SB 910 requires long-term care facilities to maintain either $1 million in liability insurance or a segregated $1 million reserve account to cover resident abuse, neglect, or wrongful death claims. It mandates the state health department to post facility survey results, deficiencies, and a visible "abuse icon" for facilities with verified abuse findings (displayed for 36 months). The bill also requires investigations of resident harm complaints within 30 days and updates license revocation rules for facilities failing to meet safety standards or having felony convictions related to care. These provisions directly affect all Missouri-licensed long-term care facilities and their residents.
SB 1047 aims to establish new requirements for insurance coverage related to cancer treatment, directly affecting health insurance providers and patients seeking cancer care. The bill's official abstract indicates it will enact specific provisions governing coverage standards, though the context provided does not detail exact requirements (e.g., specific treatments, coverage limits, or timelines). As the bill is in early stages (prefiled, first reading), no concrete mechanisms or affected groups beyond insurers and cancer patients are described in the available information. Without additional details on the provisions, the summary cannot specify policy changes beyond the general intent stated in the title. For precise details, review the full bill text once introduced.
SB 1036 modifies Missouri's Missouri Works program, which provides tax incentives to businesses creating jobs. It redefines key terms like "average wage" (calculated using payroll and hours worked) and "county average wage" (using state data, with adjustments for relocating employees from higher-wage counties requiring community endorsements). The bill also specifies that "full-time employees" must work 35+ hours weekly and receive health insurance, and clarifies that "new capital investment" includes costs after program approval. These changes aim to standardize eligibility criteria and wage calculations for businesses seeking program benefits. The bill is currently under review by the Senate Government Efficiency Committee.
HB 2512 creates a new "predictable harm" standard for accessing emergency psychiatric treatment in Missouri, replacing the current "imminent danger" requirement. It allows family members or specific professionals (like social workers) to petition a court when someone with severe mental illness shows a pattern of homelessness and untreated symptoms that predict serious harm - such as repeated cycles of emergency care due to impaired judgment. If approved, the court orders a 96-hour psychiatric evaluation in a clinical setting (not jail), during which doctors may administer long-acting medication under strict clinical criteria. The bill directly affects individuals with severe mental illness who cannot recognize their need for care and aims to prevent crises before they escalate to homelessness or emergency detention.
HB 2065 repeals Missouri's current laws specifically addressing gender transition procedures (sections 191.1720, 208.152, 217.230, and 221.120) and replaces them with general Medicaid coverage rules. The new provisions, codified as sections 208.152, 217.230, and 221.120, integrate gender transition procedures into standard Medicaid coverage criteria like medical necessity, without explicit reference to gender transition. This bill removes the prior specific legal framework for gender transition services and subjects them to the same general Medicaid process as other medical treatments. It does not explicitly exclude gender transition procedures from coverage but changes their legal basis to align with standard Medicaid rules.
SB 1247 would allow certified registered nurse anesthetists (CRNAs) to select, issue orders for, and administer certain controlled substances during patient care. This directly affects CRNAs and their patients by expanding their scope of practice to include these specific medication-related actions without requiring physician oversight. The bill authorizes CRNAs to handle controlled substances like opioids or sedatives within their clinical responsibilities, as specified in the bill's language. This represents a concrete policy change to their professional authority, aligning their practice with current clinical standards.
HB 1977 modifies Missouri's civil detention procedures for mental health evaluations. It allows any adult (not requiring legal representation) to file a written application alleging a mental health crisis and imminent risk of serious harm, removing notarization requirements for most filings. The bill establishes a 96-hour maximum detention period for evaluation at a mental health facility, requiring factual basis in applications and permitting peace officers or medical professionals to initiate detention based on reasonable cause. This directly affects individuals potentially subject to involuntary mental health evaluation, as well as family members, neighbors, or medical staff who may file applications.
HJR 103 is a proposed constitutional amendment (not a regular bill) that would replace sections of Missouri's Constitution regarding medical marijuana. It aims to permit state-licensed physicians and nurse practitioners to recommend marijuana for medical use to patients with serious illnesses, while clarifying patients' rights to discuss treatment options with their healthcare providers. The amendment defines key terms like "administer" (including methods such as edibles, vaporization, or topical applications) and specifies that it does not change laws governing non-medical marijuana use or public consumption. The proposal explicitly states it is limited to protecting medical patients, caregivers, and providers from penalties, not altering existing rules for recreational use. (Note: The bill title mentions "advertising and promotion," but the actual text focuses solely on medical recommendations and definitions, not advertising rules.)
HB 2399 would establish specific rights for people experiencing homelessness in the state, directly affecting unhoused individuals. The bill guarantees six key rights: the freedom to move freely in public spaces (including parks and sidewalks), equal treatment by government agencies, access to emergency medical care, reasonable privacy for personal belongings, the right to vote and obtain identity documents, and protection against unauthorized disclosure of personal records. These provisions aim to ensure unhoused residents receive the same fundamental rights as other citizens without discrimination. Currently pending in the House (prefiled January 2026, read twice in January), the bill has not yet been voted on or passed.
SB 1274 removes the requirement for notarization of applications and supporting documents for emergency mental health detentions in Missouri. It allows any adult (not requiring legal representation) to file a sworn application alleging a mental health crisis and imminent risk of harm, based on personal observations. The bill simplifies the process by replacing notarization with sworn statements under penalty of perjury, while maintaining the 96-hour detention limit for evaluation. This directly affects individuals seeking emergency mental health evaluations, their family members filing petitions, and peace officers executing detentions. The change aims to streamline access to urgent mental health care without altering the underlying criteria for detention.