HB 2783 requires healthcare providers to give patients or their authorized representatives copies of medical records within a reasonable time after a written request, with specific fee limits. Providers may charge up to $24.85 for search/retrieval plus $0.57 per page (or $108.88 for electronic delivery if conditions are met), and fees adjust annually based on medical inflation. The bill exempts fees for records needed for federal benefits (e.g., Social Security, VA claims) and outlines procedures for accessing records of deceased patients. It applies directly to patients seeking their health records and healthcare providers handling such requests.
HB 2960 would allow consumers in this state to purchase ivermectin over-the-counter without a prescription or consultation with a pharmacist or healthcare provider. This bill directly affects individuals seeking ivermectin and pharmacies that sell it, removing current requirements for medical oversight. The key provision amends state law to permit unrestricted retail sales of ivermectin as a non-prescription product. The bill was introduced in the House on January 13, 2026, and is pending further legislative action.
HB 3117 requires health insurance plans in the state to cap out-of-pocket costs for prescription insulin at $30 per 30-day supply for people with diabetes. It mandates that plans reduce the drug price by 100% of all rebates received (before applying cost-sharing), ensuring the $30 limit reflects the lowest possible price. The bill protects rebate information as trade secrets, preventing health plans from disclosing rebate details to the public or third parties. This law applies to all health benefit plans issued, renewed, or continued on or after January 1, 2027.
HB 2832 creates a new "Office of the Department of Corrections Ombudsman" to independently monitor prison conditions and investigate inmate concerns. The office will track issues like sanitation, abuse, medical care access, and facility safety through annual facility inspections, data collection on incidents (e.g., suicides, assaults), and complaint investigations. It directly affects inmates by providing oversight of their living conditions and rights, and family members by improving access to visitation and communication. The ombudsman will issue public reports and recommendations to the corrections oversight committee, which includes formerly incarcerated individuals and family members. This bill establishes a concrete mechanism for accountability without altering prison funding or sentencing policies.
SB 1149 establishes the Athletic Trainers Compact, creating a multi-state agreement to allow athletic trainers licensed in one participating state to practice in other compact states without needing separate licenses. This bill directly affects licensed athletic trainers seeking to work across state lines and the states that adopt the compact. The key mechanism is mutual recognition of licenses among participating states, streamlining professional mobility. The bill is currently pending referral to the Senate Emerging Issues and Professional Registration Committee after initial readings.
HB 2283 allows patients to take certain medications in multidose containers home with them at hospital discharge, if ordered by a healthcare provider. This directly affects patients leaving hospitals and healthcare providers who must follow specific labeling rules. The bill requires medications like inhalers, creams, insulin pens, and eye drops to be labeled with the patient's name, medication details, and usage instructions by a pharmacist or nurse. It specifically prohibits sending controlled substances home, except for connected wearable delivery systems during transport under documented conditions. The law does not impose new licensing requirements on hospital pharmacies.
HB 1658 requires most health insurance plans in the state to cover orthotic and prosthetic devices (like braces, supports, or artificial limbs) prescribed by a doctor. It mandates that coverage must match the benefit levels, copayments, and deductibles applied to basic health care services, with no separate annual or lifetime limits unless the plan has none for basic care. This applies to standard health plans but excludes supplemental policies like Medicare supplements, short-term plans, or accident-only coverage. The bill directly affects patients needing these devices and insurers offering health coverage in the state.
HB 2293 would allow hydroxychloroquine tablets to be sold over-the-counter without a prescription or pharmacist consultation in this state. The bill specifically targets hydroxychloroquine availability, removing current prescription requirements for this medication. It declares the provision an emergency act to take immediate effect upon passage, though it does not address ivermectin's OTC status as stated. This bill directly affects residents seeking hydroxychloroquine for personal use without healthcare provider involvement. The bill is currently in early legislative stages (prefiled and read twice in the House).
HB 2597 sets minimum payment rates for out-of-network ambulance providers treating patients covered by health insurance plans. It requires insurance companies to pay these providers either the local government rate for ambulance services in that area or 325% of the Medicare rate for the same service (whichever is lower), but not more than the ambulance provider's billed charge. The bill mandates that payments be made directly to the ambulance provider within 30 days for complete claims, prohibits billing patients for additional amounts after payment, and limits patient cost-sharing to the same level as in-network services. This directly affects ambulance services (excluding air ambulances) and health insurance companies operating in the state.
HB 2149 creates a full-time dementia services coordinator position within Missouri's Department of Health and Senior Services. The coordinator will directly support Missourians living with dementia and their caregivers by improving how state services are coordinated, reducing duplication, and connecting people to resources. Key duties include analyzing dementia-related data, building partnerships with agencies, supporting staff training, identifying grant opportunities, and promoting public awareness. The bill aims to streamline care across residential, home-based, and community settings while collecting data on dementia impacts statewide. This is substantive policy, not procedural, so a 4-sentence summary is appropriate.
