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

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

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

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

Finally, the newspaper publishing the financial statement shall charge and receive no more than its regular local classified advertising rate as published 30 days before the publication of the financial statement.

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

COUNTY FINANCIAL STATEMENT PENALTIES FOR FAILURE TO FILE (Section 105.145)

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

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

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

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

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

JOSH NORBERG

COMMITTEE ACTION: Voted "Do Pass with HCS" by the Standing Committee on Elections by a vote of 10 to 2.

The following is a summary of the House Committee Substitute for HJRs 23 & 3.

Currently, all charters of charter counties are required to provide for the election of a county assessor, except for the charter of Jackson County.

Upon voter approval, this constitutional amendment requires the Jackson County assessor to be elected as well.

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 widespread dissatisfaction with Jackson County's assessment department is eroding public trust in the government. Public confidence in the assessment process would increase if the assessor were accountable to voters.

Testifying in person for the bill were Representative Caton; Arnie Dienoff; Robert D. Murphy; Sean Smith; and Teresa McBride.

OPPONENTS: Those who oppose the bill say that these issues are not occurring in St. Louis City so the City would like to be removed from the provisions of the resolution. As a city not within a county, St. Louis City's municipal departments are divided between city and county responsibilities. Making the City assessor an elected position could create some uncertainty for employee contracts and benefit plans.

Testifying in person against the bill was City Of St. Louis.

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.

CLINICIAN-ADMINISTERED DRUGS (Section 376.411)

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

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

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

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

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

REFERENCE PRODUCTS AND BIOSIMILARS (Section 376.415)

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

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

340B DRUG PRICING PROGRAM (Section 376.416)

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

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

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

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

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

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

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

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

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

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

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

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

ERIC VANDER WEERD

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

SARAH HASKINS

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

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

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

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

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

OLIVIA SHANNON

This provision is substantially similar to SB 1076 (2024), SB 463 (2023), HB 391 (2023), provisions in HCS/SS/SB 812 (2022), HCS/HB 1608 (2022), SB 399 (2021), and the perfected HB 850 (2021).

The act also stipulates that, in any action challenging the summary statement of an initiative petition, a court shall order the Secretary of State to write a new summary statement if the court finds the initial summary statement to be unfair or insufficient. The court may offer suggested revisions for the summary statement to remedy the legal flaws, but only the summary statement prepared by the Secretary shall appear on the ballot.

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

SCOTT SVAGERA

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

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

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

SARAH HASKINS

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

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

SARAH HASKINS

FREEDOM OF CHOICE FOR PHARMACY SERVICES (Sections 338.015)

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

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

PHARMACY BENEFITS MANAGERS (Section 376.387 and 376.388)

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

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

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

COST-SHARING UNDER HEALTH BENEFIT PLANS (Section 376.448)

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

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

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

ERIC VANDER WEERD

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

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

OLIVIA SHANNON

Voter Registration - Documentary Proof of Citizenship

(Sections 115.013 to 115.160)

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

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

Maintenance of Voter Registration Lists

(Sections 115.158, 115.195, and 115.221)

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

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

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

Referral of Violation of Election Laws

(Section 115.642)

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

SCOTT SVAGERA

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

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

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

JOSH NORBERG

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

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

SARAH HASKINS

SCOTT SVAGERA

Financial risk under the contracts may be reinsured as provided by law, and the contracts and related applications and renewal forms shall contain a notice they are not insurance and are not covered by the Missouri Insurance Guaranty Association, as specified in the act.

This act is identical to SB 925 (2024) and HB 2082 (2024), and similar to SS/SCS/SB 11 (2023) and HCS/HB 464 (2023).

ERIC VANDER WEERD

"CHAMPION FOR CHILDREN" TAX CREDIT (Section 135.341)

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

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

HOMELESS CHILDREN (Sections 136.055, 302.178, and 302.181)

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

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

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

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

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

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

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

SARAH HASKINS

JOSH NORBERG

GENERAL MUNICIPAL ELECTION DAY

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

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

PARTISAN LOCAL ELECTIONS

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

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

SCOTT SVAGERA

JOSH NORBERG

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

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

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

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

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

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

SARAH HASKINS

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

SARAH HASKINS

This act is identical to SB 14 (2023).

SARAH HASKINS

Additionally, current law limits the tax credit to qualifying taxpayers with an income of $27,500 or less, or $30,000 in the case of a homestead owned and occupied by a claimant for the entire year. This act increases such maximum income to $35,000, or $38,000 in the case of a homestead owned and occupied by a claimant for the entire year, and annually adjusts both amounts for inflation. (Section 135.030)

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

JOSH NORBERG

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

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

SARAH HASKINS

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

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

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

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

SARAH HASKINS

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

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

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

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

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

KATIE O'BRIEN

VOTER REGISTRATION (Sections 115.013 through 115.221)

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

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

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

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

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

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

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

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

OFFICE OF ELECTION CRIMES AND SECURITY (Section 115.642)

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

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

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

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

• The Office shall oversee a voter fraud hotline.

