SB 871 Missouri Senate · 2026 Regular Session

Modifies the Pregnancy-Associated Mortality Review Board

Summary

SCS/SB 871 - This act modifies the "Pregnancy-Associated Mortality Review Board" within the Department of Health and Senior Services. Under this act, board membership shall include at least one member from each congressional district and membership shall be demographically diverse, including by race, ethnicity, sex, age, and rural and urban populations. Board members are increased from no more than 18 members to no more than 22 members. Additionally, the board shall, in its study and review of maternal deaths, consider the level and timing of prenatal and postnatal care, the presence or absence of maternity care deserts, approaches taken in this state and other states to reduce or eliminate racial inequities in maternal deaths, and the adequacy of data collected by the board. Data reported by the board shall be disaggregated by race, ethnicity, language, nationality, age, zip code, and level and timing of prenatal and postnatal care. This act is substantially similar to provisions in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), the truly agreed to and finally passed SS#2/SB 999 (2026), SB 39 (2025), SCS/SBs 1357 & 888 (2024), and SCS/SBs 579 & 595 (2023). SARAH HASKINS

Bill status in committee 1 of 4 stages cleared

Introduction

Dec 2025

Committee Review

Floor Vote

Governor

Introduced Dec 1, 2025 Last action Feb 3, 2026

Maddy AI version diff · 1 comparison

What changed between versions

4285S.01I - Introduced → Senate Committee Substitute - Committee Version · 3 edits

MINOR

The committee substitute adds a new defined term for 'maternity care deserts' (counties lacking obstetric care infrastructure) and assigns the board a new duty to identify these areas statewide. Annual data reporting is also expanded to require disaggregation by the presence or absence of maternity care deserts, giving the bill a stronger geographic equity focus beyond its original maternal mortality review mandate.

Scope change

The bill's scope was broadened from a purely maternal mortality review and data collection framework to also include identification and tracking of geographic gaps in maternity care access (maternity care deserts), adding a spatial equity dimension to the board's work.

DEFINITION

A new definition for 'maternity care deserts' was added: counties where access to maternity care is limited or absent due to lack of services or barriers to access, specifically including any county without a hospital or birth center offering obstetric care and without any obstetric clinicians.

REQUIREMENT

A new board duty (subsection 5(3)) was added requiring the board to identify maternity care deserts throughout the state. All subsequent duty numbers were renumbered accordingly.

The annual report data disaggregation requirements in section 7(1) were expanded to include 'the presence or absence of maternity care deserts' as an additional category alongside race, ethnicity, language, nationality, age, zip code, and level/timing of prenatal and postnatal care.

Floor votes

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 3, 2026

Upper · Passed

SCS Voted Do Pass S Progress and Development Committee (4285S.02C)

upper

Jan 13, 2026

Upper · Passed

Hearing Conducted S Progress and Development Committee

upper

Dec 1, 2025

Introduced

Prefiled

upper

1 primary · 0 co-sponsors