HB 2783 requires healthcare providers to give patients or their authorized representatives copies of medical records within a reasonable time after a written request, with specific fee limits. Providers may charge up to $24.85 for search/retrieval plus $0.57 per page (or $108.88 for electronic delivery if conditions are met), and fees adjust annually based on medical inflation. The bill exempts fees for records needed for federal benefits (e.g., Social Security, VA claims) and outlines procedures for accessing records of deceased patients. It applies directly to patients seeking their health records and healthcare providers handling such requests.
HB 2853 requires realtors and landlords to provide new residents in Missouri with a voter registration packet at the time of lease signing or home purchase. The packet must include a voter registration form, instructions for completing it, and a clear explanation that already-registered voters must file a change of address for their county. This applies directly to property professionals (realtors and landlords) who serve new residents, mandating them to distribute this information as part of standard transaction procedures. The bill does not create new voter registration processes but standardizes the delivery of existing registration materials to new occupants.
HB 2824 requires licensed hospitals to offer FDA-approved emergency contraception to women reporting sexual assault within the previous five days. The bill defines emergency contraception as drugs that prevent pregnancy after sexual intercourse. This policy directly affects sexual assault victims seeking hospital care and the hospitals providing emergency services. It mandates that hospitals proactively provide this medical option as part of standard care for eligible patients.
HB 2843 increases the annual fee for repairing lateral sewer service lines (the pipes connecting homes to public systems) from $50 to $100 per residential property with six or fewer dwelling units. It also applies to condominiums with six or fewer units per building, requiring each unit to pay its share of the fee if served by its own individual sewer line. The fee requires voter approval via a local referendum before implementation, and collected funds must be used exclusively for repairing defective sewer lines in a dedicated account. This bill directly affects homeowners and condo owners in specific Missouri counties with populations between 210,000 and 300,000.
HB 2822 increases penalties for animal abuse in Missouri, reclassifying some offenses as felonies (including for repeat offenders or cases involving torture) and raising maximum punishments. It establishes a public registry of individuals convicted of animal abuse, maintained by the Missouri State Highway Patrol starting January 1, 2028. The registry will include convicted offenders' full names, photographs, and other identifying details (but not Social Security or driver's license numbers) and will list first-time offenders for two years or repeat offenders for five years after conviction. The registry is removed if a conviction is expunged or if no new offense occurs during the specified period.
HB 2701 designates a section of U.S. Highway 136/69 in Harrison County as the "Dr Scott Hall Memorial Highway." This bill directly affects the highway corridor and its users by renaming the route. The key provision requires the Department of Transportation to install and maintain signs designating the highway, with costs covered by private donations.
HB 2645 limits how pharmacy benefits managers (PBMs) can charge patients for prescription drugs. It prohibits PBMs from requiring patients to pay more at checkout than the cash price or their insurance copayment, and allows pharmacists to discuss cheaper drug alternatives without PBM restrictions. The bill also requires PBMs to disclose conflicts of interest to health plans and prohibits them from holding pharmacies responsible for unknown claim fees. It excludes Medicare Part D and self-funded employer health plans from these rules. The law applies to all other health benefit plans and pharmacy claims in the state.
HB 2851, the "Missouri Shield Act," allows current and former law enforcement officers and judges to request confidential protection of their residential addresses and phone numbers in public county records. Eligible individuals must file an affidavit with a presiding judge, who can approve shielding if it reduces safety risks, with orders lasting five years. County recorders must then block public electronic access to these details in documents like property records, while maintaining access for law enforcement, title insurers, and others under specific exceptions.
HB 2779 changes who reimburses counties for housing inmates with mental health issues. It shifts responsibility from the Department of Corrections to the Department of Mental Health (DMH) for cases where a person lacks mental fitness to stand trial (per Section 552.020). Counties will now receive $150 per day (up from $40) for each day an inmate remains in custody due to mental fitness concerns, subject to DMH approval. The bill requires sheriffs to certify days spent in custody and submit claims within two years for DMH to process.
HB 2752 adds two associate circuit judge positions (divisions 5 and 6) to Missouri's twenty-third judicial circuit (Jefferson County), converting existing family court and treatment court commissioner roles into these judge positions starting January 1, 2007. It also creates one new associate circuit judge position to be appointed by the governor until January 1, 2029, with an election in 2028. These changes increase the circuit's total judicial capacity to six full circuit judges and one associate judge. The bill directly affects Jefferson County residents by expanding local judicial resources for family and treatment courts.
HB 2653 permits public and charter school students to self-apply FDA-regulated sunscreen without requiring parental or physician authorization. If a student cannot apply sunscreen themselves, school staff may do so with written consent from a parent or guardian. The bill also protects school employees and their employers from liability for adverse reactions or stopping sunscreen application, as long as they follow the written consent process. This directly affects students and school staff by simplifying sunscreen access for sunburn prevention during school activities.
HB 2820 prohibits Missouri employers from paying employees differently based on gender for the same work requiring equal skill, effort, and responsibility under similar working conditions. It allows pay differences only for legitimate factors like seniority, job performance, or regional economic costs - not gender. Employees can file complaints with the Labor Commission or sue for back pay, damages, and attorney fees if they face discrimination, and the law bans retaliation for discussing pay or filing claims. This directly affects all Missouri workers and employers covered by state labor laws.