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

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

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

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

FEDERAL ELECTION COMMUNICATIONS (Section 115.1500)

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

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

IMPLEMENTATION OF FEDERAL ELECTION GUIDANCE (Section 115.1505)

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

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

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

FEDERAL ELECTION FUNDS (Section 115.1510)

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

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

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

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

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

This act is effective January 1, 2026.

SCOTT SVAGERA

SARAH HASKINS

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

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

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

JOSH NORBERG

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

SARAH HASKINS

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

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

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

OLIVIA SHANNON

Upon forming a campaign committee to support or oppose any ballot measure, the treasurer of the committee is required to file an accompanying certificate declaring that no preliminary activity, as that term is defined in the act, was funded, directly or indirectly, by prohibited sources, defined as any contribution from or expenditure by a foreign national. Furthermore, after a campaign committee has been formed, the committee may not knowingly or willfully receive, solicit, or accept contributions or expenditures from a prohibited source, whether directly or indirectly.

The act requires donors to campaign committees to affirm that the donor is not a foreign national and has not knowingly or willfully accepted funds aggregating in excess of $100,000 from one or more prohibited sources within the four-year period immediately preceding the date the contribution is made.

Within 48 hours of making one or more expenditures supporting or opposing a ballot measure, an entity making an expenditure in support of or opposition to a ballot measure shall certify to the Missouri Ethics Commission (MEC) that it has not knowingly or willfully accepted funds aggregating in excess of $100,000 from one or more prohibited sources within the four-year period immediately preceding the date the expenditure is made and that it will not do so through the remainder of the calendar year in which the ballot measure will appear on the ballot.

If the MEC determines that an entity filing any disclosure report has accepted funds in aggregate from one or more prohibited sources in excess of the applicable threshold described in this act within the four-year period immediately preceding the contribution or expenditure at issue it shall create a presumption that the entity has violated this act.

The act specifically prohibits foreign nationals from:

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

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

The act gives the MEC the authority to investigate complaints of violations of this act under the same structure and process as the MEC investigates complaints of campaign finance law currently. Additionally, collection of information pursuant to this act shall be done so in accordance with the Personal Privacy Protection Act and any public disclosure shall be considered a violation of the Personal Privacy Protection Act subject to civil action and penalties, as provided in that act.

SCOTT SVAGERA

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

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

ERIC VANDER WEERD

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

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

KATIE O'BRIEN

JOSH NORBERG

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

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

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

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

ERIC VANDER WEERD

SEXUALLY TRANSMITTED INFECTIONS (Section 191.648)

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

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

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

FORENSIC EXAMINATIONS OF VICTIMS OF SEXUAL OFFENSES (Section 192.2521)

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

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

PRENATAL TESTS FOR CERTAIN DISEASES (Section 210.030)

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

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

This provision is identical to a provision in the perfected HCS/HB 2413 (2024) and substantially similar to SB 1260 (2024).

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

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

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

MAMMOGRAMS (repeal of Section 192.769)

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

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

SARAH HASKINS

This act is similar to HB 2369 (2024).

SARAH HASKINS

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

JOSH NORBERG

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

ERIC VANDER WEERD

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

JOSH NORBERG

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

OLIVIA SHANNON

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

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

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

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

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

ERIC VANDER WEERD

This act has an emergency clause.

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

SARAH HASKINS

This act is identical to HB 2493 (2024).

SCOTT SVAGERA

CLOSED PRIMARIES

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

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

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

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

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

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

PARTISAN LOCAL ELECTIONS

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

SCOTT SVAGERA

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

SARAH HASKINS

This act is identical to SB 1320 (2024).

JOSH NORBERG

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

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

ERIC VANDER WEERD

ECONOMIC BOYCOTTS (Section 34.650)

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

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

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

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

UNLAWFUL BUSINESS PRACTICES - DEI CLASSIFICATIONS (Section 431.205)

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

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

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

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

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

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

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

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

This act contains various exemptions.

This act is identical to SB 980 (2024).

SCOTT SVAGERA

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

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

JOSH NORBERG

ACCESS TO SNAP BENEFITS (Section 208.247)

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

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

PREGNANT OFFENDERS (Section 221.520)

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

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

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

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

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

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

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

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

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

SARAH HASKINS

SCOTT SVAGERA

SCOTT SVAGERA

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

KATIE O'BRIEN

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

This act requires a candidate applying for licensure as a physician to submit to a criminal background check and furnish certain educational and experience documents. This act also allows the Board of Registration for the Healing Arts (the "Board") to require applicants to list all licenses to practice as a physician currently or previously held in another state, territory, or country and to disclose any past or pending investigations, discipline, or sanctions for such licenses. The Board may also obtain a report on the applicant from the National Practitioner Data Bank. Furthermore, this act provides that if the Board does not approve or deny an application for licensure as a physician within forty-five days from the date of receipt, the application shall be deemed approved and the candidate shall be considered licensed.

