Healthcare

in committee · Missouri · House May 15, 2026

HB 1852: Creates provisions relating to pharmacists' authority to dispense insulin

HB 1852 (Missouri House Bill 1852) modifies pharmacy law to explicitly allow pharmacists to dispense an emergency supply of insulin without a new prescription. This provision directly affects patients facing urgent insulin shortages and pharmacists who can now provide this emergency service under new rules. The key mechanism establishes that pharmacists may dispense an emergency insulin supply under Section 338.740, addressing immediate access needs when a patient cannot obtain a new prescription promptly. The bill does not change routine insulin dispensing but creates a specific emergency protocol for pharmacists.

Topics ✓ HealthcareSupports HealthcareEnables pharmacists to dispense emergency insulin without new prescriptions, directly improving patient access to critical medication during shortages.95% confidence

Sub-Topics Prescription Drugs

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in committee · Missouri · House Feb 12, 2026

HB 2490: Establishes provisions relating to allergy prevention and responses in child care facilities

HB 2490 requires licensed child care facilities (not public schools) to stock epinephrine auto-injectors and establish allergy response protocols. Facilities must train staff to recognize severe allergic reactions, store devices properly, and follow specific administration procedures, including obtaining parental consent when possible. The bill also provides liability protection for staff acting in good faith under these protocols and mandates written allergy management policies by July 2028. These changes directly affect child care providers and their staff, aiming to improve emergency response for severe allergies in childcare settings.

Topics ✓ HealthcareSupports HealthcareMandates epinephrine access, staff training, and protocols for allergic reactions in child care facilities, enhancing emergency response and public health safety for children.95% confidence

Tags Children

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in committee · Missouri · Senate Jan 15, 2026

SB 1156: Enacts provisions relating to insurance coverage for prescription insulin drugs

SB 1156 would require health insurance plans to cover prescription insulin with limited out-of-pocket costs for policyholders. It directly affects individuals with diabetes who rely on insulin, aiming to reduce their financial burden. The key provision would limit how much patients pay per insulin prescription, though specific cost thresholds aren't detailed in the abstract. The bill is pending review by the Senate Insurance and Banking Committee and has not yet been voted on. This legislation focuses on improving access to a critical medication through insurance coverage requirements.

Topics ✓ HealthcareSupports HealthcareRequires insurance coverage for insulin with limited out-of-pocket costs, directly reducing financial burden for diabetic patients and improving access to essential medication.95% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · Missouri · Senate Jan 27, 2026

SB 1218: Prohibits discrimination based on sexual orientation or gender identity

SB 1218 prohibits discrimination based on sexual orientation or gender identity in key areas like employment, housing, and public accommodations. It directly affects LGBTQ+ individuals who might face unfair treatment in these settings. The bill would require businesses, landlords, and service providers to refrain from making decisions based on these protected characteristics. Currently, the bill has been prefilled and is awaiting its first reading in the legislature.

Topics ✓ HealthcareSupports HealthcareBill prohibits discrimination in public accommodations, which includes healthcare services, protecting LGBTQ+ patients from discrimination in medical settings (patient rights).80% confidence ✓ HousingSupports HousingProhibits housing discrimination based on sexual orientation/gender identity, directly strengthening tenant protections in housing policy.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentProhibits employment discrimination based on sexual orientation/gender identity, directly protecting LGBTQ+ workers' rights in the workplace per Labor & Employment topic description.95% confidence ✓ VeteransSupports VeteransBill prohibits discrimination based on veteran status in employment, housing, and public accommodations, strengthening protections for veterans against unfair treatment.85% confidence

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passed · Missouri · House Apr 14, 2026

HB 1847: Modifies provisions relating to the dental professions

HB 1847 updates Missouri's dental practice laws by replacing three existing sections with sixteen new ones. It specifically allows hospitals to employ dentists, oral and maxillofacial surgeons, and maxillofacial prosthodontists to treat dental conditions directly related to a patient's broader medical needs - such as head and neck cancer, diabetes, or severe trauma - without requiring separate hospital admission for dental care. The bill clarifies that only licensed dentists or those with specific permits may practice, while listing exceptions for dental students under supervision, physicians extracting teeth, and dental professionals working in federal or community health settings. These changes modernize licensing requirements and expand access to dental care within hospital environments.

Topics ✓ HealthcareSupports HealthcareEnables integrated dental-medical care in hospitals for conditions like cancer/diabetes, improving patient access by eliminating separate admission barriers.95% confidence

Sub-Topics Hospitals

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in committee · Missouri · House May 15, 2026

HB 2602: Exempts entities registered with the department of health and senior services that distribute hypodermic needles or syringes from the crime of unlawful delivery of drug paraphernalia

HB 2602 proposes to exempt registered harm reduction programs from penalties for distributing needles/syringes under state drug laws. It creates a registration process through the Department of Health and Senior Services, requiring programs to partner with mental health/substance use treatment providers and avoid locations within 500 feet of schools (unless the school existed before the program opened). The bill directly affects registered syringe access programs, their staff, and volunteers who distribute or manufacture needles/syringes solely for these programs. This would make such activities legal under the law, removing criminal penalties for these specific actions. The bill is currently in early legislative stages (prefiled, first reading).

