Healthcare

passed · Missouri · House Apr 8, 2026

HB 2033: Modifies provisions relating to gender transition procedures

HB 2033, known as the "Missouri Save Adolescents from Experimentation (SAFE) Act," prohibits health care providers in Missouri from performing gender transition surgeries or prescribing cross-sex hormones and puberty-blocking drugs for gender transition to individuals under 18 years old. The law includes a temporary exception allowing continued treatment for minors who began such care before August 28, 2023, until March 1, 2027. Violations would be deemed unprofessional conduct, risking license revocation for providers, and could lead to civil lawsuits against them. This bill directly affects transgender and gender-diverse minors under 18 seeking medical transition care and the health care providers who treat them in Missouri.

Topics ✗ HealthcareOpposes HealthcareProhibits gender transition procedures for minors under 18, restricting access to specific healthcare services for a vulnerable group.95% confidence

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in committee · Missouri · Senate Jan 15, 2026

SB 1143: Modifies provisions relating to certificates of need for long-term care facilities

SB 1143 requires new long-term care facilities (like nursing homes) and expansions of existing facilities to obtain a "certificate of need" from Missouri's health committee before opening or making major changes. This affects developers, healthcare providers, and facilities seeking to add beds or services. Key provisions include: no state funding or licensing without approval, a $1,000 application fee (or 0.1% of project cost), and exemptions for state-operated facilities, research equipment, and transfers of existing facilities. The bill aims to ensure new healthcare projects meet community needs and avoid unnecessary costs, while allowing flexibility for state facilities and medical research.

Topics ✗ HealthcareOpposes HealthcareAdds regulatory barrier requiring approval for new/expanded long-term care facilities, limiting capacity and access to services.85% confidence

Sub-Topics Long-Term Care

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in committee · Missouri · House May 15, 2026

HB 2313: Prohibits the use of fetal organs or tissue resulting from elective abortions for medical, scientific, research, experimental, or therapeutic purposes or any other use

HB 2313 prohibits using fetal organs or tissue obtained from elective abortions for medical, research, therapeutic, or any other purpose. It bans offering money or incentives to women to conceive or abort specifically to harvest fetal tissue, though it allows payments for burial, medical exams, or pathological examinations of fetal remains. The bill directly affects medical researchers, hospitals, and clinics that might have used such tissue, applying only to patient-choice abortions - not medically necessary procedures. It does not restrict other uses of fetal tissue or impact abortion access generally.

Topics ✗ HealthcareOpposes HealthcareProhibits fetal tissue use in medical research/therapies, restricting healthcare-related research applications. Directly limits medical advancements under healthcare topic.90% confidence

Sub-Topics Women's Health

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in committee · Missouri · House Mar 11, 2026

HB 1614: Adds certain 7-OH products to the list of Schedule I controlled substances

HB 1614 adds specific synthetic opioids and certain hallucinogens to the state's Schedule I controlled substances list. The bill explicitly lists over 100 chemical compounds - including fentanyl analogs like acetyl fentanyl, 3-methylfentanyl, and carfentanil derivatives, as well as hallucinogens like DMT and psilocybin - to be prohibited under Schedule I, which defines substances with high abuse potential and no accepted medical use. This directly affects anyone possessing or distributing these listed substances, as they would be treated as illegal under state law. The bill does not alter existing medical exemptions but expands the scope of prohibited substances based on chemical structure and pharmacological profile. The legislation is currently pending in committee, having been prefaced and read for the first time in early 2026.

Topics ✗ Criminal JusticeOpposes Criminal JusticeExpands criminalization by adding 100+ substances to Schedule I, increasing penalties for possession/distribution without medical use, directly opposing reform efforts.90% confidence ✗ HealthcareOpposes HealthcareBill bans substances with potential medical uses (e.g., psilocybin for mental health), restricting healthcare access by classifying them as Schedule I with no accepted medical use.95% confidence

Sub-Topics Drug Policy

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in committee · Missouri · House May 14, 2026

HB 2309: Establishes the "End Organ Harvesting Act of 2026"

HB 2309, titled the "End Organ Harvesting Act of 2026," prohibits Missouri health insurance plans and Medicaid programs (including MO HealthNet and Medicaid managed care) from covering organ transplants or post-transplant care under two specific conditions: if the transplant occurs in China, or if the organ was obtained through sale or donation originating in China. The bill directly affects health insurers, patients seeking transplants involving China, and healthcare providers billing these insurers. Key provisions require health carriers to deny coverage for transplants meeting either of these China-related criteria. This is a policy change restricting insurance coverage for specific transplant scenarios, not a procedural measure.

