HB 2010 is a fiscal year 2026-2027 appropriations bill that allocates $13.1 million to Missouri's Department of Mental Health for specific operational needs. It includes $15 million for contracted staffing at facilities like Fulton State Hospital and Northwest Missouri Psychiatric Rehabilitation Center, $4.1 million to implement a new electronic health record system across all mental health facilities, and $1.7 million for staff training and the "Caring for Missourians' Mental Health Initiative." The funding covers personnel, equipment, and program operations, with specified flexibility allowances between budget categories. This bill directly affects state-operated mental health facilities, employees, and patients receiving services through these programs.
SB 1541 prohibits licensed mental health professionals (such as therapists and counselors) from providing conversion therapy to minors. The bill directly affects minors seeking mental health care and the licensed professionals who provide it. It creates a legal ban on this specific practice within the state, requiring professionals to cease such treatments for patients under 18. The bill is currently in committee review, with no votes taken yet.
This bill requires that individuals arrested for criminal offenses who need a mental health evaluation to determine if they can proceed with trial, conviction, or sentencing must receive that evaluation within 45 days of arrest. It also mandates that if an evaluation shows a person needs treatment, they must be transferred to a mental health facility within 45 days of the evaluation. Exceptions allow delays for medical emergencies, lack of evaluators (with documented efforts), or court-approved delays up to 15 days. The Department of Mental Health must submit annual reports to the legislature starting in 2027, detailing compliance with these timelines.
HB 3131 requires that for all emergency calls classified as mental-health related, law enforcement must respond with a behavioral health specialist (such as a psychologist, social worker, or counselor) alongside the officer. This applies unless dispatch or on-scene assessment indicates an immediate threat of violence, in which case officers may initially secure the scene without the specialist but must bring them in once the scene is safe. The bill mandates standardized dispatch protocols to identify mental-health calls and assign co-response teams, directly affecting Missouri law enforcement agencies and emergency dispatch centers. It aims to improve crisis response by ensuring trained behavioral health professionals are part of the initial emergency team for mental health calls.
HB 3007 updates Missouri's licensing requirements for psychologists. It requires doctoral degree holders from accredited programs (or programs meeting specific criteria like core curriculum and supervision standards) to complete three semester hours of domestic violence training. Applicants must also accumulate at least 1,500 hours of supervised internship experience and 2,000 total professional experience hours. The bill applies to new license applicants and provides a transition option for those who began their education before August 28, 1990, allowing them to choose between old and new requirements.
HB 2674 requires private Missouri employers to allow employees unpaid leave for at least one mental health appointment per week. It defines "mental health appointment" as visits under four hours with a provider for mental disorders, excluding public employers. Employees must provide 48 hours' notice (or certification after unscheduled absences), and employers may request sworn statements plus provider documentation - keeping all records confidential. The bill clarifies this leave cannot exceed federal FMLA limits and does not override existing policies offering more generous mental health benefits. Employers must annually inform employees of these rights.
HB 10 allocates nearly $40 million in state funds for Missouri's mental health and health services during fiscal year 2025-2026. It directly funds the Department of Mental Health, Department of Health and Senior Services, and the Missouri Health Facilities Review Committee to cover staff salaries, equipment, program operations, and specific initiatives like contracted staffing at facilities including Fulton State Hospital. Key provisions include $26.98 million for contracted staffing at mental health facilities (one-time), $3.49 million for an electronic health record system, and $1.4 million for overtime pay. All funding must be used strictly for the specified purposes and within the designated fiscal year.
HB 2763 creates a funding mechanism for behavioral health crisis services by requiring wireless service providers to collect specific fees. Dealers selling prepaid wireless services must charge end users $0.65 per transaction, while CMRS providers must charge $0.65 monthly per postpaid line for customers with primary use in the state. All collected funds will be deposited into the new "988 Crisis Continuum Fund" managed by the Department of Mental Health, directly supporting crisis services like the 988 hotline and open access behavioral health programs. This bill affects wireless providers, end users purchasing service, and the state's mental health department, with no tax implications for the collected fees.
HB 2638 would have created a fee system to fund behavioral health crisis services by charging mobile phone providers. Dealers selling prepaid mobile services would collect $2.50 per transaction from end users, while providers of postpaid services would charge $0.65 monthly per line for customers using Missouri as their primary location. All collected funds would go into the "988 Crisis Continuum Fund" managed by the Department of Mental Health to support crisis services like the 988 hotline and mobile response teams. The bill was prefaced in January 2026 but withdrawn the same month, so it did not become law.
HB 2675 requires the state Department of Mental Health to apply for federal grant funding to create a statewide mobile mental health unit program. If funded, the program would partner with local health agencies to deploy vehicles that provide mental health information, reduce stigma around mental health and substance use, connect people to community care, and help schedule appointments. The mobile units would operate across communities to improve access to behavioral health services and promote public awareness. This is a procedural bill focused on securing federal resources to launch the initiative, not direct funding.