Topics ✓ Criminal JusticeSupports Criminal JusticeExempts harm reduction programs from drug paraphernalia penalties, reducing criminalization of substance use access - aligns with criminal justice reform indicators.95% confidence ✓ HealthcareSupports HealthcareExempts harm reduction programs from penalties, requires mental health partnerships, and enables public health access to syringe distribution to prevent disease transmission and connect users to care.95% confidence

Sub-Topics Drug Policy Mental Health Substance Abuse

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in committee · Missouri · House May 13, 2026

HB 1881: Adds xylazine to the list of Schedule III controlled substances

HB 1881 amends Missouri's controlled substances law by adding specific fentanyl analogs and synthetic opioids to Schedule I (not Schedule III, as the title states). The bill lists numerous fentanyl derivatives (e.g., acetyl fentanyl, xylazine is not listed) and opioid compounds under Schedule I, which requires they have high abuse potential and no accepted medical use. This change directly affects law enforcement, healthcare providers, and individuals handling these substances by classifying them as illegal under Missouri law. The bill does not mention xylazine in its text; the title appears to contain an error, as the actual provisions focus on fentanyl-related compounds. This is a substantive policy change to drug scheduling, not a procedural measure.

Topics ✗ Criminal JusticeOpposes Criminal JusticeClassifies fentanyl analogs under Schedule I, increasing criminal penalties and expanding criminalization, opposing reform efforts.90% confidence ✗ HealthcareOpposes HealthcareClassifies fentanyl analogs under Schedule I (no medical use), restricting healthcare provider access to these substances and limiting medical applications.92% confidence

Sub-Topics Drug Policy Law Enforcement Substance Abuse

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in committee · Missouri · Senate Feb 11, 2026

SJR 103: Modifies provisions relating to MO HealthNet

This constitutional amendment would expand Missouri's MO HealthNet Medicaid program to cover adults aged 19-64 with incomes at or below 133% of the federal poverty level, directly affecting low-income working adults who previously may not have qualified. It requires the state to submit necessary federal plan amendments by March 2021 and mandates that eligibility rules for this group cannot be more restrictive than for other Medicaid recipients, though it explicitly allows future implementation of work or community engagement requirements for able-bodied adults. The amendment must be approved by voters in the 2026 election to take effect. It does not change current coverage but establishes new eligibility parameters and options for the state.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage to low-income adults (19-64) at 133% FPL, increasing access to healthcare services and directly strengthening public health coverage programs.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands Medicaid coverage for low-income working adults, directly providing health benefits that support employment stability and reduce financial barriers to work.85% confidence

Sub-Topics Medicaid

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passed · Missouri · Senate May 15, 2026

SB 984: Modifies provisions relating to pharmacy benefit managers

SB 984 regulates how pharmacy benefit managers (PBMs) and insurers audit Missouri pharmacies. It requires 14 days' notice before audits, limits audits to 25 randomly selected prescriptions per year, and mandates pharmacist consultation for clinical audits. The bill prohibits recouping payments for clerical errors (like typos) and bans PBM compensation based on recovered funds. Pharmacies must be given 30 days to address discrepancies, and audits cannot occur during high-volume month periods without consent. These changes directly affect pharmacies and PBMs operating in Missouri, aiming to standardize audit practices and prevent unfair financial penalties.

Topics ✓ HealthcareSupports HealthcareBill protects pharmacies from unfair PBM audits, prohibits recouping clerical errors, and ensures timely dispute resolution, strengthening provider access and patient care within healthcare services.95% confidence

Sub-Topics Prescription Drugs

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in committee · Missouri · House May 15, 2026

HB 2483: Establishes the "Respect People's Abortion Decisions Act"

HB 2483, titled "Respect People's Abortion Decisions Act," proposes definitions for key terms related to abortion (such as "abortion," "medical emergency," and "gestational age") and states that "the state shall protect a person's right to terminate a pregnancy" under certain conditions. It defines abortion broadly as "the intentional termination of the pregnancy" and specifies that a "medical emergency" justifies abortion to prevent death or serious harm. The bill claims no criminal prosecution can occur for actions permitted under it, though it remains in early prefiled stages (prefiled December 2025, read first time January 2026). This bill does not yet create enforceable policy but outlines proposed definitions and protections for abortion access.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill explicitly prohibits criminal prosecution for abortion under medical emergencies, reducing criminalization in healthcare access.90% confidence ✓ HealthcareSupports HealthcareProtects patient rights to access abortion care, a healthcare service, under defined medical conditions per bill's stated purpose to safeguard termination rights.95% confidence

Sub-Topics Women's Health

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