HB 3486 designates a specific stretch of highway in Jefferson County (from I-44 to CRD Plattin Road) as the "Army PFC Gary Prather Memorial Highway." The bill directs the Missouri Department of Transportation to install and maintain signage for this memorial route, with all associated costs covered by the department. This is a naming resolution honoring Army PFC Gary Prather, directly affecting the designated highway corridor and its users. The measure has no substantive policy changes beyond the official naming and signage.
HB 3505 modifies how the state board of mediation is structured and appointed. It requires the governor to appoint five members: two representing employers or employer associations, two representing employees or labor unions, and one neutral member who serves as chair. The bill specifies initial appointment terms (one, two, and three years) and mandates annual chair elections starting in 2027, with vacancies filled by appointments matching the predecessor's qualifications. This directly affects labor, employer groups, and the state's mediation process by changing board composition and leadership selection. The bill was introduced in February 2026 and remains pending.
HB 3494 modifies election administration rules for specific large counties and cities by requiring certain jurisdictions to establish boards of election commissioners instead of having county clerks manage elections. It applies to counties with over 900,000 residents, cities not in counties, and counties containing cities over 300,000 residents, with a transition provision for counties changing classification after 1998. The bill changes the administrative structure for election management in these areas without altering voting policies or procedures.
HB 3461 modifies Missouri's program providing free public college tuition for public safety personnel. It expands eligibility to include police officers, firefighters, EMTs, paramedics, crime laboratory technicians, and telecommunicator first responders who have at least six years of service and hold current licenses/certificates for their roles. To qualify, applicants must pursue specific eligible fields (like criminal justice for police or fire science for firefighters), meet all college admission requirements, not already hold a bachelor's degree, and apply for other federal/state financial aid first. The benefit covers only tuition and mandatory fees (not room, board, or books) and lasts up to five years for eligible individuals or their legal dependents.
HB 3477 removes annual spending limits on the "Champion for Children Tax Credit," which allows taxpayers to claim a credit for donations to qualifying child advocacy organizations (CASA, child advocacy centers, or crisis care centers). Previously, the program had cumulative caps limiting total credits issued each fiscal year ($1 million through 2019, $1.5 million through 2025, and $2.5 million through 2027). The bill eliminates these caps, enabling taxpayers to claim the credit without those annual restrictions. This change directly affects taxpayers donating to eligible child advocacy groups, making the tax credit more accessible without spending limits. The credit remains limited to 50% (or 70% after 2024) of verified contributions, with a $50 minimum and $50,000 annual maximum per taxpayer.
HB 3463 limits the total length of trains operated by railroads on public main tracks or branch lines to 8,500 feet. This directly affects railroad companies operating within the state, requiring them to comply with the new length restriction. The bill grants the Department of Transportation authority to create specific rules for measuring train lengths, granting exemptions for certain routes, and imposing penalties for violations. These rules must follow state administrative procedures and will take effect only after meeting legal requirements.
HB 3497, the "Death with Dignity Act," allows terminally ill adults (with a disease expected to cause death within six months) to legally request medication to end their lives. It requires two physicians to confirm the diagnosis and patient competence, mandates counseling to assess decision-making, and requires a written request witnessed by two non-relatives who aren't beneficiaries or facility staff. Patients must be fully informed about their diagnosis, prognosis, risks, and alternatives like hospice care before proceeding. The bill includes a 15-day waiting period and requires the patient to self-administer the medication, emphasizing informed, voluntary decisions without coercion.
HB 3474 modifies a fire protection district's authority to charge service fees for emergency responses. It allows districts to charge businesses or individuals residing outside the district (but receiving services within district boundaries) for fire or emergency responses, with specific limits: $100 per fire call or alarm, and $250 per hour (or proportional for quarters) for response time. Residents within the district and businesses with physical addresses inside the district are exempt from these fees. The bill sets clear, capped cost recovery rules for districts to cover actual response expenses.
HB 3450 requires health insurance plans sold in the state to cover specific preventive health services without cost-sharing (like copays or deductibles) starting January 1, 2026. It mandates coverage for services rated A or B by the U.S. Preventive Services Task Force, CDC-recommended vaccinations, and other preventive care outlined in federal guidelines from the Health Resources and Services Administration. This applies directly to health insurers and plans operating in the state, though it allows cost-sharing for out-of-network providers and makes exceptions for high-deductible health plans under federal rules. The law ties coverage requirements to current federal guidelines, with updates to be adopted by the state insurance director based on new federal recommendations.
HB 3473 reorganizes Missouri's workforce investment board to align with federal law, requiring the governor (in consultation with the board) to approve workforce training programs for eligibility for workforce Pell grants and coordinate with other state and federal programs to prevent duplicate funding. The bill establishes the board's structure, including member terms, conflict-of-interest rules, and an annual reporting requirement to state leaders. These changes directly affect the board and workforce training programs receiving state and federal grants, aiming to improve employment outcomes and workforce quality.
HB 3499 expands pharmacists' scope of practice by allowing them to provide medication therapy services for influenza, group A strep, and COVID-19 under statewide orders from health authorities. It also permits pharmacists to prescribe certain medical devices (like home health equipment classified by the FDA as Class I or II) that meet specific criteria for medical use at home. The bill requires the state pharmacy board and healing arts board to jointly create implementing rules within six months. This directly affects pharmacists, enabling them to offer these additional services and prescriptions without direct physician oversight for these specific conditions and devices.
HB 3500 designates St. Louis City SC as Missouri's official "Men's Soccer Team" through a symbolic change to state law. This ceremonial bill does not create new policies, funding, or regulations - it simply assigns a formal title to the professional soccer team. The legislation affects no individuals or organizations beyond granting the team this symbolic recognition. It has no practical impact on state operations, taxes, or public services. The bill is purely honorific, with no substantive policy changes.
