SB 1423 Missouri Senate · 2026 Regular Session

Modifies provisions relating to the licensure of physicians

This bill (SB 1423) is titled "Modifies provisions relating to health care providers" but lacks specific details in its official abstract. The bill has only been prefaced (Dec 2025) and received its first reading (Jan 2026), meaning it is in very early stages of consideration with no substantive provisions described. Without additional information on the specific changes to health care provider regulations, we cannot identify who it affects or describe key mechanisms. A complete summary cannot be provided at this time due to insufficient detail in the available context.

Bill status in committee 1 of 4 stages cleared

Introduction

Dec 2025

Committee Review

Floor Vote

Governor

Introduced Dec 10, 2025 Last action Mar 10, 2026

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What changed between versions

5640S.01I - Introduced → Senate Committee Substitute - Committee Version · 4 edits

MODERATE

The Senate Committee Substitute dramatically narrowed the scope of SB 1423 from a comprehensive bill repealing and reenacting six sections (covering controlled substances definitions, registration, prescribing authority, physician licensure, postgraduate training requirements, and hospital pharmacy regulation) down to a single section addressing only physician licensure requirements. The remaining provision on physician licensure is substantively similar to the introduced version but reorganizes the medical education credential requirement into an explicit either/or structure (accredited school diploma or ECFMG certificate).

SCOPE

Removed all provisions repealing and reenacting sections 195.010, 195.030, and 195.070, which covered controlled substance definitions, registration requirements, and prescribing authority for health care providers.

Removed the repeal and reenactment of section 334.035, which addressed postgraduate training requirements for physician licensure, including provisions about unaccredited training in subspecialties and waivers for out-of-state physicians with three or more years in good standing.

Removed the repeal and reenactment of section 338.165, which governed hospital pharmacy services, including rulemaking authority between the department of health and senior services and the board of pharmacy, medication therapy services protocols, and an advisory committee for joint rules.

REQUIREMENT

Reorganized the physician licensure credential requirement in section 334.031 subsection 1 from a single paragraph listing diploma or ECFMG certificate into an explicit either/or structure with two distinct options (a diploma and transcripts from an accredited school, or a valid ECFMG certificate), making the alternative pathways clearer.

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Full legislative history

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Key actions

Committee

Mar 10, 2026

Upper · Passed

SCS Voted Do Pass S Emerging Issues and Professional Registration Committee (5640S.02C)

upper

Feb 17, 2026

Upper · Passed

Hearing Conducted S Emerging Issues and Professional Registration Committee

upper

Dec 10, 2025

Introduced

Prefiled

upper

1 primary · 0 co-sponsors