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 1682 defines "person" to include "an unborn child at every stage of development from the moment of fertilization until birth," treating abortion as criminal homicide under existing murder laws. It prohibits abortion except in limited medical emergencies where a licensed physician performs a procedure to save the pregnant person’s life when all alternatives failed. The bill removes defenses like "duress" for abortion-related offenses (except for the mother in specific cases) and allows prosecution in multiple counties based on where the offense occurred or the victim resided. This would directly affect individuals seeking or providing abortions, medical providers, and law enforcement in Missouri.
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.
HB 1672 prohibits healthcare providers in this state from performing gender transition surgeries or prescribing cross-sex hormones and puberty-blocking drugs for gender transition to individuals under 18 years old, with limited exceptions for medically verified disorders of sex development. The bill creates civil liability for violations, allowing affected individuals to sue providers for damages (including up to triple damages) and establishing a presumption of harm if infertility occurs after treatment. It exempts care for certain medical conditions, such as disorders of sex development, and includes a grandfather clause for minors already receiving treatment before August 2023. The law takes effect immediately but expires in 2027.
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.
HB 2083 creates legal immunity from criminal liability for health care providers in Missouri when delivering services, directly affecting doctors, nurses, and other licensed professionals working in health facilities. The bill states providers cannot be criminally charged for harm arising from their care, except in cases of gross negligence, intentional misconduct, or willful harm. It clarifies this immunity does not override existing civil liability rules or other legal protections. The law specifically applies to services covered under Missouri’s health care licensing statutes (sections 324.050-324.089, 190, 198, 330-338, and 376.1350 definitions).
HB 2160 adds mifepristone (a medication used in medical abortions) to Missouri's Schedule I controlled substances, placing it under the most restrictive drug classification. The bill also creates a new criminal offense for "coerced criminal abortion by means of fraud," which would penalize individuals who fraudulently induce an abortion. These changes directly affect healthcare providers, patients seeking abortion care, and individuals accused of coercive abortion practices. The law modifies Missouri's controlled substances scheduling framework and introduces a specific criminal penalty related to abortion procedures. (Note: The bill text lists mifepristone under Schedule I, not Schedule IV as stated in the title.)