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Missouri Congressional Bills

Browse federal bills sponsored by your state's delegation.

State Legislature US Congress
All 5,862 Active 16 In committee 5,270 Passed 546 Signed 91 Failed 12

Bill results

in committee · Missouri · House Sep 18, 2025

HR 5467: PAAT Act

This bill (HR 5467, the PAAT Act) requires Medicare Part D plans to cover specific drugs treating autoimmune diseases, hemophilia, and Von Willebrand disease starting in 2027. It directly affects Medicare beneficiaries with these conditions by mandating plan coverage for relevant medications. Key provisions include requiring plans to include all covered drugs for these conditions and prohibiting prior authorization for such drugs more than once per year, unless the drug is short-term, a controlled substance, or has a risk management strategy. The law aims to reduce coverage barriers for these treatments without altering drug approval or pricing.
Topics ✓ HealthcareSupports HealthcareMandates Medicare Part D coverage for specific autoimmune/hemophilia drugs, prohibits excessive prior authorization, improving patient access to critical treatments.95% confidence
Julie Johnson (D) · 5 co-sponsors
in committee · Missouri · House Sep 18, 2025

HR 5475: No Tax on Overtime for All Workers Act

This bill amends the federal tax code to exclude certain overtime pay from taxable income. It directly affects workers who earn overtime under the Fair Labor Standards Act (FLSA) or through specific employer-employee agreements meeting defined conditions (like exceeding 40 hours per week or railway work standards). The key provision defines "qualified overtime compensation" to exclude this pay from federal income tax calculations. The change applies to tax returns filed for 2025 and later. This creates a concrete tax exemption for qualifying overtime earnings.
Topics ✓ Budget & TaxesSupports Budget & TaxesExcludes overtime pay from taxable income, providing tax relief to middle-income workers earning overtime under FLSA.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExcludes overtime pay from federal income tax, increasing workers' net compensation without altering wage rates or FLSA protections.95% confidence
Nicole Malliotakis (R) · 57 co-sponsors
in committee · Missouri · House Sep 18, 2025

HR 5469: SHINE for Autumn Act of 2025

This bill allocates $5 million annually (2026-2030) to states for collecting de-identified stillbirth data through existing health systems, including risk factor analysis. It also provides $1 million yearly to develop standardized guidelines for healthcare providers and public educational materials about stillbirths, requiring consultation with medical professionals, bereavement organizations, and affected families. The bill mandates that all data collection complies with privacy laws and requires the Department of Health and Human Services to publish a public report on stillbirth guidelines within five years. It directly affects state health departments, healthcare providers, and families experiencing stillbirth by improving data quality and access to resources.
Topics ✓ HealthcareSupports HealthcareAllocates $5M for stillbirth data collection and $1M for provider guidelines/education, advancing public health initiatives and improving healthcare services for affected families.95% confidence ✓ TechnologySupports TechnologyMandates compliance with privacy laws for de-identified data collection, aligning with data privacy protections in technology policy.85% confidence
Young Kim (R) · 105 co-sponsors
in committee · Missouri · House Sep 18, 2025

HR 5486: Tyler Clementi Higher Education Anti-Harassment Act of 2025

The Tyler Clementi Higher Education Anti-Harassment Act of 2025 requires U.S. colleges and universities participating in federal financial aid programs to create and distribute clear anti-harassment policies covering harassment based on race, color, national origin, sex (including sexual orientation and gender identity), disability, or religion. These policies must explicitly prohibit harassment in all settings - including online, on campus, off-campus housing, and during school-sponsored activities - and outline reporting procedures and support services for victims. The bill also establishes a $50 million annual grant program to fund schools developing prevention programs, victim support services, or staff/student training on recognizing and addressing harassment. Grants are competitive, require annual reporting on effectiveness, and must be used to improve existing efforts without replacing existing civil rights laws like Title IX.
Topics ✓ EducationSupports EducationMandates anti-harassment policies in higher education to protect students and staff from discrimination, enhancing educational access and safety in schools.95% confidence
Mark Pocan (D) · 170 co-sponsors
in committee · Missouri · House Sep 18, 2025

HR 5461: Special Diabetes Program Reauthorization Act of 2025

This bill reauthorizes federal funding for diabetes programs targeting Type 1 diabetes. It extends annual funding of $160 million for fiscal years 2026 through 2030, continuing existing support for research, treatment, and prevention initiatives. The funds remain available until expended, directly supporting programs serving people with Type 1 diabetes and the organizations delivering these services. The bill makes no changes to program eligibility or structure, only extending current funding levels.
Topics ✓ Budget & TaxesSupports Budget & TaxesBill extends $160M annual funding for diabetes programs (2026-2030), reauthorizing existing support for essential health services. Aligns with 'funds essential programs' indicator.90% confidence ✓ HealthcareSupports HealthcareExtends $160M annual funding for Type 1 diabetes programs, continuing research, treatment, and prevention initiatives without cuts or restrictions.95% confidence
Diana DeGette (D) · 49 co-sponsors
in committee · Missouri · House Sep 18, 2025

HR 5463: Choice Arrangement

The Choice Arrangement Act creates a new type of employer-provided health benefit called a "CHOICE arrangement" that allows employees to use employer funds to pay for health care expenses. These arrangements must meet specific requirements including nondiscrimination rules, enrollment verification, and proper notice to employees. Employers offering CHOICE arrangements can claim a tax credit of $100 per month for the first year and $50 per month for the second year for each employee enrolled. Employees in CHOICE arrangements remain eligible to purchase health insurance through the marketplace. The changes apply to plan years beginning after December 31, 2025.
Topics ✓ Budget & TaxesSupports Budget & TaxesProvides employer tax credits ($100/$50 monthly) as fiscal incentive for health benefit provision, aligning with tax relief indicators.95% confidence ✓ HealthcareSupports HealthcareCreates employer-based health benefit with tax credits, expanding coverage options and incentivizing employer provision of healthcare benefits.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentCreates new employer health benefit (CHOICE arrangement) with tax credits, expanding worker healthcare access and options under employment standards.90% confidence
Kevin Hern (R) · 11 co-sponsors
in committee · Missouri · House Sep 18, 2025

