Healthcare

in committee · Missouri · House May 15, 2026

HB 2081: Creates provisions relating to reporting requirements for entities that participate in the 340B drug pricing program

HB 2081 requires Missouri-based entities participating in the federal 340B drug pricing program (which provides discounted medications to safety-net hospitals and clinics) to submit detailed annual reports to the state Department of Health and Senior Services by April 1st. The reports must include specific financial data on drug acquisition costs, payments received, charity care expenses, and how savings from the program are used. Entities failing to submit on time face daily fines of $1,000. The department will then compile and publicly share aggregated data annually, while keeping individual entity reports confidential. This bill directly affects Missouri hospitals, clinics, and outpatient facilities that operate under the federal 340B program.

Topics ✓ HealthcareSupports HealthcareRequires transparency for 340B program to ensure savings benefit safety-net providers, strengthening access to discounted medications for vulnerable populations.90% confidence

Sub-Topics Prescription Drugs

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in committee · Missouri · Senate Feb 18, 2026

SB 1275: Permits over-the-counter purchase of ivermectin and hydroxycholorquine tablets without a prescription

SB 1275 would allow consumers to purchase ivermectin and hydroxychloroquine tablets directly from pharmacies without needing a doctor's prescription. This change would directly affect patients seeking these medications for approved uses (like treating certain parasitic infections or autoimmune conditions) and pharmacies selling them. The key provision removes the current requirement for a prescription, making these specific medications available over-the-counter.

Topics ✓ HealthcareSupports HealthcareRemoves prescription barrier for approved medications, improving patient access to necessary treatments like parasitic infections and autoimmune conditions.85% confidence

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in committee · Missouri · House May 15, 2026

HB 1810: Specifies that the department of health and senior services shall not deny trauma center status to a hospital based on its distance from another trauma center

HB 1810 prevents Missouri's Department of Health and Senior Services from denying trauma center status to a hospital solely based on its distance from another trauma center. The bill revises state law to explicitly prohibit this distance-based denial when hospitals meet other trauma center criteria. It directly affects hospitals seeking or maintaining trauma center designations, particularly those in rural or underserved areas where proximity to other centers might have been a barrier. The key change removes distance as a factor in the designation process, requiring the department to evaluate hospitals based on established clinical criteria instead.

Topics ✓ HealthcareSupports HealthcareRemoves distance barrier for trauma centers, improving emergency care access in rural areas. Directly supports healthcare access by enabling more hospitals to qualify under trauma center criteria.95% confidence

Sub-Topics Hospitals

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in committee · Missouri · House May 15, 2026

HB 2354: Establishes and modifies provisions relating to child abuse or neglect

HB 2354 modifies protective custody procedures for children in suspected abuse or neglect cases. It allows police, law enforcement, or physicians to take children into temporary custody (up to 24 hours) when immediate danger exists, requiring prompt notification to juvenile officers. The bill also establishes a SAFE-CARE network that mandates referrals to specialists for medical conditions mimicking abuse (like rickets, osteogenesis imperfecta, or vitamin D deficiency) during investigations. Parents or guardians can request alternative medical opinions, and the division must provide access to medical records to support these requests.

Topics ✓ HealthcareSupports HealthcareMandates specialist referrals for medical conditions mimicking abuse (e.g., rickets), preventing misdiagnosis and ensuring proper healthcare access during investigations.85% confidence

Sub-Topics Children's Health

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in committee · Missouri · House May 15, 2026

HB 1950: Creates provisions relating to maternal care

HB 1950 replaces Missouri's existing maternal care reporting law with new provisions focused on reducing infant mortality. It requires counties to annually report infant deaths to local health agencies, disaggregate data by race/ethnicity, and establish fetal/infant mortality review committees in areas with high death rates (five+ deaths in a year or two consecutive years above the state average). Local health agencies must investigate at least 20% of term infant deaths (or one case if fewer than five deaths occur) with a confidential review process, prohibiting public disclosure of individual cases while allowing statistical reporting. This bill directly affects counties, local health agencies, and medical professionals involved in infant mortality reviews, aiming to identify disparities and improve care through data-driven analysis.

