HB 943 Missouri House · 2025 Regular Session

Modifies provisions relating to health care

HB 943 modifies Missouri's health care laws by establishing new requirements for ambulance district boards and community paramedic services. It mandates that ambulance district board members complete initial training within 12 months of taking office (covering state laws, ethics, and financial duties) and three hours of continuing education per term, with consequences including loss of pay and ineligibility for re-election if requirements are unmet. The bill also requires ambulance districts to undergo public financial audits by certified accountants every three years, with results posted online. Additionally, it defines community paramedic services and sets certification standards for providers, including scope of practice and medical director oversight.

Issues: ✓ Healthcare

Sub-Topics: Healthcare Workforce Medical Licensing

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

May 2025

House Passage

Mar 2025

Senate Passage

Governor

Introduced Jan 16, 2025 Last action May 5, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

House Committee Substitute → Perfected · 4 edits

MODERATE

The bill was amended to update the list of repealed and enacted sections to reflect changes made during the legislative process. The number of repealed sections increased from 15 to 17, and the number of new sections enacted increased from 22 to 26. The bill title was also updated to indicate it is now 'perfected' rather than just a committee substitute.

Scope change

The bill's scope expanded by adding two additional repealed sections (190.800 and 191.227) and four additional new sections to the list, indicating the legislative body added or modified provisions related to health care.

TECHNICAL

Updated the bill header to change the status from 'House Committee Substitute' to 'Perfected', indicating the bill has passed all committee stages and is ready for final action.

Updated the Chief Clerk's identifier from '2192H.03C' to '2192H.03P' to reflect the perfected status of the bill.

SCOPE

Increased the number of repealed sections from 15 to 17 by adding sections 190.800 and 191.227 to the list of sections being removed from the state code.

Increased the number of new sections enacted from 22 to 26, meaning four additional health care-related provisions were added to the bill during the legislative process.

Floor votes · House Mar 5, 2025

How they voted

125–30

Passed · 7 other

Total votes 162

Mar 5, 2025

D Democratic52

48 Yea 1 Nay 3

92% Yea

R Republican110

77 Yea 29 Nay 4

70% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 5, 2025

Upper · Passed

SCS Voted Do Pass (S)

upper

Mar 13, 2025

Committee

Second read and referred: Families, Seniors and Health(S)

upper

Mar 5, 2025

Lower · Passed

Third Read and Passed (H) - AYES: 125 NOES: 30 PRESENT: 0

lower

Mar 4, 2025

Lower · Passed

Reported Do Pass (H) - AYES: 7 NOES: 0 PRESENT: 0

lower

Mar 4, 2025

Lower · Passed

Voted Do Pass (H)

lower

Feb 27, 2025

Committee

Referred: Fiscal Review(H)

lower

Feb 26, 2025

Lower · Passed

Perfected with Amendments (H) - HA 1, adopted.

lower

Feb 26, 2025

Lower · Passed

HCS Adopted (H)

lower

Feb 20, 2025

Lower · Passed

Reported Do Pass (H) - AYES: 10 NOES: 0 PRESENT: 0

lower

Feb 20, 2025

Lower · Passed

Voted Do Pass (H)

lower

Feb 6, 2025

Committee

Referred: Rules - Legislative(H)

lower

Feb 5, 2025

Lower · Passed

HCS Reported Do Pass (H) - AYES: 17 NOES: 0 PRESENT: 0

lower

Feb 4, 2025

Lower · Passed

HCS Voted Do Pass (H)

lower

Jan 22, 2025

Committee

Referred: Health and Mental Health(H)

lower

Jan 16, 2025

Introduced

Introduced and Read First Time (H)

lower

1 primary · 2 co-sponsors