HR 5449: Redistricting Reform Act of 2025

The Redistricting Reform Act of 2025 requires states to use independent redistricting commissions for congressional redistricting, banning partisan gerrymandering and requiring plans to comply with constitutional and Voting Rights Act standards. The bill establishes ranked criteria for redistricting, prioritizing population equality, voting rights protections, and community preservation over partisan advantage. It mandates multi-partisan commission composition with public input and transparency requirements, with states facing court-developed plans if they miss deadlines. The law would apply to redistricting after the 2030 census, affecting all 50 states' congressional district maps.
Zoe Lofgren (D) · 60 co-sponsors
in committee · Missouri · House Sep 18, 2025

HR 5483: Chloe Cole Act

HR 5483, the Chloe Cole Act, prohibits health care professionals, hospitals, or clinics from providing certain gender-affirming treatments to minors under 18 that aim to alter their body to align with a gender identity different from their sex assigned at birth. This includes puberty blockers, sex hormones, and specific surgeries, unless the treatment falls under narrow exceptions like medically necessary care for disorders of sexual development, injuries, or detransition. The bill creates a private right for affected minors or their guardians to sue providers for damages in federal court, with strict liability for violations. It applies when interstate commerce is involved (e.g., payments, travel, communications) and sets a 25-year statute of limitations from the minor’s 18th birthday.
Topics ✗ HealthcareOpposes HealthcareRestricts access to gender-affirming healthcare for minors, limiting medical services for transgender youth under narrow exceptions95% confidence
Robert F. Onder, Jr. (R) · 44 co-sponsors
in committee · Missouri · Senate Sep 17, 2025

SJRES 79: A joint resolution honoring the sacrifice of Marine Corps Lance Corporal David L. Espinoza, Marine Corps Sergeant Nicole L. Gee, Marine Corps Staff Sergeant Darin Taylor Hoover, Army Staff Sergeant Ryan Christian Knauss, Marine Corps Corporal Hunter Lopez, Marine Corps Lance Corporal Rylee J. McCollum, Marine Corps Lance Corporal Dylan R. Merola, Marine Corps Lance Corporal Kareem M. Nikoui, Marine Corps Corporal Daegan W. Page, Marine Corps Sergeant Johanny Rosario, Marine Corps Corporal Humberto A. Sanchez, Marine Corps Lance Corporal Jared M. Schmitz, and Navy Petty Officer Third Class Maxton W. Soviak.

This bill designates a National Day of Remembrance for 13 U.S. service members who died in the Abbey Gate bombing at Kabul's airport on August 26, 2021. It also expresses the nation's deepest condolences to their families and commemorates their service during the Afghanistan withdrawal. As a commemorative resolution, it has no policy or funding impact but formally honors these individuals' sacrifice through a designated day of remembrance.
Topics ✓ VeteransSupports VeteransBill designates National Day of Remembrance for fallen service members, explicitly honoring sacrifice and commemorating service, directly aligning with veteran recognition policies.95% confidence
Markwayne Mullin (R) · 20 co-sponsors
in committee · Missouri · House Sep 17, 2025

HJRES 123: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".

HJRES 123 is a congressional disapproval resolution targeting a specific rule by the Centers for Medicare & Medicaid Services (CMS). It seeks to nullify CMS's June 2025 rule titled "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability," which was published in the Federal Register (90 Fed. Reg. 27074). If passed, the resolution would block this rule from taking effect under procedures outlined in Title 5, U.S. Code. The bill directly affects the CMS regulation governing the Affordable Care Act's health insurance marketplace, not the broader law itself.
Topics ✗ HealthcareOpposes HealthcareBill targets disapproval of CMS rule under ACA addressing marketplace affordability, directly opposing healthcare coverage expansion provisions of the rule.95% confidence
Emilia Strong Sykes (D) · 35 co-sponsors
in committee · Missouri · House Sep 17, 2025

HJRES 122: Proposing an amendment to the Constitution of the United States relating to the authority of Congress and the States to regulate contributions and expenditures intended to affect elections and to enact public financing systems for political campaigns.

HJRES 122 proposes a constitutional amendment that would grant Congress and states explicit authority to regulate campaign contributions and spending intended to influence elections. It would allow for reasonable, viewpoint-neutral limits on how much money candidates and others can raise or spend, as well as enable public financing systems to reduce private wealth's influence in campaigns. The amendment would permit distinguishing between individuals and corporations in campaign finance rules, potentially banning corporate spending to influence elections. It explicitly states this amendment would not affect the freedom of the press.
Joe Neguse (D) · 110 co-sponsors
in committee · Missouri · House Sep 17, 2025

HRES 729: Expressing support for and honoring September 17, 2025, as "Constitution Day".

HRES 729 is a symbolic resolution designating September 17, 2025, as "Constitution Day" to honor the 250th anniversary of the U.S. Constitution's signing (September 17, 1787). It does not create new laws or affect any specific group; instead, it urges the American public to observe the day with ceremonies and activities. The resolution emphasizes the Constitution's historical significance and its role in establishing American democracy. As a commemorative measure, it has no binding effect on policy or governance.
Robert B. Aderholt (R) · 50 co-sponsors
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