscated until the person can prove he or she is legally present in this country. Finally, it shall be an affirmative defense to the offense of trespass of an illegal alien if he or she was coerced by threatened physical force. LAW ENFORCEMENT AGENCIES (Section 544.700) Consistent with all duties created in state and federal law, the act requires all state and local law enforcement agencies and any official responsible for directing or supervising such agency to use best efforts to support the enforcement of federal immigration law. Except as otherwise expressly prohibited by federal law, a state entity, local governmental entity, or law enforcement agency, or an employee, an agent, or a representative of the entity or agency, may not prohibit or in any way restrict a law enforcement agency from taking any of the following actions with respect to information regarding a person's immigration status: • Sending the information to or requesting, receiving, or reviewing the information from a federal immigration agency; • Recording and maintaining the information; • Exchanging the information with a federal immigration agency or another state entity, local governmental entity, or law enforcement agency; • Using the information to comply with an immigration detainer; and • Using the information to confirm the identity of a person who is detained by a law enforcement agency; A state entity, local governmental entity, or law enforcement agency may not prohibit or in any way restrict a law enforcement officer from executing or assisting in the execution of a lawful judicial warrant. A law enforcement officer shall make an arrest if a computer inquiry reveals a facially sufficient detainer. IDENTITY THEFT - USE OF FAKE IDENTIFICATION (Section 570.223) Current law provides that it is a class B misdemeanor for a person to knowingly and with the intent to deceive or defraud obtain, possess, transfer, use, or attempt to obtain, transfer, or use, one or more means of identification not lawfully issued for the person's use. This act makes the offense a class E felony if it is done knowingly and with the intent to deceive or defraud a prospective or current employer of the person, a financial institution, or a public utility. OFFENSE OF TRESPASS OF AN ILLEGAL ALIEN (Section 577.678) This act creates the offense of trespass by an illegal alien which provides that a person shall be guilty of such offense if the person is an illegal alien who is 18 years of age or older and who knowingly enters this state and remains here and is physically present in the state at the time a certified bounty hunter or peace officer apprehends the person. Such an offense shall be a felony for a term of imprisonment without eligibility for probation or conditional release. As an alternative to a sentence of life imprisonment, the court may order the defendant taken into the custody of ICE if the Department and ICE execute an agreement guaranteeing that the defendant shall be deported or remain in custody until the defendant is legally present in the United States. A person shall not be arrested for the offense if the person legally entered the country through a port of entry and was lawfully present when entering the country. Any person who commits the offense of trespass by an illegal alien shall be prohibited from voting in any election, receiving any permit or license to drive, receiving any public benefit, and becoming a legal resident of this state. This provision contains a contingent effective date. Each person arrested under this act shall provide a DNA sample under current law procedures. Additionally, the Department of Public Safety shall develop an information system for people to report violations of this act which shall include a toll-free telephone hotline, e-mail, and online reporting portal. The hotline shall also accept reports of sex and human trafficking. Any person who makes a report in which an illegal alien, or person committing a sex or human trafficking offense, is arrested shall be eligible to receive a reward of $1,000. The Department of Public Safety shall develop the "Missouri Illegal Alien Certified Bounty Hunter Program" which shall certify applicants to be bounty hunters for the purpose of finding and detaining illegal aliens in this state. Any person with a license as a bail bond agent, general bail bond agent, or surety recovery agent may apply to the program as provided in the act. The Department shall promulgate rules for the administration of this program, which shall include rules regarding the method of investigating, verifying immigration status, and executing arrest warrants of illegal aliens, as provided in the act. A certification as a bounty hunter shall be for four years. A bounty hunter shall support the role of state and local law enforcement agencies in enforcing this act. The Department shall establish a training program for certified bounty hunters to perform the functions of an immigration officer which shall include adherence to federal law. The training program shall be at least 30 days in length and encompass basic training of peace officers that is necessary to carry out the duties of a certified bounty hunter. This act also creates the "Missouri Illegal Alien Certified Bounty hunter Program Fund" which shall consist of money appropriated by the General Assembly. SEX AND HUMAN TRAFFICKING (Section 577.678, 650.655 and 650.660) The act requires the hotline established by the act to also accept reports of sex and human trafficking involving illegal aliens. A certified bounty hunter may be dispatched by the Department to effect the arrest of a person for any offense involving sex or human trafficking. The Department shall be responsible for coordinating all efforts among state departments, as well as with the federal government and