HB 1826 modifies Missouri school policies to allow students with asthma or anaphylaxis to self-administer prescribed epinephrine. The bill requires schools to authorize students to carry and use their own medication if a physician prescribes it, the student demonstrates proper use, a written treatment plan is approved, and parents sign a liability acknowledgment form (excluding negligence claims). Schools must keep emergency medication accessible and maintain required documentation on file. It also permits school nurses to maintain an emergency supply of epinephrine devices for student use during health crises.
HB 1855 requires Missouri's Department of Health and Senior Services to add alpha-gal syndrome and Lyme disease to its list of noncommunicable diseases needing mandatory reporting. Healthcare providers must report most cases within seven days of a positive lab result, while labs must report alpha-gal syndrome cases using specific IgE test thresholds (≥0.1 IU/mL). The department must verify cases through random sampling and submit annual reports to the CDC on these diseases. This directly affects healthcare providers, laboratories, and public health officials responsible for disease surveillance in Missouri.
HB 1791 establishes specific deadlines for local governments to process building permit applications based on permit type and project size. For example, residential permits under 7,500 sq. ft. (Level 1) must be approved within 30 business days, while larger projects (Level 2-4) have 60-day deadlines. If local governments miss these deadlines, they must reduce the permit fee by 10% per business day, with exceptions for applicant-caused delays or written extensions. The bill also requires local governments to notify applicants within 5 days if more information is needed, or the application is automatically accepted. This directly affects homeowners, contractors, and local governments handling construction permits.
HB 2610 modifies Missouri's State Legal Expense Fund to expand coverage for specific health care providers facing legal claims. It directly affects state-employed physicians, nurses, dentists, and other licensed health professionals working in disability reviews, state correctional facilities, county jails, community health clinics, or schools under defined volunteer or contract arrangements. Key provisions set strict payment limits: $1 million per claimant for most providers (e.g., state-employed health staff), and $500,000 for volunteer services at community clinics or schools. The bill clarifies that volunteer services without compensation (excluding patient co-pays) qualify for fund coverage, while prohibiting the fund from covering abortion-related claims or services outside primary/preventive care.
HB 2587 restricts drone operations near specific facilities to enhance security. It prohibits flying drones within 400 feet vertically over correctional centers (prisons), large open-air venues (like stadiums with 500+ capacity), or mental health hospitals without authorization. Exceptions allow facility staff, law enforcement, utilities, and others with written permission or official duties. Violations are typically infractions, but delivering weapons, drugs, or aiding escapes escalates penalties to felonies (class B, C, or D). The bill requires facilities to post 11x14 inch warning signs and permits law enforcement to intercept drones posing immediate threats.
HB 2592 would restore voting rights to Missouri residents convicted of a felony who are on probation or parole, removing a current barrier that prevents them from voting until their supervision ends. The bill amends state law to eliminate the provision that disqualifies individuals "while on probation or parole" after a felony conviction, directly affecting thousands of Missourians under community supervision. Key provisions would allow these individuals to register and vote in all elections once they meet standard residency and registration requirements, without waiting for full discharge from supervision. This change specifically applies to felony convictions, not misdemeanor offenses or incarceration, and aligns with broader efforts to expand voting access for people with past criminal convictions.
HB 2600 updates election rules for ambulance district governing boards in specific counties. It requires counties with over 105,000 residents adjacent to large charter-county areas to divide ambulance districts into six election districts with staggered terms (1-3 years), while other counties must hold at-large elections for six directors. The bill allows districts to create smaller election subdistricts (with board approval) and lets voters approve changing board size (to 7, 5, or 3 members) via ballot measure. These changes directly affect ambulance district governance structures in targeted counties, streamlining elections and board composition.
HB 2105 allows landlords in multi-unit properties to directly bill tenants for their individual water and sewer usage, rather than including these costs in rent. Landlords may use separate meters for each unit or a formula to allocate common-area costs, but must disclose billing details and cannot charge more than what they were billed by the utility. The bill requires clear written descriptions of allocation methods before leasing and prohibits landlords from charging excessive fees. It directly affects landlords and tenants in rental properties, clarifying that such billing does not subject them to public utility regulations. The bill passed the House unanimously in January 2026.
HB 3076 clarifies Missouri's water pollution rules by specifying when agricultural and industrial wastewater storage systems do not require state permits. It exempts earthen basins storing non-toxic soil/silt materials from construction permits and clarifies that certain agricultural wastewater storage (like basins holding nonmetallic materials) is not subject to federal permitting. The bill also establishes buffer distances between large wastewater storage basins (over 500,000 gallons) and homes/residences, and mandates annual testing for metals and bacteria in commingled industrial wastewater storage. This directly affects farms, fertilizer producers, and industrial facilities managing wastewater storage.
HB 3009 allows Missouri's Board of Pharmacy to temporarily waive certain state rules for nonprofit pharmacies (501(c)(3) organizations licensed in Missouri) during declared disasters. These pharmacies can then ship prescription drugs to affected areas without following standard state regulations, provided they are responding to an active emergency and comply with federal rules and local disaster guidelines. The waiver applies only during the official disaster period (60 days after a governor's or federal emergency declaration) and is limited to the geographic area specified in the emergency declaration. It does not change routine pharmacy operations outside of emergencies.
HB 1644 clarifies employer responsibility in franchise relationships by stating that a franchisor (the company granting the franchise) is not considered an employer of a franchisee's (the individual running the franchise location) employees, unless the franchisor directly controls hiring, firing, discipline, or daily work direction. This bill specifically prevents franchisors from being held responsible for employment matters like wages or working conditions for franchisee employees, unless they exercise direct control over those specific actions. The law applies to all franchise operations covered under the U.S. Department of Labor's franchising rules (16 CFR 436.1) and directly affects franchisees, their employees, and franchisors by defining clear boundaries for employer liability. It creates a straightforward rule to avoid confusion over who is legally responsible for employee treatment in the franchise model.
HB 2408 replaces Missouri's existing grant program for deaf-blind individuals with a new system directing funds to three specific types of organizations. It provides grants to: (1) groups offering services for deaf-blind children and families (including family support advocates and parent education), (2) organizations helping deaf-blind adults achieve independence, and (3) entities training certified support service providers. All grants must be awarded via a competitive request-for-proposal process, with an annual funding cap of $300,000. The bill directly affects deaf-blind Missourians and the service organizations supporting them.
