Establishes the "Missouri Environmental Exposure Early Cancer Detection Act"

HB 3528 creates Missouri's "Environmental Exposure Early Cancer Detection Act," establishing a state-funded pilot program to screen at-risk populations for cancer using an advanced blood test (liquid biopsy) before symptoms appear. It directly affects individuals living, working, or attending school in areas with documented environmental carcinogen exposure (like near Coldwater Creek or Weldon Spring) and prioritizes first responders, especially firefighters. The program requires the Department of Health to partner with qualified health systems to offer free, voluntary screenings with geographic and economic access, funded through state appropriations and federal grants. The bill mandates annual public reports on participation, cancer detection rates, and equity outcomes, and creates an advisory council to oversee implementation and ensure equitable access.