local governments, to combat sex and human trafficking. The Department shall establish guidelines for a training program on sex and human trafficking for public entities listed in the act. The act creates the "Anti-Human Trafficking Training Fund" to be used by the Department to develop and provide the training required by this act. Any entity that receives public funds shall report any data in the entity's possession regarding reports of sex and human trafficking to the Department within thirty days of receiving the report. Such aggregated information, excluding any personally identifiable information of a victim of sex and human trafficking, shall be made available to the public. The act creates the Rapid Response for Victims of Sex and Human Trafficking Fund, which shall consist of moneys appropriated by the General Assembly. Moneys shall be distributed by the Department to licensed hospitals that provide rapid intake and intervention for victims of sex and human trafficking. To qualify, a hospital shall meet requirements delineated in the act. SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/15/2026
S
- Referred to committee - Senate-General Laws
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| SB1114 - Sen. Angela Mosley (D) - Requires health benefit plans to cover prostheses for hair loss due to cancer treatment | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1114 - This act requires health benefit plans to provide coverage for prostheses and scalp hair prostheses worn for hair loss suffered as a result of cancer treatment. The coverage is subject to benefit limits and restrictions on out-of-pocket costs, as specified in the act. This act is substantially similar to SB 345 (2025), SB 1046 (2024), and HB 2393 (2024). TAYLOR MIDDLETON |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/15/2026
S
- Referred to committee - Senate-Insurance and Banking
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| SB1133 - Sen. Ben Brown (R) - Modifies provisions relating to campaign finance in ballot measure elections | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1133 - This act modifies provisions relating to reporting requirements for ballot measure campaigns. Specifically, it stipulates that each quarterly disclosure report shall require the treasurer of a committee to affirm that the donor associated with each contribution is not a foreign national and has not knowingly or willfully received, solicited, or accepted, whether directly or indirectly, contributions from one or more prohibited sources aggregating in excess of $10,000 within the two-year period immediately preceding the date of the contribution, in the case of an individual, or within the four-year period immediately preceding the date of the contribution, in the case of any other entity. This act contains an emergency clause. SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/15/2026
S
- Referred to committee - Senate-Local Government, Elections, and Pensions
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| SB1141 - Sen. Brad Hudson (R) - Creates provisions relating to the right to refuse to participate in certain medical treatment | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1141 - Under this act, no health care institution, health care professional, or other person shall be required to perform, assist, or participate in medical procedures, treatments, counseling, prescriptions, or surgeries related to sex reassignment or gender identity transitioning if such procedures, treatments, counseling, prescriptions, or surgeries are contrary to the established policy of, or the moral, ethical, or religious beliefs of, such institution or professional or other person. No person shall be denied or discriminated against in the receipt of any public benefit, assistance, or privilege or denied or discriminated against in the public or private employment on the grounds of refusal to perform, assist, or participate in sex reassignment or gender identity transitioning medical procedures, treatments, counseling, prescriptions, or surgeries, as described in the act. No cause of action shall accrue against an institution, professional, or other person on account of the refusal to perform, assist, or participate in such described activities. An institution, professional, or other aggrieved person may bring a civil action for a violation of the rights set forth in this act. This act is similar to HB 1519 (2024). SARAH HASKINS |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/15/2026
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- Referred to committee - Senate-Families, Seniors and Health
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| SB1152 - Sen. Joe Nicola (R) - Modifies provisions relating to municipal elections | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1152 - This act modifies provisions relating to municipal elections. This act is identical to SB 86 (2025). 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 a provision in SB 248 (2025), SB 202 (2023), HB 1203 (2023), and SB 1049 (2022) and similar to HB 1640 (2022) and SB 414 (2021). SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/15/2026
S
- Referred to committee - Senate-Local Government, Elections, and Pensions
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| SB1156 - Sen. Maggie Nurrenbern (D) - Enacts provisions relating to insurance coverage for prescription insulin drugs | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1156 - This act prohibits health benefit plans from imposing cost-sharing, as defined in the act, on an enrollee in excess of $30 per 30-day supply of a prescription insulin drug. 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, 2027. This act is identical to SB 175 (2025), similar to provisions in HCS/HB 1195 (2025) and HB 186 (2025), identical to HB 2262 (2024), substantially similar to SB 1182 (2024), identical to SB 283 (2023), similar to SB 815 (2022), and contains provisions similar to SB 814 (2022). TAYLOR MIDDLETON |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/15/2026
