HB 622 Missouri House · 2025 Regular Session

Modifies provisions relating to community paramedic services

HB 622 modifies rules for community paramedic services, which provide non-urgent healthcare outside emergency 911 systems. It requires paramedics to hold department certification (after completing approved training) and mandates that service entities (like clinics or clinics) get department approval to operate. Key provisions include requiring written agreements between ambulance services when providing care across service areas, ensuring medical director oversight of care plans, and requiring documentation of services. The bill directly affects paramedics, healthcare entities offering community paramedic services, and patients receiving non-emergency care.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2024
Committee Review
Floor Vote
Governor
Introduced Dec 18, 2024 Last action Mar 27, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced House Committee Substitute · 3 edits
MINOR
The bill was revised from an introduced version to a House Committee Substitute version, primarily adding new numbered sections and renumbering existing provisions. The changes reorganize the structure of the community paramedic regulations by adding new numbered items and renumbering the original sections, while also updating the bill's classification from 'Introduced' to 'House Committee Substitute' with a new Chief Clerk name.
Scope change
The scope of the bill remains focused on community paramedic regulations, but the internal structure has been reorganized with new numbering and additional provisions added.
TECHNICAL

Bill classification changed from 'Introduced' to 'House Committee Substitute' with updated Chief Clerk name from Dana Rademan Miller to Joseph Engler.

Existing section numbers were renumbered throughout the document to accommodate the new structure, with some sections now appearing in brackets to indicate they are part of the reorganization.

REQUIREMENT

Added new numbered sections (3 through 8) that reorganize and expand the community paramedic requirements, including provisions for ambulance service contracts and rulemaking authority.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
9
Key actions
2
Committee
4
Mar 27, 2025
Committee
Referred: Rules - Administrative(H)
lower
Mar 6, 2025
Lower · Passed
HCS Reported Do Pass (H) - AYES: 13 NOES: 0 PRESENT: 0
lower
Mar 5, 2025
Lower · Passed
HCS Voted Do Pass (H)
lower
Jan 30, 2025
Committee
Referred: Local Government(H)
lower
Dec 18, 2024
Introduced
Prefiled (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Bennie Cook
Bennie Cook
RRepublican
MO
143