Healthcare (Mental Health)

SB 1703 - This act establishes the "Student Screen-Time Standards Act" and requires each school district and charter school to adopt a written policy governing screen time and the use of instructional technology for students in kindergarten through grade five. The policy shall be designed to promote students' educational interests, prevent harmful effects of excessive screen time on child development, ensure that technology supports rather than supplants foundational learning, and restore evidence-based practices. The act outlines required components of the policy, including limits on student screen time, restrictions on the use of school-issued devices, and limits on student access to internet-connected instructional technology, including laptops, tablets, software platforms, and other similar devices. The policy shall identify approved digital platforms, establish standards for student use of hands-on physical learning tools and traditional materials, outline procedures by which parents may obtain information regarding their child's screen time and technology use and limit such use, and describe the research and evidence upon which the policy is based. In developing the policy, each school district or charter school shall consider and document research on best practices in literacy instruction, instructional technology, assessment, and the role of handwriting and cursive writing in promoting literacy. Each elementary school shall notify parents and guardians annually of the adopted policy, provide parents available information regarding their child's login time and technology use upon request, and publish the policy on the school's website. Each policy shall be periodically updated and shall incorporate recommendations from a model school board policy to be developed by the "Framework on Classroom Use of Screens (FOCUS) Council" established in the act. The policy shall be implemented before the end of the 2027–28 school year and shall apply in all subsequent school years. The Literacy Advisory Council established under current law shall provide advice regarding instruction and assessment of cursive writing and reading, and shall develop recommendations for a related model policy on cursive. The Commissioner of Education shall establish a "Framework on Classroom Use of Screens (FOCUS) Council" composed of the Commissioner as chair, with appointed members representing school boards and charter schools; elementary school principals who have completed state leadership training; teachers with expertise in reading, mathematics, and special education; parental and disability advocacy organizations; faculty from approved teacher preparation programs; a licensed pediatric mental health professional or board-certified behavior analyst; and a medical professional with expertise in child health and development. The Department of Elementary and Secondary Education shall provide staff and resources for the council. The council shall conduct a comprehensive survey and analysis of screen time and instructional technology use in public schools, and shall provide guidance on best practices and policies, as provided in the act. By July 1, 2027, the council shall submit a report containing the council's recommendations and a model school board policy on screen time and instructional technology use to the State Board of Education, the Governor, and the Joint Committee on Education. The report shall be updated at least every two years. This act is similar to SCS/HCS/HBs 2230 & 2978 (2026) and to provisions in HCS/SB 1351 (2026). OLIVIA SHANNON

SB 1509 - This act establishes the "Office of State Ombudsman for Inmates in the Custody of the Department of Corrections" ("Office") within the Department of Corrections ("Department") for the purpose of ensuring the adequacy of care and improving the quality of life of inmates. The Office shall establish and implement procedures for receiving, processing, responding to, and resolving complaints made by or on behalf of inmates in the custody of the Department as well as establish procedures for the resolution of complaints. The Office shall be directed by an Ombudsman, who shall be appointed by the Governor and serve a 6-year term. The Ombudsman shall not be a current or former Department employee or have a spouse, child, or parent as a current or former Department employee. This act provides that the Office shall have the authority to: • Provide information to inmates, family members and representative of inmates, and others regarding the rights of inmates; • Monitor conditions of confinement and assess whether the Department is in compliance with federal, state, and Department regulations; • Establish a state-wide reporting system to collect data related to complaints received by the Department; and • Monitor all decisions of the parole board. The Office shall have reasonable access to all Department facilities, including all areas which are accessible to inmates, and access to programs for inmates at reasonable times. The Office shall have the authority to interview any inmates, Department employees or contractors, or any other person. The Office shall have the authority to copy documents in the possession or control of the Department that the Office considers necessary in an investigation of a complaint and the Department shall provide such documents no later than 30 days after the Office's written request. If the records relate to an inmate death, threat of death, sexual assault, or the denial of necessary medical treatment, the records shall be provided within 5 days, unless a waiver is provided by the Office to the Department. The Office shall establish confidentiality rules and procedures for all information maintained by the Office to ensure that the identity of a complainant is not known to Department employees or other inmates. The Office shall conduct at least one inspection each year of each Department facility and at least two times each year for each maximum security facility to monitor the status of all covered issues as defined in this act. The Office shall release a public report of each inspection. An inspection of a Department facility shall include an assessment of the following: • All policies and procedures related to the care of inmates; • Conditions of confinement; • Availability of educational and rehabilitative programing, drug and mental health treatment, and inmate job training; • All policies and procedures related to visitation; • All procedures and policies of medical facilities; • Review of lock-downs at the facility in the time since the last inspection; • Review of staffing at the facility; • Review of physical and sexual assaults at the facility; • Review of any inmate or staff deaths; and • Review of staff recruitment for the Department. Upon completion of the inspection, the Office shall produce a public report, with information as provided in the act, on its website, and deliver the report to the Governor, Attorney General, the President Pro Tempore of the Senate, the Speaker of the House of Representatives, and the Director of the Department of Corrections. The Department shall then submit a report to the Office within 30 days of the Office's inspection report which shall include a corrective action plan for each recommendation of the Office. This act also provides that the Office may initiate and attempt to resolve an investigation upon its own initiative or upon receipt of a complaint from an inmate, the inmate's family or representative, or a Department employee, regarding violations as provided in the act. The Office may decline to investigate any complaint and shall decline a complaint if the inmate has failed to first utilize Department grievance policies. The Office shall notify the complainant if it does not investigate a complaint. The Office may not investigate any complaints relating to an inmate's underlying criminal conviction and may refer any complaint to another state or federal agency. At the conclusion of an investigation, the Office shall render a public decision within 90 days of the filing of the complaint, except that the documents supporting the decision are subject to the confidentiality procedures established by the Office. The Office shall give a decision in writing to the inmate and to the Department. The Office shall give its recommendations for further action if needed. The Department shall give a report upon request to the Office within thirty days of any action taken on the Office's recommendations or the reasons for not complying with the recommendations. If the Office finds that there has been a significant inmate health or safety issue, the Office shall report such findings to the Governor, the Attorney General, the President Pro Tempore of the Senate, the Speaker of the House of Representatives, and the Director of the Department of Corrections. Finally, the Department and its employees shall not discharge, retaliate against, or in any manner discriminate against any person because such person has filed any complaint or instituted any proceeding under this act. A complaint may be filed with the Attorney General, within 30 days after a violation occurs, for any alleged discharge or retaliation against a complainant. There shall be a rebuttable presumption of retaliation if the complainant has suffered abuse or any other violation after he or she filed a complaint under this act. This act is identical to SB 378 (2025), SB 798 (2024), SB 327 (2023), SB 899 (2022), and SB 471 (2021). TRISTAN BENSON, JR.

