SB 1683 modifies Missouri's Medicaid (MO HealthNet) rules to clarify how the state recovers costs paid for beneficiaries' injuries or illnesses. It requires beneficiaries, their representatives, or estates to notify MO HealthNet when pursuing third-party claims (like insurance or accident lawsuits), and mandates repayment of MO HealthNet benefits from settlement proceeds within 60 days. The bill establishes a 3-year window for submitting subrogation claims and a 6-year enforcement period, while prohibiting third parties from denying claims due to minor administrative errors. Failure to cooperate with recovery efforts may result in loss of MO HealthNet eligibility. The policy directly affects MO HealthNet beneficiaries, their estates, and liable third parties (e.g., insurers, hospitals).
HB 3430 creates a permanent Sickle Cell Standing Committee within Missouri's Department of Health and Senior Services. The committee, appointed by the department director, includes a physician chair, a person with sickle cell disease or a family member, a researcher, a community organization representative, a minority health expert, and specialized center representatives. It will assess sickle cell disease impacts in urban communities, examine existing services and gaps, develop school education recommendations, and gather public input through regional meetings. The committee must submit its first report to the governor and legislature by December 31, 2027, and continue annual reporting thereafter. This bill directly affects sickle cell disease patients, their families, and urban communities disproportionately impacted by the condition.
HB 3282 modifies Missouri law governing peer review committees in healthcare. The bill strengthens confidentiality for peer review proceedings - protecting interviews, reports, and deliberations from court discovery or testimony - unless a committee sues to revoke a provider's hospital privileges. It also grants immunity from civil liability to committee members and hospital leaders acting in good faith during quality reviews. These changes directly affect healthcare professionals, hospitals, and health maintenance organizations operating under Missouri's peer review system.
HB 3497, the "Death with Dignity Act," allows terminally ill adults (with a disease expected to cause death within six months) to legally request medication to end their lives. It requires two physicians to confirm the diagnosis and patient competence, mandates counseling to assess decision-making, and requires a written request witnessed by two non-relatives who aren't beneficiaries or facility staff. Patients must be fully informed about their diagnosis, prognosis, risks, and alternatives like hospice care before proceeding. The bill includes a 15-day waiting period and requires the patient to self-administer the medication, emphasizing informed, voluntary decisions without coercion.
HB 3382 reestablishes a state health assistance program for employed individuals with disabilities who meet specific income and asset criteria, directly affecting working people with disabilities who previously lost Medicaid coverage due to earnings. The bill allows medical assistance for those earning up to 250% of the federal poverty level (FPL), with premiums based on income brackets (4-6% of income), while excluding certain assets like medical savings accounts and retirement funds from eligibility calculations. Key provisions include requiring proof of Medicare/Social Security tax withholding for earned income, prioritizing employer-sponsored insurance when cost-effective, and mandating annual reports to the legislature on program participation. The program expires on August 28, 2032, and aligns with federal Ticket to Work Act requirements.
HB 3412 requires long-term care facilities to maintain either $1 million in liability insurance or a segregated reserve fund to cover abuse, neglect, or wrongful death claims against residents. It specifies violations that could trigger license revocation, including failing inspections, felony convictions related to facility operations, or failing to maintain required insurance/reserve funds. The bill mandates that the state department post facility survey results, deficiency findings, and abuse/neglect substantiations on a public website with a visible icon for 36 months, along with complaint investigation timelines (30 days) and accessible results for the public. These provisions directly affect licensed long-term care facilities and their residents in the state.
HB 3204 creates a 70% state tax credit for Missouri taxpayers who contribute $50 or more to certified prevention resource centers, which are entities within the Missouri Department of Mental Health's prevention network. Taxpayers can claim a maximum annual credit of $50,000 per year, with the total statewide credits capped at $2.5 million annually. Unused credits may be carried forward for up to five years, and the program expires six years after enactment unless renewed by the legislature.
HB 3418 requires health insurance plans to notify patients at least 30 days in advance if they will remove a specific prescription drug from their coverage list (except for generic substitutions). It specifically protects patients who have been taking the same medication for over one year by preventing insurers from forcing them to switch drugs to maintain coverage. The bill applies directly to health plans and pharmacy benefit managers, ensuring patients receive clear communication about coverage changes affecting their current medications. This aims to reduce unexpected disruptions in treatment for individuals on long-term prescriptions.
HB 3484 updates laws governing the unauthorized practice of medicine by clarifying the definition of "surgery" to include specific procedures like tissue alterations and certain injections (excluding standard nurse-administered injections). It allows out-of-state physicians to consult with patients via telemedicine when working under a licensed local physician who retains final responsibility for care. The bill also permits licensed out-of-state doctors to provide sports-related medical services to athletes and team staff during travel or events without a local license, but prohibits such services at hospitals or clinics. This directly affects healthcare providers, telemedicine services, and sports teams traveling to the state. The bill is in early stages (introduced February 2026) and does not alter standard medical practice requirements within the state.
HJR 188 proposes a constitutional amendment to expand Missouri's MO HealthNet eligibility. It would make individuals aged 19-65 with income at or below 133% of the federal poverty level automatically eligible for coverage, aligning with federal Medicaid standards. The amendment removes specific restrictions (subsections 5-6) that previously limited eligibility criteria for this group. If approved by voters, Missouri would need to update its state plan with federal authorities to implement this change. The bill requires voter approval before taking effect, as it amends the state constitution.