Topics ✓ HealthcareSupports HealthcareMandates data reporting, racial disaggregation, and mortality review committees to reduce infant mortality, strengthening public health initiatives in maternal care.95% confidence

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in committee · Missouri · Senate Jan 8, 2026

SB 874: Requires public schools to provide free breakfast and lunch to all students

SB 874 requires all public schools in the state to provide free breakfast and lunch to every student, regardless of family income. This policy change eliminates the current system where eligibility for free or reduced-price meals depends on household financial status. The bill mandates that schools cover these meal costs through state funding, shifting the responsibility from individual families to the public education system. It directly affects all K-12 students attending public schools across the state, ensuring universal access to school meals without income-based barriers.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates state funding for universal school meals, increasing public education spending and directly advancing fiscal responsibility for essential services.95% confidence ✓ EducationSupports EducationMandates universal school meals via state funding, eliminating income barriers and expanding access for all K-12 students.95% confidence ✓ HealthcareSupports HealthcareProvides universal school meals, improving student nutrition access - a public health initiative supporting child health outcomes and reducing disparities in access to essential services.85% confidence

Sub-Topics K-12 Education Student Health

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in committee · Missouri · House Mar 25, 2026

HB 2618: Establishes the "Respiratory Care Interstate Compact"

HB 2618 establishes the "Respiratory Care Interstate Compact" to allow licensed respiratory therapists from one participating state to practice in other participating states without obtaining a new license. It creates a "Compact Privilege" enabling therapists to work across state lines while preserving each state's authority to regulate licensure and protect public safety. The bill directly affects respiratory therapists, patients seeking care across state lines, and active military members or spouses who may need to relocate. Key mechanisms include requiring states to join a Commission data system for license verification, standardizing criminal background checks, and ensuring states maintain oversight of disciplinary actions. This aims to address workforce shortages and improve access to respiratory therapy services without altering existing state licensing standards.

Topics ✓ HealthcareSupports HealthcareRemoves licensing barriers for respiratory therapists across states, improving patient access to care and supporting healthcare professionals' mobility within healthcare services.92% confidence

Sub-Topics Medical Licensing

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in committee · Missouri · House May 15, 2026

HB 2581: Requires instruction on human sexuality and development in schools

HB 2581 mandates specific content for human sexuality education in public schools, directly affecting K-12 students and school districts. The bill requires medically accurate instruction covering abstinence as the preferred choice, STI prevention (including HIV/AIDS and HPV), contraception effectiveness, emotional consequences of teen sex, conflict management skills, legal responsibilities (like statutory rape), online safety, and sexual harassment/violence definitions. Crucially, it mandates for the 2026-27 school year and beyond the use of two specific videos: a high-definition fetal development ultrasound and the "Meet Baby Olivia" video showing human gestation. School boards must provide parental notification about curriculum content and allow opt-outs, while prohibiting abortion-related materials in instruction.

Topics ✓ EducationSupports EducationMandates comprehensive sexuality curriculum in K-12 schools, directly enhancing educational content standards and student health education requirements.95% confidence ✓ HealthcareSupports HealthcareMandates medically accurate STI/HIV/HPV education and contraception instruction, advancing public health education within healthcare policy framework.95% confidence

Sub-Topics Curriculum K-12 Education Women's Health

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in committee · Missouri · House May 15, 2026

HB 2067: Modifies provisions relating to the prescriptive authority of advanced practice registered nurses

HB 2067 expands the prescriptive authority for advanced practice registered nurses (APRNs) in Missouri. It allows APRNs with a certificate of prescriptive authority and under a collaborative practice agreement to prescribe medications in Schedules III, IV, and V of controlled substances, plus limited Schedule II drugs (like hydrocodone, hospice medications, and stimulants) with a 120-hour supply limit. The bill explicitly prohibits APRNs from prescribing controlled substances for sedation, anesthesia, or for their own use. These changes update Missouri’s rules for collaborative practice arrangements between physicians and APRNs.

Topics ✓ HealthcareSupports HealthcareExpands APRN prescriptive authority for controlled substances, increasing patient access to medications without physician oversight for certain treatments, improving healthcare access.95% confidence

Sub-Topics Healthcare Workforce

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in committee · Missouri · Senate Jan 27, 2026

SB 1230: Creates the position of a dementia services coordinator within the Department of Health and Senior Services

SB 1230 creates a full-time dementia services coordinator position within Missouri’s Department of Health and Senior Services to directly support Missourians living with dementia and their caregivers. The coordinator will evaluate current dementia services, prevent duplication by coordinating resources across state agencies and community organizations, and use dementia-related data to improve public health outcomes and service delivery. Key duties include supporting dementia-specific staff training for agencies like law enforcement and health services, identifying grant opportunities to expand care, and streamlining state government services for residential, home-based, and community settings. The bill focuses on enhancing coordination and efficiency in dementia care without specifying new funding or eligibility changes.

Topics ✓ HealthcareSupports HealthcareCreates dementia services coordinator to coordinate resources and improve public health outcomes, strengthening dementia care within state health services.90% confidence

Sub-Topics Public Health

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