SB 1759 - Mental Health & Health and Senior Services MENTAL HEALTH . Governor Senate GR $1,726,453,609 $1,763,799,966 FEDERAL 2,542,385,896 2,610,374,068 OTHER 137,122,502 137,122,502 . _____________ _____________ TOTAL $4,405,962,007 $4,511,296,536 . House Final GR FEDERAL OTHER . _____________ _____________ TOTAL HEALTH AND SENIOR SERVICES . Governor Senate GR $ 613,253,470 $ 613,253,470 FEDERAL 1,529,544,817 1,524,288,100 OTHER 84,236,059 84,236,059 . _____________ _____________ TOTAL $2,227,034,346 $2,221,777,629 . House Final GR FEDERAL OTHER . _____________ _____________ TOTAL ADAM KOENIGSFELD

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 3509 prohibits licensed mental health professionals (such as psychologists and counselors) from performing conversion therapy on minors. The bill defines conversion therapy as any practice seeking to change a minor’s sexual orientation or gender identity, excluding supportive counseling that accepts a minor’s identity or addresses unsafe behaviors without attempting change. This prohibition is added as a specific reason for disciplinary action against license holders under the state’s licensing regulations. The law directly affects minors receiving mental health services and licensed practitioners who may face penalties for violating this provision.

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 3323 reestablishes a state-funded program providing prostate cancer screening, treatment, and education for uninsured or economically challenged men in Missouri. It creates two designated programs - one in an urban area and one in a rural area - to serve men aged 35+ at high risk (with physician advice) or 50+ who qualify based on income (up to 150% of federal poverty level) or lack of insurance. The program will fund screenings, referrals, treatment, mental health support, and outreach through grants to local health departments and community health centers. After three years, the state must report on participation, demographics, and cost savings from early detection, with the program set to expire six years after implementation unless renewed.

SB 1719 requires healthcare facilities (including hospitals, clinics, and behavioral health centers) to create workplace violence prevention committees and implement written plans to protect staff. These plans must include confidential reporting systems, anti-retaliation protections for employees who report violence, and annual training. The bill also expands prescribing authority for advanced practice registered nurses (APRNs), allowing them to prescribe controlled substances in Schedules III, IV, and V under specific conditions. It prohibits facilities from discouraging staff from reporting violence to law enforcement and protects those who report in good faith from retaliation.

HB 3255 creates Missouri's "Universal Health Assurance Program," a statewide public insurance system providing comprehensive health, mental health, and dental care - including preventive screenings - to all state residents. The program establishes a board of governors (with diverse representation) and six regional advisory councils to develop health plans, set fees, and manage the Missouri Health Care Trust Fund. Key provisions include requiring uniform payments, streamlined administration through a single public insurer, and annual reporting to state leaders on program operations and policy recommendations. The bill aims to improve timely access to quality care, ensure adequate funding, and reduce overall health care spending.

HB 3417 defines and establishes specialized treatment courts (including adult, DWI, family, juvenile, mental health, and veterans courts) to address substance use or mental health disorders among defendants. It requires circuit courts to create these divisions by a specific deadline, mandating referrals to state-certified treatment programs unless none exist locally. The bill specifies that successful completion of treatment can lead to dismissed, reduced, or modified charges, with fees paid to treatment providers not classified as court costs. It directly affects defendants with substance use or mental health disorders in criminal cases, as well as courts and treatment providers operating within the system.