SB 7 Missouri Senate · 2025 Regular Session

Modifies provisions relating to health care

This bill modifies state law concerning how local governments handle properties deemed nuisances. It repeals a provision that allowed cities and counties to require insurance companies to withhold up to 25% of certain insurance payouts for damaged buildings. Previously, these withheld funds could be held by the local government as security for the demolition, repair, or cleanup of properties declared nuisances. With this change, local ordinances will no longer have the authority to mandate insurers to set aside a portion of these insurance proceeds for such purposes.

Bill status passed both 4 of 5 stages cleared

Introduction

Dec 2024

Committee Review

Apr 2025

Senate Passage

Feb 2025

House Passage

Apr 2025

Governor

Introduced Dec 1, 2024 Last action May 14, 2025

Maddy AI version diff · 1 comparison

What changed between versions

House Committee Substitute → Perfected · 5 edits

MODERATE

The bill was significantly revised from a broad healthcare repeal and enactment affecting 58 sections to a focused emergency medical services bill repealing only 3 sections and enacting 7 new ones. The changes shift the bill's focus from general hospital and healthcare regulations to specific requirements for ambulance district governance and licensing.

Scope change

The bill's scope narrowed substantially from covering 58 sections across multiple healthcare topics to focusing exclusively on emergency medical services and ambulance districts.

SCOPE

Removed repeal of 55 sections related to general hospital operations, investments, and healthcare activities that were previously included in the bill.

Changed the bill's stated purpose from broad healthcare regulation to specifically relating to emergency medical services.

REQUIREMENT

Added mandatory training requirements for ambulance district board members, including initial educational seminars and three hours of continuing education per term.

Added requirement for ambulance districts to arrange audits of their records and accounts every three years by a certified public accountant.

ENFORCEMENT

Added consequences for board members who fail to complete training, including loss of compensation, ineligibility for reelection, and immediate disqualification from office.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 5, 2025

Introduced

S refuses to concur in HCS, as amended and requests H recede or grant conference

upper

Apr 29, 2025

Lower · Passed

H Third Read and Passed

lower

Apr 29, 2025

Lower · Passed

HCS, as amended, H adopted

lower

Apr 29, 2025

Lower · Passed

HA 13 to HCS H offered & adopted (Stinnett)--(0565H04.39H)

lower

Apr 29, 2025

Lower · Passed

HA 11 to HCS, as amended, H adopted --(0565H04.45H)

lower

Apr 29, 2025

Lower · Passed

HA 1 to HA 11 to HCS H offered & adopted (Collins)--(0565H04.55H)

lower

Apr 29, 2025

Lower · Passed

HA 10 to HCS H offered & adopted (Hinman)--(0565H04.31H)

lower

Apr 29, 2025

Lower · Passed

HA 9 to HCS H offered & adopted (Sassmann)--(0565H04.32H)

lower

Apr 29, 2025

Lower · Passed

HA 8 to HCS H offered & adopted (Farnan)--(0565H04.35H)

lower

Apr 29, 2025

Lower · Passed

HA 7 to HCS H offered & adopted (Shields)--(0565H04.44H)

lower

Apr 29, 2025

Lower · Passed

HA 6 to HCS H offered & adopted (Mayhew)--(0565H04.20H)

lower

Apr 29, 2025

Lower · Passed

HA 4 to HCS H offered & adopted (Peters)--(0565H04.40H)

lower

Apr 29, 2025

Lower · Passed

HA 3 to HCS H offered & adopted (Stinnett)--(0565H04.29H)

lower

Apr 29, 2025

Lower · Passed

HA 2 to HCS H offered & adopted (Phelps)--(0565H04.22H)

lower

Apr 29, 2025

Lower · Passed

HA 1 to HCS H offered & adopted (Murphy)--(0565H04.37H)

lower

Apr 28, 2025

Lower · Passed

Reported Do Pass H Fiscal Review

lower

Apr 28, 2025

Lower · Passed

Voted Do Pass H Fiscal Review

lower

Apr 17, 2025

Committee

Referred H Fiscal Review Committee

lower

Apr 16, 2025

Lower · Passed

Reported Do Pass H Rules - Administrative

lower

Apr 16, 2025

Lower · Passed

Voted Do Pass H Rules - Administrative

lower

Apr 10, 2025

Committee

Referred H Rules - Administrative

lower

Apr 3, 2025

Lower · Passed

HCS Reported Do Pass H Health and Mental Health

lower

Apr 2, 2025

Lower · Passed

HCS Voted Do Pass H Health and Mental Health

lower

Feb 27, 2025

Committee

Referred H Health and Mental Health

lower

Feb 6, 2025

Upper · Passed

S Third Read and Passed

upper

Feb 5, 2025

Upper · Passed

Reported Truly Perfected S Rules, Joint Rules, Resolutions and Ethics Committee

upper

Feb 5, 2025

Upper · Passed

SS, as amended, S adopted

upper

Feb 5, 2025

Upper · Passed

SA 3 to SS S offered & adopted (McCreery)--(0565S02.09S)

upper

Feb 5, 2025

Upper · Passed

SA 1 to SS S offered & adopted (Carter)--(0565S02.02S)

upper

Feb 4, 2025

Upper · Passed

Reported from S Emerging Issues and Professional Registration Committee

upper

Feb 4, 2025

Upper · Passed

Voted Do Pass S Emerging Issues and Professional Registration Committee

upper

Jan 28, 2025

Upper · Passed

Hearing Conducted S Emerging Issues and Professional Registration Committee

upper

Dec 1, 2024

Introduced

Prefiled

upper

1 primary · 0 co-sponsors