S
- Referred to committee - Senate-Insurance and Banking
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| SB1193 - Sen. Ben Brown (R) - Prohibits expenditures by state departments for certain diversity initiatives | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1193 - This act prohibits any state department from expending funds, allocating funds, or making any other gift or expense for intradepartmental programs, staffing, or other initiatives associated with "diversity, equity, and inclusion" or "diversity, inclusion, and belonging" or any other similar initiative, as described in the act. This act does not prohibit state departments from following anti-discrimination laws or complying with the federal Americans with Disabilities Act. This act is similar to the perfected HB 742 (2025). SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Government Efficiency
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| SB1199 - Sen. David Gregory (R) - Prohibits certain diversity initiatives in public bodies | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1199 - This act prohibits any department, division, or other entity of the state, or any political subdivision from expending funds for intradepartmental programs, staffing, or other initiatives associated with "diversity, equity, and inclusion" or "diversity, inclusion, and belonging" or any other similar initiative, as described in the act. This act does not prohibit state departments from following anti-discrimination laws or complying with the federal Americans with Disabilities Act. This provision is substantially similar to the perfected HB 742 (2025). The act also prohibits any oversight body, as that term is defined in the act, from requiring, as a condition of receiving an occupational license, any person to receive training or otherwise participate in any initiative associated with “diversity, equity, and inclusion” or “diversity, inclusion, and belonging” or any other initiative that promotes: • The preferential treatment of any individual or group of individuals based on race, color, religion, sex, gender, sexual orientation, ethnicity, national origin, or ancestry; • The concept that disparities between groups are solely the result of oppression; • Collective guilt ideologies; • Intersectional or divisive identity activism; or • The limiting of freedom of conscience, thought, or speech. SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Government Efficiency
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| SB1204 - Sen. Adam Schnelting (R) - Modifies provisions relating to prohibited discriminatory practices | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1204 - Current law prohibits discrimination based on sex in various sectors, including housing, employment, and public accommodations. This act creates a definition for the term "sex" to mean the two categories of humans, male and female, into which individuals are divided based on an individual's reproductive biology at birth and the individual's genome. The term "sex" shall not be construed to include sexual orientation or gender identity. This act is identical to SB 76 (2025). SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Families, Seniors and Health
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| SB1218 - Sen. Patty Lewis (D) - Prohibits discrimination based on sexual orientation or gender identity | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1218 - This act prohibits discrimination under the Missouri Human Rights Act (MHRA) based upon a person's sexual orientation, gender identity, or veteran status. Such discrimination includes unlawful housing practices, denial of loans or other financial assistance, denial of membership into an organization relating to the selling or renting of dwellings, unlawful employment practices, and denial of the right to use public accommodations. Discrimination is defined to include any unfair treatment based on a person's presumed or assumed race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, age as it relates to employment, disability, or familial status as it relates to housing, regardless of whether the presumption or assumption as to such characteristic is correct. The act modifies the standard for proving discriminatory claims pursuant to the MHRA. Currently, a protected criterion must be the motivating factor in any adverse decision or action. This act changes that to a motivating factor. The act changes which employers are subject to the MHRA. Currently, corporations and associations owned or operated by religious or sectarian organizations are exempt from the MHRA. This act only exempts corporations and associations owned and operated by religious or sectarian organizations. Additionally, the act repeals an exemption for individuals employed an employer. This act is identical to SB 608 (2025) and substantially similar to certain provisions in SB 732 (2025), HB 1460 (2025), SB 787 (2024), HB 2478 (2024), SB 60 (2023), HB 384 (2023), HB 574 (2023), SB 711 (2022), HB 1760 (2022), HB 2580 (2022), SB 81 (2021) HB 275 (2021), HB 984 (2021), HB 1527 (2020), SB 954 (2020), HB 1763 (2020), SB 172 (2019), HB 208 (2019), SB 753 (2018), HCS/HBs 1360 & 2100 (2018), HB 1782 (2018), SB 338 (2017), HB 485 (2017), SB 653 (2016), SB 237 (2015), SB 962 (2014), SB 96 (2013) and SB 798 (2012), and similar to HB 1737 (2022), HB 407 (2015), SB 757 (2014), SS/HCS/HB 320 (2013), SB 239 (2011), SB 626 (2010), SB 109 (2009), SB 824 (2008), SB 266 (2007), SB 452 (2001), and SB 622 (2000). SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Families, Seniors and Health