Topics ✗ HealthcareOpposes HealthcareProhibits insurance coverage for organ transplants involving China, restricting patient access to covered care under specific conditions.95% confidence

Sub-Topics Insurance Medicaid

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passed · Missouri · House Apr 29, 2026

HB 2465: Modifies the definitions of eligible employee and small employer for purposes of the Small Employer Health Insurance Availability Act

HB 2465 amends Missouri's definition of "eligible employee" under the Small Employer Health Insurance Availability Act. It specifies that an eligible employee must work a full-time schedule of 30+ hours per week, including sole proprietors, partners, and independent contractors covered under a small employer's health plan. The change explicitly excludes part-time, temporary, and substitute workers from eligibility for small employer health insurance programs. This adjustment affects small employers (typically those with fewer than 50 employees) and their workers seeking coverage under this state insurance program.

Topics ✗ HealthcareOpposes HealthcareExcludes part-time/temporary workers from small employer health insurance eligibility, restricting coverage access under the Small Employer Health Insurance Availability Act.92% confidence ✗ Labor & EmploymentOpposes Labor & EmploymentExcludes part-time/temporary workers from small employer health insurance eligibility, restricting access to benefits under Labor & Employment protections.90% confidence

Sub-Topics Insurance

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in committee · Missouri · House May 15, 2026

HB 1682: Establishes the "Missouri Prenatal Equal Protection Act"

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.

Topics ✗ Criminal JusticeOpposes Criminal JusticeBill treats abortion as criminal homicide under murder laws, removes defenses like duress, and expands criminalization - directly aligning with 'oppose' indicator: expands criminalization.90% confidence ✗ HealthcareOpposes HealthcareRestricts abortion access (a healthcare service) by criminalizing most procedures, limiting patient access to abortion care except in rare emergencies.95% confidence

Sub-Topics Civil Rights Law Enforcement Violent Crime Women's Health

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in committee · Missouri · House Jan 28, 2026

HB 1672: Modifies provisions relating to gender transition procedures

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.

Topics ✗ HealthcareOpposes HealthcareProhibits gender transition surgeries and hormone treatments for minors under 18, restricting access to specific healthcare services for transgender youth.95% confidence

Track

in committee · Missouri · House May 15, 2026

HB 2160: Adds mifepristone to the list of Schedule IV controlled substances and establishes the offense of coerced criminal abortion by means of fraud

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.)

Topics ✗ Criminal JusticeOpposes Criminal JusticeCreates new criminal offense for coerced abortion by fraud and adds mifepristone to controlled substances, expanding criminalization in drug and abortion law.90% confidence ✗ HealthcareOpposes HealthcareRestricts access to mifepristone (abortion medication) by classifying it as Schedule I controlled substance, directly limiting healthcare access for abortion services.95% confidence

Sub-Topics Drug Policy Women's Health

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in committee · Missouri · House May 15, 2026

HB 2419: Modifies provisions relating to medication abortion

HB 2419 requires physicians prescribing abortion-inducing drugs to be physically present during all doses and perform an ultrasound to confirm pregnancy stage before administration. It mandates that doctors inform patients about "abortion reversal" options and provide contact information for the H3HELPLINE counseling resource. The bill also requires physicians to have a complication plan approved by health authorities for certain drugs with known high surgical intervention rates, unless the patient is in a hospital emergency. These provisions directly affect medical providers who prescribe medication abortion and patients seeking such care in the state.

Topics ✗ HealthcareOpposes HealthcareBill imposes restrictions on medication abortion access (physician presence, ultrasound, mandatory 'abortion reversal' counseling), limiting patient access to a healthcare service. Aligns with 'oppose' indicators of restricting healthcare access.90% confidence

Sub-Topics Hospitals Women's Health

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