HB 2658 creates a state "no-call database" allowing Missouri residential phone subscribers to opt out of unsolicited telemarketing calls at no cost. It requires telemarketers to check both the FCC's reassigned number database and the state database before calling, and prohibits "call spoofing" (faking caller ID to defraud or harass). The law also mandates that telemarketers clearly identify themselves at the start of calls and blocks efforts to circumvent caller ID services. This directly affects residential subscribers (who can join the database) and telemarketers (who must comply with the rules and database checks).
HB 3113 requires public buildings to store naloxone (an overdose reversal medication) in first aid kits and near defibrillators, and to inform occupants of its location and emergency procedures. It designates April as "Fentanyl Poisoning Awareness Month" and mandates school districts to establish drug-free advisory committees with community input, implement grade 6-12 fentanyl education, and develop prevention programs for students. The bill also directs law enforcement to investigate all drug-related deaths as homicide crime scenes, regardless of criminal charges, and to collaborate with schools on drug trafficking prevention in school zones. These provisions directly affect public buildings, school districts, and law enforcement agencies across Missouri.
SB 1608 would create a state tax credit for individuals or businesses that donate to specific youth-focused police programs. The bill directly affects taxpayers who contribute to qualifying initiatives, such as community policing outreach or youth engagement programs run by law enforcement. It does not describe specific qualifying programs, credit amounts, or eligibility rules in the provided abstract. As the bill is only at its first reading (2026-01-29), no further details about implementation or scope are available in the current context.
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.
SB 1024 limits initial opioid prescriptions for acute pain to a seven-day supply, requiring doctors to discuss risks and non-opioid alternatives with patients before prescribing. It sets supply limits (30 days for stronger opioids, 90 days for others) and protects pharmacists who follow these rules. The bill applies to most patients but excludes those receiving cancer treatment, hospice care, long-term facility care, or substance abuse treatment. Key provisions aim to reduce opioid overprescribing while ensuring access for specific medical needs.
SB 1069 limits the purchase and sale of drugs containing ephedrine, phenylpropanolamine, or pseudoephedrine (common methamphetamine precursors) by setting strict daily, monthly, and annual purchase caps. It prohibits selling or buying more than 3.6 grams in 24 hours, 7.2 grams in 30 days, or 61.2 grams in a year to a single person, regardless of transaction count. Pharmacies must sell these products behind counters, maintain sales records accessible to law enforcement, and manufacturers must pay fees starting in 2026 for a real-time tracking system. The law preempts local regulations requiring prescriptions for these products within the set limits.
SB 888 modifies Missouri's juvenile justice system by changing when minors aged 12-18 can be transferred to adult court for serious offenses. It mandates hearings (and allows discretion for other felonies) for youth accused of specific crimes like murder, violent assault, drug trafficking, or two prior felonies, while automatically transferring 18-21-year-olds to adult court. The bill requires courts to consider factors like offense severity, victim impact, rehabilitation potential, and racial disparity before transferring cases, and prohibits using age misrepresentation to avoid legal consequences. Written reports detailing these criteria must accompany transfer decisions, and prosecutors gain access to relevant case records during the process. This affects youth facing serious charges who may lose juvenile court protections for certain offenses.
SB 861 - Under this act, and unless clearly and specifically stated otherwise, the term "reproductive health care", as used in the laws and regulations of this state, shall not be construed to include gender transition surgeries or the use of cross-sex hormones or puberty-blocking drugs for the purpose of gender transition for minor children or adults. This provision is identical to SB 26 (2025), SB 1459 (2024), and HB 2830 (2024). Currently, the prohibition on the prescription or administration of cross-sex hormones or puberty-blocking drugs for the purpose of a gender transition for persons under 18 years of age expires on August 28, 2027. This act removes that expiration date. This provision is identical to provisions in SB 1264 (2026), SB 26 (2025), HCS#2/SS#2/SCS/SB 10 (2025), SB 249 (2025), SB 493 (2025), SB 1185 (2024), SB 726 (2024), and SB 776 (2024), substantially similar to HCS/HBs 2033, 1608, 1672, & 1854 (2026), SB 1200 (2026), SB 75 (2025), and similar to provisions in HCS/HBs 1520, 1519, 2355, and 2357 (2024). SARAH HASKINS
HB 2207 establishes Missouri's "Electric Choice and Competition Law," shifting the state's electricity market from a monopoly structure to one allowing customers to choose their electricity supplier. It requires electric utilities to provide open access to their transmission and distribution systems, enabling retail electric suppliers to sell directly to customers. Starting 24 months after August 28, 2026, commercial and industrial customers (those with higher energy use) will gain the ability to select a supplier, while residential customers will receive default supply service if they do not choose an alternative. The bill also standardizes billing (requiring either "dual bills" or "supplier consolidated bills") and creates mechanisms like a "competitive transition charge" to recover legacy costs from the monopoly era over time.
HB 2233 establishes a framework for competitive electricity markets in Missouri, allowing residential and commercial customers to choose their electricity supplier starting 24 months after August 28, 2026. It directly affects residential customers, small/medium/large commercial businesses (defined by peak load), and investor-owned electric utilities, requiring utilities to provide open access to their transmission and distribution systems. Key provisions include creating "default supply service" for customers who don’t choose a new provider, mandating rate unbundling (separating supply and delivery costs), and implementing a "competitive transition charge" to recover legacy costs over time. The bill does not apply to municipal utilities or rural cooperatives unless they voluntarily opt into the competitive market.
HB 1667, the "Born-Alive Abortion Survivors Protection Act," requires healthcare providers at abortion facilities to provide immediate medical care to any child born alive during or after an abortion, treating them as they would any other newborn. Providers must use standard medical care to preserve the child's life and arrange hospital admission, with failure to report violations carrying criminal penalties (up to 5 years in prison or $10,000 fines). The bill also establishes civil liability for providers who fail to provide care, for actions causing death of a born-alive child, or for performing unlawful abortions, allowing lawsuits for injury or death with damages including loss of companionship. It explicitly states that consent to an abortion cannot be used as a defense in such cases.
SB 1103 (Missouri Senate Bill 1103) creates a new legal provision requiring courts to automatically issue lifetime protection orders at sentencing for defendants convicted of dangerous felonies (as defined in Section 556.061). These orders immediately restrict contact between the defendant and the victim and remain in effect for the defendant's lifetime unless the victim dies, the conviction is overturned, or the victim submits a written request for termination. The bill mandates that law enforcement agencies enter these orders into Missouri's MULES system within 24 hours and forward them to national databases (NCIC/NICS), including any child custody details specified in the order. This directly affects victims of dangerous felony convictions, convicted defendants, and law enforcement agencies responsible for implementing the orders.
