HB 1148 Missouri House · 2025 Regular Session

Creates provisions relating to the 988 Suicide and Crisis Lifeline

This bill establishes standards for the 988 Suicide and Crisis Lifeline service in the state. It requires 988 crisis counselors to first ask callers if they need immediate emergency help (911) or only mental health support, and mandates that centers use specific scripts with performance metrics to improve call outcomes. The bill also requires 988 Lifeline centers to provide follow-up resources and surveys after each contact. These provisions directly affect 988 Lifeline centers, crisis counselors, and people contacting the hotline, with annual reports tracking service quality and effectiveness.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 30, 2025 Last action Mar 31, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → House Committee Substitute · 4 edits

MODERATE

The bill was amended from its original version to include an emergency clause and modify the requirements for 988 Lifeline crisis counselors. The original version required counselors to ask if clients were in imminent danger, while the new version requires them to first ask what the crisis is and whether the client needs 911 assistance or just to talk. These changes streamline the initial response process and formally declare the bill an emergency measure to ensure immediate implementation.

Scope change

The bill now includes an emergency clause, allowing it to take effect immediately upon passage rather than waiting for the regular legislative session to conclude.

TIMELINE

Added an emergency clause declaring the bill necessary for immediate public health and safety, allowing it to take effect upon passage.

REQUIREMENT

Changed the initial question 988 crisis counselors must ask from checking if a client is in imminent danger to first asking what the crisis is, then determining if 911 assistance or conversation is needed.

Removed requirements for 988 Lifeline centers to include key performance indicators in their response scripts and to provide surveys to clients after interactions.

Removed the requirement for the department of mental health to prepare an annual report on 988 Lifeline effectiveness, survey results, and link click-through rates.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 31, 2025

Committee

Referred: Rules - Administrative(H)

lower

Mar 11, 2025

Lower · Passed

HCS Reported Do Pass (H) - AYES: 13 NOES: 1 PRESENT: 0

lower

Mar 11, 2025

Lower · Passed

HCS Voted Do Pass (H)

lower

Feb 19, 2025

Committee

Re-referred to Committee: Children and Families(H)

lower

Feb 13, 2025

Committee

Referred: Health and Mental Health(H)

lower

Jan 30, 2025

Introduced

Introduced and Read First Time (H)

lower

1 primary · 1 co-sponsor