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| SB1221 - Sen. Rick Brattin (R) - Establishes the "Born-Alive Abortion Survivors Protection Act" | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1221 - This act creates the "Born-Alive Abortion Survivors Protection Act". Under this act, a child born alive during or after an abortion or attempted abortion shall 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 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 identical to SB 702 (2025), substantially similar to HB 195 (2025), 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 |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Families, Seniors and Health
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| SB1230 - Sen. Travis Fitzwater (R) - Creates the position of a dementia services coordinator within the Department of Health and Senior Services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1230 - This act requires the Division of Senior and Disability Services within the Department of Health and Senior Services to establish a dementia services coordinator as a full-time position. The coordinator shall perform duties specified in the act, including coordinating information resources affecting Missourians living with dementia and their caregivers, streamlining applicable services to increase efficiency and improve the quality of care in certain settings, identifying any duplicated services, promoting public awareness and education, and collecting and monitoring relevant data. This act is identical to SB 410 (2025), SB 1410 (2024), and HB 2071 (2024). SARAH HASKINS |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Families, Seniors and Health
|
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| SB1265 - Sen. Rick Brattin (R) - Creates new provisions relating to illegal aliens | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1265 - This act modifies various provisions relating to illegal aliens. 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), substantially similar to provisions in SB 528 (2025) and HB 120 (2025), 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 identical to SB 114 (2025) and substantially similar to SB 1138 (2024), SB 1373 (2024), HB 2470 (2024), SB 130 (2023), and SB 1227 (2022). SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Transportation, Infrastructure, and Public Safety
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| SB1288 - Sen. David Gregory (R) - Modifies provisions relating to employment of illegal aliens | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1288 - This act modifies provisions governing the employment of unauthorized aliens. Current law provides that a general contractor or subcontractor of any tier shall not be liable when the general contractor or subcontractor contracts with its direct subcontractor who employs an unauthorized alien in violation of law. This act provides that the general contractor or subcontractor shall be liable in such circumstance if the general contractor or subcontractor knows or should have known of the violation. The act modifies the provisions allowing the Attorney General (AG) to enforce the law governing the employment of unauthorized aliens. The AG is given authority to investigate alleged or suspected violations of the law pertaining to the proper classification of employees for purposes of public works projects. Furthermore, the AG is given powers provided by the Merchandising Practices Act for the purpose of investigating any alleged or suspected violation of the law governing the employment of unauthorized aliens. In any action brought by the AG to enforce the provisions of law governing the employment of unauthorized aliens, the state shall have the burden of proving by a preponderance of the evidence that the employer knowingly employed, hired for employment, or continued to employ an unauthorized alien to perform work within this state. The AG may seek an injunction prohibiting the employer from employing an unauthorized alien, and seek monetary damages in the amount equal to twice the amount of wages paid by the employer to any unauthorized alien workers during the time in which such unlawful employment is alleged to have occurred. The AG may bring an action for injunctive and monetary relief in the circuit court of any county where the alleged violation is occurring or about to occur, or in the Cole County Circuit Court. If a court determines that an employer has knowingly hired an unauthorized alien, the court shall enter a judgment in favor of the state and award penalties in an amount consistent with the prayer for relief in the petition. The AG may enter into a consent judgment with any person alleged to have committed a violation prohibited by this act. SCOTT SVAGERA |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Emerging Issues and Professional Registration
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| SB1292 - Sen. Brad Hudson (R) - Modifies provisions relating to emergency transportation of patients to abortion facilities | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1292 - Under this act, no provider of ambulance service within Missouri shall provide a patient emergency medical transportation to an abortion facility, or otherwise be directed to provide such transportation. SARAH HASKINS |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Families, Seniors and Health