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

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

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

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

SARAH HASKINS

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

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

JOSH NORBERG

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

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

SARAH HASKINS

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

ERIC VANDER WEERD

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

SARAH HASKINS

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

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

ERIC VANDER WEERD

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

SARAH HASKINS

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

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

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

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

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

OLIVIA SHANNON

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

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

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

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

KATIE O'BRIEN

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

SARAH HASKINS

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

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

ERIC VANDER WEERD

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

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

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

This act is identical to HB 2430 (2024).

JOSH NORBERG

PRECINCT CODES (Sections 115.008 and 115.283)

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

VOTER REGISTRATION LIST PUBLISHED (Section 115.157)

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

ELECTRONIC VOTING SYSTEM STANDARDS (Section 115.225)

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

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

These provisions are effective January 1, 2030.

These provisions are similar to SB 816 (2024).

DELIVERY OF VOTE ABSTRACTS (Section 115.507)

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

SCOTT SVAGERA

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

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

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

FREEDOM OF CHOICE FOR PHARMACY SERVICES (Sections 338.015)

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

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

PHARMACY BENEFITS MANAGERS (Section 376.387 and 376.388)

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

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

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

340B DRUG PRICING PROGRAM (Section 376.416)

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

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

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

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

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

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

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

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

PHARMACEUTICAL REBATE CERTIFICATION (Section 376.2066)

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

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

ERIC VANDER WEERD

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

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

OLIVIA SHANNON

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

SARAH HASKINS

Current law also places certain restrictions on purchasers residing in the city of St. Joseph. This act expands such restrictions to all purchasers. (Section 140.190)

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

Finally, this act repeals a provision requiring land bank agencies to sell all property acquired through purchase, transfer, exchange, or gift. (Section 140.985)

JOSH NORBERG

This act is identical to SB 1459 (2024).

SARAH HASKINS

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

JOSH NORBERG

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

JULIA SHEVELEVA

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

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

ERIC VANDER WEERD

• Voter has failed to sign the oath;

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

• Oath has failed to be verified;

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

• Voter is otherwise found disqualified to vote.

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

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

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

SCOTT SVAGERA

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

SARAH HASKINS

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

OLIVIA SHANNON

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

SARAH HASKINS

KATIE O'BRIEN

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

SCOTT SVAGERA

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

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

JOSH NORBERG

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

JOSH NORBERG

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

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

SARAH HASKINS

OLIVIA SHANNON

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

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

SARAH HASKINS

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

SARAH HASKINS

SARAH HASKINS

SARAH HASKINS

SARAH HASKINS

SARAH HASKINS

The amendment also prohibits public funds from being used to pay for abortions; prohibits the use of surgeries, hormones, or drugs to assist a child with a gender transition; and holds that any person who intentionally or negligently causes damage to another person relating to the provision of reproductive health care or the performance or inducement of an abortion shall be liable for damages and subject to suspension or revocation of his or her medical license.

Under this constitutional amendment, a woman's right to reproductive freedom shall include the right to health care in cases of miscarriages, ectopic pregnancies, and other medical emergencies.

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

SARAH HASKINS

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

JOSH NORBERG

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

JOSH NORBERG

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

SARAH HASKINS

MO HealthNet participants who shall not be required to comply with the work and community engagement requirements include: (1) those under 18 years of age or 50 years of age or older; (2) those who are medically frail, as defined in the amendment, including those with certain disabilities; (3) those who are pregnant or caring for a child under one year of age; (4) those who are primary caregivers of a dependent child under the age of six or a dependent adult; and (5) those who are also participants of Temporary Assistance for Needy Families or the Supplemental Nutrition Assistance Program and are exempt from work requirements under those programs. The Department may permit further exemptions in areas of high unemployment, limited economies or educational opportunities, or lack of public transportation, or for good cause, as defined in this amendment.

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

SARAH HASKINS

SCOTT SVAGERA

The amendment additionally prohibits campaign committees in support or opposition of a proposed constitutional amendment or new constitution from knowingly accepting contributions from foreign governments, foreign political parties, or foreign nationals.

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

SCOTT SVAGERA

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

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

JOSH NORBERG

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

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

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

KATIE O'BRIEN

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

SCOTT SVAGERA

KATIE O'BRIEN

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

This act is identical to SB 1272 (2024).

OLIVIA SHANNON

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

JOSH NORBERG

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

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

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

(3) Gives a written release.

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

(1) The person provides a written release;

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

(3) The disclosure is required by law; or

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

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

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

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

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

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

(3) Any other relief deemed appropriate.

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

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

KATIE O'BRIEN