This bill authorizes the University of Missouri Board of Curators to own, operate, or manage hospitals and other healthcare facilities, including acquiring healthcare entities or their assets. It directly affects the University of Missouri system and healthcare providers within 25 specified Missouri counties (listed in the bill). Key provisions include granting the Board broad authority to engage in healthcare operations and providing immunity from federal and state antitrust laws for these activities in the designated counties. The law aims to expand the University's healthcare capacity without requiring new legislative approval for facility ownership or operations.
HB 2702 sets new standards for establishing a doctor-patient relationship before providing telemedicine services in Missouri. It requires that this relationship be created through an in-person visit, consultation with another physician, or a telemedicine encounter that meets specific clinical and technological standards - prohibiting prescriptions based solely on internet questionnaires or telephone calls without a prior established relationship. The bill mandates that telemedicine providers review patient medical history, perform sufficient examinations via technology, and send a written report to the patient’s primary care provider within 14 days, including diagnosis and treatment details. These provisions apply to all healthcare providers using telemedicine for prescribing medications or treatments under Missouri law.
HB 2971 requires Missouri's MO HealthNet division to create a public dashboard for individuals with intellectual or developmental disabilities (or their caregivers) to track application, review, and waiver status. It mandates a filterable provider directory for durable medical equipment, plain-language communications about waitlists, and quarterly guidance for case management entities. The bill also establishes a reporting system for incorrect waitlist information, with escalating penalties for repeated errors by service providers. These changes directly affect people seeking disability services through MO HealthNet and their families.
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People with Disabilities
HB 3065 modifies Missouri law to allow advanced practice registered nurses (APRNs) to administer, dispense, or prescribe certain medications under written agreements with physicians. It permits APRNs to prescribe controlled substances in Schedules III-V and Schedule II hydrocodone (with a 120-hour supply limit without refill), but excludes prescribing for sedation/anesthesia during procedures. The bill requires all agreements to include specific details like provider contact information, locations of practice, and a patient disclosure statement about seeing an APRN versus a physician. This directly affects APRNs, physicians, and patients in Missouri healthcare settings by expanding APRNs' prescribing authority within defined limits.
HB 3129 creates a "Physician Assistant Licensure Compact" allowing PAs licensed in one participating state to practice in other participating states without obtaining separate licenses. It establishes mutual recognition of licenses, requires states to share license status and disciplinary actions through a centralized data system, and sets uniform requirements like passing national exams (e.g., NCCPA PANCE) and background checks. The bill directly affects PAs seeking to work across state lines, especially military families who relocate frequently, by reducing licensing barriers. States joining the compact must adopt these standards to maintain the system.
HB 2005 is Missouri's fiscal year 2026-2027 state budget bill, allocating $3.33 million from the General Revenue Fund to fund specific state operations and programs for the 2026-2027 fiscal year. It directly provides funding for the Office of Administration's Commissioner's Office ($1.28M), the Office of Equal Opportunity ($481K), the Prescription Drug Monitoring Program ($1.47M), and the America 250 Missouri Commission ($100K). The bill also allocates $18.08 million for the Office of Administration's IT division, including $62.45 million from a dedicated technology trust fund for statewide IT systems and infrastructure. This is a routine funding measure that authorizes state departments to spend designated amounts for their operations and specific programs, with minor flexibility provisions allowing limited reallocation between budget categories.
HB 2821 would prevent employers from including noncompete clauses in contracts with physicians that restrict where or when they can practice medicine after leaving a job. It directly affects physicians and healthcare employers who currently use such clauses in employment agreements. The key provision makes any geographic or time-based restriction on post-employment practice void and unenforceable, while leaving other contract terms valid. The bill is pending in the legislature after introduction in January 2026.
HB 2706 directs Missouri's Department of Social Services to request a USDA waiver enabling the state to modify its SNAP program. The waiver would prioritize purchases of healthy, whole foods like fresh produce, lean proteins, dairy, whole grains, and legumes while discouraging highly processed foods and those high in added sugar. It also requires exploring strategies to incentivize SNAP participants to buy Missouri-grown fruits, vegetables, and dairy through existing state programs. This bill affects Missouri SNAP recipients and aims to reshape food purchasing within the federal program, pending USDA approval.
HB 2897 amends Missouri's optometry law to allow optometrists to prescribe and administer injectable medications and perform specific surgical procedures (such as certain laser treatments for eye conditions) that were previously excluded from their scope of practice. Optometrists who graduated before July 1, 2020, must complete a 32-hour certification program covering both theory and clinical training to perform these procedures, while those who graduated after that date are exempt. The bill maintains a list of excluded procedures, such as LASIK, corneal transplants, and most surgeries involving the retina or eye structure. This change expands access to certain eye care services under defined training and certification requirements.
HB 2674 requires private Missouri employers to allow employees unpaid leave for at least one mental health appointment per week. It defines "mental health appointment" as visits under four hours with a provider for mental disorders, excluding public employers. Employees must provide 48 hours' notice (or certification after unscheduled absences), and employers may request sworn statements plus provider documentation - keeping all records confidential. The bill clarifies this leave cannot exceed federal FMLA limits and does not override existing policies offering more generous mental health benefits. Employers must annually inform employees of these rights.