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| SB1347 - Sen. Jill Carter (R) - Modifies provisions relating to the Supplemental Nutrition Assistance Program | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1347 - Under this act, the Director of the Department of Social Services shall request a waiver from the U.S. Department of Agriculture to exclude candy, prepared desserts, and certain beverages from the definition of eligible Supplement Nutrition Assistance Program (SNAP) foods. If the waiver is granted, then the Director shall prohibit the purchase of such foods with SNAP benefits. If the waiver is not granted, then the Director shall annually apply for the waiver until it is granted. This act is substantially similar to SB 662 (2025). SARAH HASKINS |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Families, Seniors and Health
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| SJR71 - Sen. Mike Moon (R) - Establishes provisions relating to reproductive health care | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SJR 71 - This constitutional amendment, if approved by the voters, prohibits abortions, except in cases of medical emergencies. The amendment also prohibits the use of surgeries, hormones, or drugs to assist a child with a gender transition. This amendment 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. This constitutional amendment is identical to SJR 9 (2025) and similar to the truly agreed to and finally passed HCS/HJR 73 (2025), SCS/SJR 33 (2025), SJR 5 (2025), SJR 17 (2025), SJR 23 (2025), SJR 25 (2025), SJR 27 (2025), SJR 28 (2025), SJR 29 (2025), and SJR 55 (2025). SARAH HASKINS |
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| Progress: | Senate: In Committee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/27/2026
S
- Referred to committee - Senate-Emerging Issues and Professional Registration
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| HB2757 - Rep. Sean Pouche (R) - Modifies provisions relating to access to medical products | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | DISPENSATION OF INSULIN (Sections 338.010 and 338.740)
This bill expands the practice of pharmacy to include the dispensing of an emergency supply of insulin. A pharmacist may dispense an emergency supply of insulin to a patient without a current, valid prescription if: (1) The pharmacist attempts but is unable to obtain authorization to refill the prescription from the prescribing provider; (2) The pharmacist has a record of prescription or has been presented proof of a recent prescription, or in the pharmacist's judgment the refusal to dispense an emergency supply of insulin will endanger the patient's health; (3) The amount of insulin dispensed does not exceed the amount of the most recent prescription or the standard quantity or unit- of-use package of the drug; and (4) The prescriber of the drug has not indicated that no emergency refills are authorized. A pharmacist, the pharmacist's employer, and the original prescriber are not civilly liable for an act or omission in connection with dispensing insulin under the provisions of this bill unless the act or omission constitutes negligence, recklessness, or willful or wanton misconduct. The Board of Pharmacy, in consultation with the State Board of Registration for the Healing Arts and the State Board of Nursing, must adopt rules to establish standard procedures for pharmacists to follow in dispensing insulin, as specified in the bill. PHARMACY BENEFIT MANAGERS (Section 376.681) This bill prohibits pharmacy benefits managers from reimbursing pharmacies less than the actual acquisition cost of a drug for each drug dispensed by the pharmacy. In addition to the reimbursement amount, the bill requires pharmacy benefits managers to pay to the pharmacy a dispensing fee of at least $15 for each dispensed prescription drug. COST OF PRESCRIPTIONS (Sections 376.687 and 376.689) This bill requires insurers that provide coverage for diabetes devices, epinephrine delivery devices, or prescription insulin drugs to limit the total amount that an insured is required to pay for the following: (1) For a 30 day supply of covered and prescribed insulin drugs, not more than $35; (2) For one covered and prescribed diabetes device, not more than $100; and (3) For one covered epinephrine delivery device, not more than $100. The limit can increase yearly based on a percentage equal to the percentage change from the preceding year in the medical care component of the Consumer Price Index. The Department of Commerce and Insurance, in conjunction with the Department of Health and Senior Services, and the Department of Social Services, must make a report available to the public of findings from each department, as specified in the bill, by October 31, 2026. This provision terminates on January 1, 2027. This bill is similar to HCS HB 1195 (2025). |
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| Progress: | House: Filed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
H
- Read Second Time
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| HB3410 - Rep. Becky Laubinger (R) - Establishes and modifies provisions relating to the definition of abortion | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | The bill adds definitions of "abortion", "ectopic pregnancy",
"miscarriage", "spontaneous abortion", "pregnant", "pregnancy",
"pre-viability separation procedure", "stillbirth", and
"intrauterine fetal demise".
This bill adds that an act is not an "abortion" if conducted with the intent to save the life or preserve the health of an unborn child, remove a dead unborn child caused by miscarriage, remove an ectopic pregnancy, or perform a pre-viability separation procedure when such procedure is necessary to save the life of the pregnant woman or to prevent substantial or irreversible harm of a major bodily function of the pregnant woman. |
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| Progress: | House: Filed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
02/25/2026
H
- Read Second Time
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