HB 2817, the Veterans Mental Health Innovation Act, creates a state grant program to fund clinical trials using ibogaine for treating opioid use disorder and other mental health conditions. Eligible entities (like hospitals or research institutions within the state) must partner with a consortium that has submitted an FDA application for ibogaine trials, demonstrate relevant research experience, and match state grant funds with non-state funding. The bill establishes two dedicated state funds: an "Ibogaine Study Fund" for grant awards and an "Intellectual Property Fund" to collect revenue from trial-related patents or treatments, which will support veteran and at-risk population programs. It requires quarterly progress reports from grant recipients and annual legislative updates, with grant applications to begin accepting before November 1, 2026.
HJR 154 proposes a constitutional amendment requiring work requirements for Missouri's MO HealthNet program (state Medicaid) for certain adults. It would affect individuals aged 19-65 who qualify under federal Medicaid rules (income at or below 133% of the federal poverty level), are not pregnant, disabled, or enrolled in other federal health programs. The bill mandates documentary proof of work compliance at application and monthly to maintain coverage, prohibits self-attestation, and requires state plan changes to implement this by 2027. It does not change income eligibility thresholds but adds a new administrative requirement for this specific group.
HB 3039 modifies rules for physician assistants' prescribing authority and scope of practice. It requires physician assistants to work under written collaborative agreements with physicians for prescribing drugs, including limiting Schedule II controlled substances (like hydrocodone and oxycodone) to a 120-hour supply without refill. The bill explicitly prohibits physician assistants from prescribing abortions or using titles like "doctor," and mandates they identify themselves as PAs. Additionally, it requires new applicants after 2008 to hold a master's degree in physician assistant studies.
HB 3088 bans specific clauses in health care provider network contracts that limit patient choice and transparency. It prohibits providers from including "anti-steering" (restricting patient referrals to specific providers), "anti-tiering" (blocking tiered pricing systems), "gag" (hiding price/quality data), or "most-favored-nation" (forcing equal rates across insurers) clauses. Any existing contract with these clauses becomes void, while insurers must act in patients' best interests when designing networks. This directly affects health care providers, insurers, and the patients covered by health benefit plans.
SB 1571 modifies insurance coverage requirements for orthotic, prosthetic, and assistive devices. It directly affects individuals who rely on these medical devices, such as people with mobility impairments or chronic conditions. The bill changes existing provisions to clarify or adjust how health insurers must cover these specific items. This legislation is currently in committee review after its initial reading in January 2026.
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 3025 requires public school districts and qualifying charter schools (those serving 40%+ students from households earning ≤185% of federal poverty guidelines) to provide free tampons and sanitary napkins ("period products") in all restrooms of middle and high schools (grades 6-12) starting July 1, 2027. The state will cover all costs using dedicated funding for the Department of Elementary and Secondary Education. This directly affects schools meeting the income threshold, ensuring no-cost access to period products for students. The bill mandates physical availability in school restrooms without requiring student requests or fees.
HB 2010 is a fiscal year 2026-2027 appropriations bill that allocates $13.1 million to Missouri's Department of Mental Health for specific operational needs. It includes $15 million for contracted staffing at facilities like Fulton State Hospital and Northwest Missouri Psychiatric Rehabilitation Center, $4.1 million to implement a new electronic health record system across all mental health facilities, and $1.7 million for staff training and the "Caring for Missourians' Mental Health Initiative." The funding covers personnel, equipment, and program operations, with specified flexibility allowances between budget categories. This bill directly affects state-operated mental health facilities, employees, and patients receiving services through these programs.
HB 2735 requires health digital services (like apps tracking reproductive or sexual health) to obtain explicit user consent before sharing, selling, or using sensitive health data - including pregnancy status, birth control usage, or gender transition care details. It prohibits government entities from demanding this data for most investigations, except limited criminal cases unrelated to abortion, pregnancy outcomes, or gender transition care. The bill directly affects health apps, their users, and state/local law enforcement agencies. Key provisions mandate affirmative consent for each data use instance and restrict government access to protect privacy around reproductive and sexual health information.
SB 1541 prohibits licensed mental health professionals (such as therapists and counselors) from providing conversion therapy to minors. The bill directly affects minors seeking mental health care and the licensed professionals who provide it. It creates a legal ban on this specific practice within the state, requiring professionals to cease such treatments for patients under 18. The bill is currently in committee review, with no votes taken yet.
