HB 1846, the "Sudden Cardiac Arrest Screening Act," requires Missouri public and private K-12 schools to implement cardiac screening protocols for student athletes starting in the 2027-28 school year. It mandates annual educational materials about sudden cardiac arrest warning signs for students, parents, and coaches; requires signed acknowledgment forms confirming review of these materials; and establishes specific cardiovascular prescreening during physical exams using nationally recognized guidelines. The prescreening must include personal/family history and physical checks for heart conditions, with positive findings requiring cardiologist referrals. The bill also requires coaches to complete annual cardiac training aligned with CPR/AED protocols and directs health officials to publish annual reports tracking screenings and referrals. This directly affects all student athletes in Missouri schools participating in athletic activities.
HB 2995 requires radon measurement, mitigation, and laboratory professionals and businesses to obtain state licenses starting January 1, 2027, for any paid services. It mandates certification through EPA-recognized programs, proof of insurance, and adherence to board-established standards, applying to all businesses or individuals offering radon testing, fixing, or analysis for compensation. Homeowners testing their own single-family homes or using state-provided test kits remain exempt, as do renters using kits purchased for personal use. The Board of Radon Safety will oversee licensing, enforce rules, and manage business entity licenses for radon service providers.
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Licensing
HB 1856 amends Missouri's cigarette tax law to set a rate of $0.17 per pack (8.5 mills per cigarette), with revenue directed to public education and healthcare through the "Fair Share Fund." This change would require voter approval and applies to all cigarette sales within Missouri, affecting retailers, distributors, and consumers. The bill maintains existing tax collection mechanisms, requiring stamps on cigarette packages and specifying that the tax must be absorbed by the consumer. It also preserves provisions for the tax to potentially decrease to $0.13 per pack ($0.065 per cigarette) if certain state appropriations are made. The measure does not alter current tax rates but formalizes their use for designated public purposes upon voter consent.
HB 2957 updates licensing rules for respiratory care practitioners. It creates a 12-month conditional license for applicants pending background checks, requires active National Board for Respiratory Care credentials for license renewal, and mandates random audits to verify these credentials. Licensees can opt for inactive status instead of completing continuing education, but practicing without an active license is prohibited. The bill directly affects current and prospective respiratory therapists seeking to maintain or obtain licensure in the state.
HB 1925 bans the manufacture, sale, and use of firefighting foam containing intentionally added PFAS chemicals (known as "forever chemicals") in Missouri after January 1, 2028, with limited exceptions for airport use required by federal law or military defense applications. It requires immediate reporting of any foam discharge to the state environmental agency within 24 hours and mandates manufacturers to recall existing PFAS-containing foam while reimbursing buyers. The law aims to protect Missouri's water sources by regulating PFAS in firefighting foam, requiring manufacturers to provide certification of compliance. It directly affects foam manufacturers, fire departments, airports, and military facilities handling such foam.
HB 1954 requires Missouri landlords to fix health- and safety-threatening conditions in rental properties within 30 days of a tenant’s written notice. It directly affects tenants facing hazards like pest infestations (defined broadly to include bedbugs, rodents, and spiders), hazardous mold, sewage backups, or unsafe structural issues, and landlords who fail to act. Landlords must cover tenant health costs resulting from their failure to remediate, and must have repairs verified by a licensed inspector after fixing the problem. The bill adds these specific protections to Missouri’s landlord-tenant law (RSMo § 441.237).
HB 2833 requires new long-term care facilities and expansions of existing facilities to obtain a certificate of need from a state committee before opening, receiving state funding, or being licensed. The committee must verify the service is needed in the community and that the facility meets health, safety, and financial standards before approval. The bill sets application fees (at least $1,000 or 0.1% of project cost), mandates periodic reporting during construction, and prohibits funding for facilities without a certificate. Exceptions include state-operated facilities, certain research equipment purchases, and transfers of existing ownership. This law aims to manage costs and ensure new long-term care services are appropriately located and necessary.
This bill requires Missouri's Department of Health and Senior Services to establish state-wide soil-based standards for septic system installation and maintenance, replacing outdated rules. It defines qualified professionals (including licensed engineers, certified soil scientists, and sanitarians) who can conduct required soil evaluations and mandates a contractor registration program with continuing education requirements by 2027. Homeowners, contractors, and local governments (counties/cities) must comply with these standards, with the state enforcing them if local jurisdictions fail to adopt the rules. The law also creates training programs for contractors and requires counties to adopt the standards or risk state enforcement, with temporary percolation tests allowed until 2026.
HB 1981 modifies Missouri law to allow certain nurses to prescribe controlled substances under specific conditions. It permits advanced practice registered nurses (APRNs) with a special certificate to prescribe Schedule III-V drugs and limited Schedule II drugs (only hydrocodone for hospice patients), with a 120-hour supply limit and a ban on self-prescribing. Certified nurse anesthetists (CRNAs) can administer controlled substances during anesthesia care without needing a prescriptive certificate. The bill requires written agreements between physicians and nurses to delegate prescribing authority and updates rules for handling unused medications.
HB 1961 creates new provisions to simplify dietitian licensure in Missouri for certain individuals. It allows dietitians licensed in another state (or military branch) with at least one year of experience to apply for a Missouri license without retaking exams or meeting additional education requirements. The bill specifically waives all license requirements for military spouses (both nonresident and resident) who apply for licensure in Missouri, provided they meet other basic criteria. This directly affects military-connected dietitians relocating to Missouri and out-of-state dietitians seeking licensure in Missouri.
