Modifies the offense of abuse of elderly, disabled, or vulnerable persons
SB 910 requires long-term care facilities to maintain either $1 million in liability insurance or a segregated $1 million reserve account to cover resident abuse, neglect, or wrongful death claims. It mandates the state health department to post facility survey results, deficiencies, and a visible "abuse icon" for facilities with verified abuse findings (displayed for 36 months). The bill also requires investigations of resident harm complaints within 30 days and updates license revocation rules for facilities failing to meet safety standards or having felony convictions related to care. These provisions directly affect all Missouri-licensed long-term care facilities and their residents.
Bill status
in committee
1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025
Last action Apr 8, 2026
Maddy AI version diff · 1 comparison
What changed between versions
5155S.01I - Introduced
→
Senate Committee Substitute - Committee Version
·
5 edits
MODERATE
The bill was significantly rewritten to focus exclusively on criminal penalties for abuse, removing the original provisions regarding insurance requirements and license revocation for long-term care facilities. The new version defines specific acts of abuse against elderly, disabled, or vulnerable persons and elevates the offense from a misdemeanor to a felony, while clarifying that relying on prayer does not constitute abuse.
Scope change
The bill's scope narrowed from regulating facility operations (insurance and licensing) to solely addressing criminal liability for individuals who commit abuse.
REQUIREMENT
All provisions requiring long-term care facilities to maintain liability insurance or reserve accounts were deleted.
ENFORCEMENT
Sections detailing when the state can revoke a facility's license and the specific procedures for notifying operators were removed.
The penalty for abusing an elderly, disabled, or vulnerable person was changed from a class A misdemeanor to a class E felony.
DEFINITION
A new definition was added to clarify that 'grave risk' means immediate, serious, or life-threatening situations with a high likelihood of death or severe injury.
The bill now explicitly states that choosing to rely on spiritual means or prayer instead of medical care is not considered abuse.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
5
Key actions
2
Committee
2
Apr 8, 2026
Upper · Passed
SCS Voted Do Pass S General Laws Committee (5155S.03C)
upper
Mar 4, 2026
Upper · Passed
Hearing Conducted S General Laws Committee
upper
Dec 1, 2025
Introduced
Prefiled
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Adam Schnelting
RRepublican
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