Healthcare in Missouri | MyRepTracker

in committee · Missouri · Senate May 7, 2026

SB 1745: Modifies provisions relating to critical incident management

SB 1745 creates Missouri’s "Critical Incident Stress Management Program" within the Department of Public Safety, directly serving police officers and first responders. It requires these personnel to complete a mental health check-in with program providers every 3-5 years to address stress from critical incidents (like traumatic events causing intense fear or helplessness). The bill protects the confidentiality of disclosures during these check-ins, with limited exceptions for preventing harm or under mandatory reporting laws. It also establishes a dedicated "988 Public Safety Fund" to pay for these services, ensuring funds cannot revert to general revenue and must be used solely for mental health support for first responders.

Topics ✓ Healthcare

Sub-Topics Mental Health Tags Public Safety

in committee · Missouri · Senate Feb 12, 2026

SB 1644: Creates provisions relating to conduct affecting health care provider networks

SB 1644 bans specific restrictive clauses in health care provider network contracts, directly affecting health insurance plans (as "general contracting entities") and health care providers. It prohibits "anti-steering" clauses (limiting provider recommendations), "anti-tiering" clauses (restricting network structure), "gag" clauses (hiding price/quality data), and "most-favored-nation" clauses (forcing rate parity). Existing contracts containing these clauses are void and unenforceable, while other contract terms remain valid. The bill also requires insurers to act in enrollees' best interest when designing networks or offering incentives, improving price transparency and choice for patients.

Topics ✓ Healthcare

Sub-Topics Insurance

in committee · Missouri · House May 15, 2026

HB 3330: Creates provisions relating to nutrition prescriptions issued by licensed health care providers

HB 3330 allows licensed health care providers (like doctors and dietitians) to issue "nutrition prescriptions" for specific whole, locally grown fruits and vegetables to treat diet-sensitive conditions such as diabetes or high blood pressure. It creates a system where patients can fill these prescriptions through approved local food programs - like hospital-based food-as-medicine initiatives, food banks, or direct partnerships with state-grown produce farmers. Participation by providers, patients, or food programs is voluntary, and the bill explicitly states it won’t affect eligibility for SNAP or WIC benefits. The program relies on locally produced, unprocessed foods meeting health department standards, with rules to be developed by the Department of Health and Senior Services.

Topics ✓ Healthcare

Sub-Topics Hospitals

in committee · Missouri · House Apr 30, 2026

HB 3457: Creates provisions relating to medically complex pediatric patients

HB 3457 requires hospitals with emergency departments to implement a visible electronic alert for medically complex pediatric patients (under 18 with chronic conditions needing specialty care). The alert must provide quick access to a parent-submitted care plan (created with a healthcare provider) without delaying treatment, using existing electronic health record systems. Participation is voluntary with parental consent, and hospitals aren't required to buy new technology or create new positions. The bill explicitly prohibits creating a state registry or database and ensures all information complies with privacy laws like HIPAA.

Topics ✓ Healthcare

Sub-Topics Children's Health Hospitals

in committee · Missouri · House Apr 23, 2026

HB 3401: Creates provisions relating to workplace violence prevention in health care settings

HB 3401 requires hospitals to create workplace violence prevention plans to protect healthcare staff, including nurses, doctors, and security personnel, from physical violence or threats. The bill mandates that each facility form a committee with specific staff representatives, develop a plan including confidential reporting systems, annual training, and clear definitions of workplace violence (covering physical attacks, weapon use, and threats), and install specific warning signs in emergency and labor/delivery areas. It also prohibits retaliation against staff who report violence and requires facilities to provide post-incident support. Hospitals must annually review these plans and make them available to staff, with limited redactions for security reasons.

Topics ✓ Healthcare ✓ Labor & Employment

Sub-Topics Workplace Safety

in committee · Missouri · House May 15, 2026

HB 3488: Establishes provisions relating to students at risk of suicide or self-harm

HB 3488 requires public and charter schools serving grades 7-12 to develop suicide and self-harm prevention policies by 2027, including strategies to identify at-risk students and protocols for responding to crises. Starting July 1, 2025, schools must print the national suicide lifeline number (988) and local police nonemergency numbers on student ID cards, with optional inclusion of text line codes (741741) or local hotlines. By 2027, schools must establish mandatory reporting procedures for staff to alert designated personnel about students at risk of suicide or self-harm, requiring immediate parental notification and risk assessments before releasing students. The bill also mandates the education department to create and periodically update a model prevention policy by 2021, incorporating school feedback.

Topics ✓ Education ✓ Healthcare

Sub-Topics School Safety Student Health Mental Health

in committee · Missouri · House May 15, 2026

HB 3540: Creates the journaling for joy mental wellness program

HB 3540 creates a voluntary mental wellness program called "Journaling for Joy" for school districts and charter schools. Starting in the 2027-28 school year, it allows schools to implement the program for students in third, sixth, and twelfth grades using approved curriculum that includes journaling workbooks, instructor guides, and structured prompts focused on emotional regulation and conflict resolution - without providing therapy or collecting identifiable mental health data. Schools must train teachers using department-approved materials, and the education department will track participation and non-identifiable outcomes like school climate through annual reports. The program expires on August 28, 2033, and requires annual state funding approval for implementation.

Topics ✓ Education ✓ Healthcare

Sub-Topics Curriculum School Safety Student Health Mental Health

in committee · Missouri · House May 15, 2026

HB 3217: Modifies provisions relating to collaborative practice arrangements with physicians

HB 3217 establishes detailed rules for collaborative practice arrangements between physicians and assistant physicians. It requires written agreements covering specific details like contact information, locations for prescribing, mandatory patient disclosures about seeing an assistant physician, and geographic proximity requirements (with limited rural clinic exceptions). The bill mandates regular chart reviews (10% of all cases, 20% for controlled substances every two weeks) and limits physicians to collaborating with no more than ten full-time equivalent assistant physicians or other providers. These provisions aim to standardize supervision, ensure patient safety, and clarify responsibilities for both providers.

Topics ✓ Healthcare

Sub-Topics Healthcare Workforce Medical Licensing Primary Care

in committee · Missouri · House May 15, 2026

HB 3422: Requires insurance coverage of kidney function screening services

HB 3422 requires health insurance plans sold in the state to cover annual kidney function screening tests starting August 28, 2026. This affects all health carriers offering plans in the state after that date, directly benefiting individuals at risk for chronic kidney disease by ensuring access to preventive screenings. The bill mandates coverage for specific tests including kidney function (glomerular filtration rate), basic metabolic panels, and urine tests for albumin/creatinine. It excludes certain supplemental policies like Medicare supplements, short-term plans, and long-term care coverage. The law aims to promote early detection of chronic kidney disease through mandated insurance coverage.

Topics ✓ Healthcare

Sub-Topics Insurance Long-Term Care Medicare

in committee · Missouri · House May 15, 2026

HB 3305: Modifies provisions governing mental health efforts in public schools

HB 3305 requires public and charter schools serving grades 7-12 to implement suicide prevention training for educators and mental health awareness for students. Starting in 2023-24, school districts must provide at least two hours of annual suicide prevention training for all teachers and staff, including specific instruction on the Columbia Protocol (C-SSRS) and a virtual mental health tool by 2027-28. The bill also mandates that student ID cards display the 988 suicide lifeline number starting July 2025. Additionally, it requires high school students (grades 9-12) to receive mental health awareness instruction integrated into existing health or physical education courses beginning 2022-23. These provisions directly affect all public and charter schools, educators, and students in participating districts.

Topics ✓ Education ✓ Healthcare

Sub-Topics K-12 Education Student Health Mental Health

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