SB 1466 - This act modifies provisions relating to funds for veteran services, including services funded from moneys from the Veterans Commission Capital Improvement Trust Fund and fees deposited in the Missouri Veterans' Health and Care Fund. This act provides that funds totaling no more than $500,000 from the Veterans Commission Capital Improvement Trust Fund shall be used for the restoration, renovation, and maintenance of a memorial or museum dedicated to Missouri and United States veterans in Perry County. Additionally, funds allocated in the Missouri Veterans' Health and Care Fund as administrative and processing fees for duties related to medical cannabis by the Department of Health and Senior Services may be appropriated for services, programs, or projects dedicated to addressing the mental health needs of veterans. This act is similar to HB 1828 (2026), HB 2244 (2026), SB 745 (2025), and HB 1482 (2025). KATIE O'BRIEN
SB 1178 requires Missouri hospitals participating in the federal 340B Drug Pricing Program to submit annual financial reports by April 1st. These reports detail drug acquisition costs, payments received, savings from the program, and how savings are used for charity care or community benefits. Hospitals must also report patient demographics and financial assistance policies, with data categorized by payer type (e.g., Medicaid, uninsured). The state health department will publish aggregated reports by November 15th and impose $1,000 daily penalties for late submissions. This bill increases transparency around how 340B program savings support low-income patient care in Missouri.
HB 2370 requires health insurance plans in the state to cover self-administered hormonal contraceptives (like birth control pills or patches) for up to 90 days (or 180 days for generic versions) starting January 1, 2026, and for up to one year starting January 1, 2027. The coverage must include both generic and brand-name options and cannot impose higher deductibles or co-payments than other standard health services. This bill specifically excludes emergency contraception and medications used to terminate pregnancy from its requirements. It directly affects health insurance plans and individuals using these contraceptive methods by expanding coverage duration and cost-sharing rules.
HB 2556 reserves specific medical titles and specialty designations (like "MD," "Cardiologist," or "Pediatrician") exclusively for licensed physicians. It prohibits non-physicians - including nurses, therapists, or other healthcare providers - from using these titles, with limited exceptions for chiropractors, physician assistants, and speech-language pathologists. The bill also allows patients to sue non-physicians who misuse reserved titles for damages, injunctions, or penalties, and permits licensing boards to discipline violators. This policy change directly affects healthcare providers seeking to use medical titles and patients receiving care from those providers.
HB 2391 modifies Missouri law to expand prescribing authority for advanced practice registered nurses (APNs). It allows APNs with a board-certified controlled substance prescriptive authority to prescribe medications in Schedules III, IV, and V, and limited Schedule II (specifically hydrocodone for hospice patients). The bill requires APNs to either work under a collaborative practice agreement with a physician or qualify for an exemption from that requirement. It also prohibits APNs from prescribing controlled substances for themselves or family members and limits Schedule II/hydrocodone prescriptions to 120-hour supplies without refills. This directly affects APNs seeking greater prescribing independence within defined boundaries.
HB 1979 defines "community paramedic services" as non-emergency care provided by certified paramedics outside 911 systems, following approved protocols. It establishes certification requirements: paramedics must hold current paramedic licenses, complete department-approved training programs, and submit applications. The bill also requires ambulance services providing these services outside their primary area to coordinate with local providers through written agreements and notify other services about community paramedic activities. This directly affects paramedics, ambulance services, and medical directors overseeing these non-emergency care programs.
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Public Safety
HB 2088 creates a court-ordered outpatient mental health treatment program for adults with severe mental disorders who cannot make informed decisions about treatment and meet specific criteria. The bill requires courts to order treatment if a person is 18+, suffers from a mental disorder, refuses voluntary care, and either poses a risk of serious harm (per §632.305) or has a documented history of non-compliance leading to detention or violent behavior within 36 months. Covered services include therapy, medication management, case coordination, crisis intervention, and assistance with housing or employment. The process streamlines court proceedings by requiring a hearing within two judicial days and eliminating notarization requirements for petitions. This law directly affects eligible adults in Missouri's judicial circuits who meet the defined criteria for court-ordered outpatient care.
HB 2249 requires licensed child care facilities to stock epinephrine auto-injectors and create allergy response policies by July 2028, specifically addressing severe food allergies. Facilities must train staff to recognize anaphylaxis symptoms, store devices properly, and follow clear emergency procedures (including notifying emergency services and obtaining parental consent when possible). The bill mandates facilities to adopt policies covering prevention strategies, staff roles, parent cooperation, and medical confidentiality, while providing legal immunity for good-faith use of epinephrine devices. This directly affects child care providers and their staff, aiming to improve emergency responses to life-threatening allergic reactions in children.
SB 1264 removes an expiration date from specific provisions related to gender transition services. This procedural bill extends the existing legal framework governing these provisions indefinitely, affecting transgender individuals and healthcare providers operating under those rules. The change ensures continuity without requiring future legislative action to maintain these provisions.
HB 1942 requires Missouri health insurance plans sold or renewed on or after January 1, 2027, to cover one annual whole-body skin exam for suspicious lesions without any cost-sharing (like copays or deductibles). This applies to all standard health benefit plans issued in Missouri, directly affecting insured Missourians seeking preventive skin cancer screenings. The bill mandates coverage using standard medical codes for the exam and prohibits insurers from charging patients for this specific service. It excludes supplemental policies like Medicare supplements and short-term plans from this requirement.
