SB 1671 would allow qualifying Missouri cities, including Lexington, to impose up to a 0.5% sales tax for public safety purposes, subject to voter approval. The tax requires a citywide ballot measure where voters must approve the specific tax rate (e.g., "Shall the city of Lexington impose a citywide sales tax of ___% for public safety?"). All revenue must be deposited into a special trust fund and used exclusively for police, fire, and emergency medical services equipment, salaries, and facilities. The bill specifies detailed population and geographic criteria cities must meet to qualify for this tax authority.
HB 3266 establishes a formal bill of rights for people experiencing homelessness in the state. It guarantees specific protections, including the right to move freely in public spaces, receive equal treatment from government agencies, access emergency medical care, maintain reasonable privacy for personal belongings, vote with necessary documentation, and keep personal records confidential. The law explicitly prohibits denying these rights solely due to homelessness, ensuring existing legal protections apply equally to all residents regardless of housing status.
HB 3361 creates a new task force on substance abuse prevention and treatment, composed of 17 members including legislators, appointed experts, and individuals with lived experience. The task force will study substance abuse trends, develop age-appropriate school education programs on fentanyl, and create standards for sober-living facilities. It also establishes a volunteer oversight board to inspect state-funded treatment centers, review operations, and monitor how opioid settlement funds are spent. Both the task force and board must report annually to the legislature and governor, with the board providing public reports on facility compliance and funding transparency. This bill directly affects state-funded substance abuse treatment facilities and the state's approach to prevention and treatment programs.
HB 3168 requires Missouri health insurance plans to cover doula services starting January 1, 2027. It mandates coverage for pregnant women enrolled in MO HealthNet (Missouri's Medicaid program), including up to 16 support sessions (6 base sessions plus 10 additional if needed) during pregnancy and the first year postpartum. The bill defines "doula services" as nonmedical birth support, including prenatal education, labor assistance, and postpartum care, and requires the Department of Health to establish registration criteria for doulas to qualify for reimbursement. It exempts supplemental policies like accident-only or Medicare supplement plans from this requirement. The bill is currently in committee after its first reading in February 2026.
HB 3357 prohibits the sale of intravenous (IV) solution containers and IV tubing products that intentionally contain DEHP, a chemical additive. It directly affects medical device manufacturers and distributors in Missouri, banning sales of DEHP-containing IV containers starting January 1, 2030, and IV tubing starting January 1, 2035. The bill also bans replacing DEHP with other similar chemicals (orthophthalates) and limits unintentional DEHP to 0.1% weight per weight. Exemptions include blood collection bags and certain apheresis kits. The law aims to reduce exposure to DEHP in medical settings where it is used in IV products for patient care.
HB 3475 would allow Vernon County to seek voter approval for a 1% sales tax on retail purchases within the county, specifically to fund hospital operations. The tax requires a majority vote in a county election and must be listed separately on receipts. If approved, the revenue would go exclusively to hospital services, deposited into a dedicated trust fund managed by the state. The bill does not impose the tax automatically - it only enables the process for Vernon County residents to decide through a vote.
SB 1687 modifies Missouri's MO HealthNet program to clarify how the state recovers payments from third parties (like insurance companies or liable entities) when they are responsible for medical costs. It establishes MO HealthNet as the "payer of last resort," requiring third parties to reimburse the state for covered services paid by MO HealthNet, with claims due within three years of service. The bill specifies that insurers must process valid subrogation claims without denying them for late submission, missing documentation, or prior authorization issues (except for Medicare plans), and limits reimbursement to amounts the insurer would have paid if billed properly. This directly affects MO HealthNet participants, healthcare providers, and third-party insurers by streamlining recovery processes and setting clear timelines.
HB 3370 requires courts to offer treatment court programs for first-time felony offenders with substance use disorders before they enter a plea. Upon completing the program, pending charges are dismissed (after paying associated costs), and the bill explicitly prohibits treatment courts from barring participants from medication-assisted treatment for opioid or substance misuse. It also establishes procedures for transferring participants between jurisdictions and ensures participation in medication-assisted treatment cannot violate program terms. The bill directly affects eligible offenders in criminal cases seeking substance use disorder treatment instead of traditional sentencing.
HB 3269 updates Missouri's Pregnancy-Associated Mortality Review Board to improve data collection and analysis of maternal deaths. The bill expands the board to 22 members with mandatory diversity requirements, including representation from each congressional district and across racial, ethnic, and rural/urban groups. It requires the board to review all maternal deaths (defined as deaths during pregnancy or within one year postpartum, regardless of cause), identify factors like racial disparities and "maternity care deserts" (counties lacking adequate maternity services), and collect specific data on prenatal/postnatal care. The board must produce annual reports with disaggregated data by race, ethnicity, and location, and share recommendations to reduce maternal mortality with policymakers and the public.
HB 3352 modifies Missouri's physician licensure rules to create two new license types. It allows temporary licenses (up to 12 months) for physicians teaching/lecturing in accredited Missouri medical programs, and transitional licenses (up to 3 years) for physicians with lapsed licenses (after ≤10 years) or foreign-trained physicians certified by ECFMG. Both require meeting most permanent licensure standards but allow waivers for specific experience, and applicants must pass the SPEX exam if required. The bill explicitly prohibits using these licenses for general temporary medical work ("locum tenens"). It does not change standard licensure pathways for most physicians.
