HB 1635 expands prescribing authority for certified advanced practice registered nurses (APRNs) in Missouri. It allows APRNs with a special certificate to prescribe controlled substances in Schedules III, IV, and V, and certain Schedule II drugs (like hydrocodone) for hospice patients, under specific conditions. Key provisions include requiring collaborative practice agreements with physicians, limiting Schedule II/hydrocodone prescriptions to 120-hour supplies without refills, and prohibiting APRNs from prescribing for themselves or family members. The law directly affects APRNs and their physician collaborators, aiming to clarify and expand their scope of practice while maintaining safety safeguards.
SB 1340 prevents health insurers and pharmacy benefit managers (PBMs) from discriminating against healthcare providers participating in the federal 340B drug program. It prohibits them from paying covered entities (like hospitals and clinics) less for 340B drugs than other pharmacies, imposing different fees or network restrictions, requiring identification of 340B drugs, or refusing coverage for these drugs. The law requires equal treatment in reimbursement and terms, with violations subject to $5,000 daily civil penalties. This directly affects 340B-covered entities and the insurers/PBMs that pay for their medications.
HB 1889 directs Missouri's Department of Social Services to request a federal waiver from the USDA to modify the SNAP (food stamp) program. If approved, the waiver would allow Missouri to prioritize SNAP benefits for healthy foods like fresh produce, lean proteins, dairy, whole grains, and legumes while discouraging purchases of highly processed foods. The bill specifically requires the state to design these changes to support Missouri agriculture by promoting locally produced healthy foods through existing education and access programs. It affects SNAP recipients in Missouri by altering how benefits can be used for grocery purchases. The measure focuses on program structure, not outcomes or advocacy.
This bill protects Missouri health care professionals (like doctors and nurses) from lawsuits when they ask patients about home safety hazards during medical visits. It grants immunity for inquiring about dangerous substances or unsafe conditions in patients' homes, offering safety education, and documenting such findings in medical records. The law directly affects health care providers during patient assessments, ensuring they can discuss home safety without legal risk. It clarifies that these protections do not override existing rules restricting inquiries about firearm ownership.
HB 2468 changes eligibility for Missouri's SNAP (food assistance) and MO HealthNet (medical assistance) by requiring applicants to prove U.S. citizenship, permanent residency, or lawful immigration status under federal definitions. Applicants must provide documentary evidence (like a driver's license or federal immigration documents) at application, or use a sworn affidavit for temporary benefits while gathering proof. State agencies must verify lawful presence through the federal SAVE program, with temporary benefits limited to 90 days or until proof is submitted. The bill excludes emergency medical care, prenatal services, and certain other benefits from these restrictions.
SB 1134 requires all Missouri health care facilities - including hospitals - to display a prominent sign warning that assaulting healthcare workers during their duties is a serious crime. The sign must state: "WARNING: ASSAULTING A HEALTH CARE PROFESSIONAL WHO IS ENGAGED IN THE PERFORMANCE OF HIS OR HER OFFICIAL DUTIES, INCLUDING STRIKING A HEALTH CARE PROFESSIONAL WITH ANY BODILY FLUID, IS A SERIOUS CRIME THAT MAY BE PUNISHABLE AS A CLASS A MISDEMEANOR." This applies to every facility defined under Missouri law as a "health care facility." The bill mandates this signage as a visible public notice, with no changes to criminal penalties.
The context provided does not include sufficient details about SB 1015's specific provisions, affected parties, or mechanisms. The bill's title and abstract ("Creates provisions for involuntary outpatient treatment") indicate it would establish legal processes for court-ordered outpatient mental health treatment, but no concrete policy changes, eligibility criteria, or implementation details are described. Without additional information on how this would operate or who it directly impacts, a factual summary cannot be generated. For a complete understanding, consult the full bill text or official summaries from the legislature.
HB 1681 requires health insurance plans (health benefit plans) to include medication costs toward an enrollee's yearly out-of-pocket maximum when a generic drug alternative is unavailable for that medication. It prevents health carriers and pharmacy benefit managers from adjusting an enrollee's out-of-pocket costs or benefits based on the availability of cost-sharing assistance programs for non-generic medications. The bill applies to most health benefit plans starting August 28, 2026, and does not affect plans covered under the Labor Management Relations Act. This directly affects people enrolled in health insurance who need medications without generic options, ensuring these costs count toward their annual coverage limit.
Missouri HB 1854, known as the "Missouri Save Adolescents from Experimentation (SAFE) Act," prohibits health care providers from performing gender transition surgeries or prescribing cross-sex hormones and puberty-blocking drugs to individuals under 18 years old. The law directly affects minors seeking gender-affirming medical care and their licensed health care providers. It includes a grandfather clause allowing continued treatment for minors already receiving such care before August 28, 2023, until March 1, 2027. Violations would be considered unprofessional conduct, potentially leading to license revocation, and could also form the basis for legal claims against providers.
SB 1037 authorizes Missouri's Department of Health and Senior Services to directly contract with a designated Missouri affiliate of the National Network of Public Health Institutes (or a similar entity) to help deliver public health services statewide and manage grant funds. This bill directly affects the Department of Health, the designated public health affiliate, and Missouri residents by establishing a formal partnership for health service delivery and grant administration. Key provisions require the affiliate to report annually to the legislature within 60 days after each fiscal year, detailing all funds received, spent, and including service improvement recommendations. The bill focuses on structuring collaboration between state health authorities and a public health institute to enhance service coordination and transparency.
