SB 1664 - This act establishes the "Honest Billing Act". Under this act, each off-campus outpatient department of a health care facility, as defined in the act, shall apply for, obtain, and use a unique national provider identifier (NPI) on all claims filed after December 31, 2026, in this state for reimbursement or payment for health care services provided in that department. No facility shall submit a claim for services to a health carrier or hold an enrollee liable for such services, unless those services are billed using a separate unique NPI for the department, as described in the act. A facility that holds an enrollee liable for services billed in violation of this act shall be subject to Missouri Merchandising Practice Act enforcement by the Attorney General. A facility applying for licensure or license renewal in this state shall demonstrate its compliance with the provisions of this act as a condition of licensure. The Department of Health and Senior Services may impose specified penalties on any licensee for violating the provisions of this act. The Department of Commerce and Insurance may refer any violation of this act to the Department of Health and Senior Services. This act is substantially similar to HB 502 (2025). SARAH HASKINS
SB 1490 - Currently, insurers shall issue payments to certain health care providers within 30 days of receipt by the insurer of all documents needed to determine the claim. This act adds athletic trainers to that list of providers. Additionally, this act adds athletic trainers to the list of practitioners covered by provisions of existing law relating to health carrier credentialing procedures. This act is identical to HB 1965 (2026) and HB 469 (2023). TAYLOR MIDDLETON
SB 1519 - This act establishes the Respiratory Care Interstate Compact ("Compact"), which allows for the interstate practice of respiratory therapy. The Compact sets forth the requirements to be met in order for a state to join and maintain membership in the Compact. Additionally, the Compact provides the requirements for a respiratory therapist to obtain and exercise the ability to practice in the remote participating states. The compact privilege of a licensee shall be valid until the expiration or revocation of the home state license. The Compact further provides that a respiratory therapist with compact privilege shall function within the scope of practice of the remote participating state. Respiratory therapists shall also be subject to that remote state's regulatory authority, which has the authority to impose adverse action on licenses issued by that state. A member state may also participate with other member states in joint investigations of a licensee. Participating states shall report licensure data along with any adverse action and significant investigative information to the data system established in the Compact. Additionally, the Compact creates the Respiratory Care Interstate Compact Commission ("Commission"), which is a joint government agency of member states with the power to administer and implement the Compact. Each participating state shall be entitled to one commissioner, who shall be selected by the state's licensing authority for respiratory therapists and shall be an administrator or staff member of such authority. The Commission shall meet at least once a year. Additionally, there shall be an Executive Committee, composed of nine members, to act on behalf of the Commission, including on day-to-day activities related to the administration of the Compact. The Commission may levy and collect an annual assessment from each member state and impose fees on licensees to whom it grants compact privileges to cover the costs of the operations and activities of the Commission and its staff. Member states and commissioners, officers, executive directors, employees, and agents of the Commission shall be immune from liability, both personally and in their official capacity, for any claim for damages arising out of any acts or omissions that occurred within the scope of the Commission's employment, duties, or responsibilities, except for those damages caused by intentional or willful or wanton misconduct. The procurement of insurance by the Commission shall not limit such immunity. For any actions by or against the Commission, venue is proper in a court of competent jurisdiction where the principal office of the Commission is located. Furthermore, the Compact shall come into effect on the date in which the seventh state enacts the Compact into law. Any participating state may withdraw from the Compact by repealing the Compact, but such withdrawal shall not take effect until 180 days after the enactment of the repeal. If a state defaults in the performance of its obligations or responsibilities under the Compact or its rules, the Commission, after notifying state officials and upon a majority vote of the Commission, may terminate membership of the defaulting state. Finally, the Compact shall be binding upon participating states and shall supersede any conflict with state law. KATIE O'BRIEN
HB 3499 expands pharmacists' scope of practice by allowing them to provide medication therapy services for influenza, group A strep, and COVID-19 under statewide orders from health authorities. It also permits pharmacists to prescribe certain medical devices (like home health equipment classified by the FDA as Class I or II) that meet specific criteria for medical use at home. The bill requires the state pharmacy board and healing arts board to jointly create implementing rules within six months. This directly affects pharmacists, enabling them to offer these additional services and prescriptions without direct physician oversight for these specific conditions and devices.
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.
HB 3458 establishes an "Interstate Massage Compact" to allow licensed massage therapists to practice across participating states using a single license. Therapists would need to pass a nationally recognized exam (like the Massage and Bodywork Licensure Examination) and undergo background checks, with states sharing disciplinary records through a new Interstate Commission. The compact aims to increase therapist mobility, improve public safety through shared enforcement data, and support military families relocating between states. States retain full authority to regulate massage therapy within their borders under this agreement.
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.
SB 1691 streamlines licensure for healthcare professionals in Missouri who hold valid licenses in other states or jurisdictions, allowing them to practice telehealth services without retaking exams or meeting additional experience requirements. It directly affects healthcare workers licensed elsewhere (including military or law enforcement spouses moving to Missouri) who have held a valid license for at least one year in their previous jurisdiction. Key provisions require Missouri licensing boards to waive exams and experience requirements for eligible applicants within six months (or 30 days for military/law enforcement spouses), while maintaining standards like background checks and fees. The bill does not apply to business licenses, interstate compacts, or cases where an applicant’s license is under disciplinary action.
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 3217 establishes detailed rules for collaborative practice arrangements between physicians and assistant physicians. It requires written agreements covering specific details like contact information, locations for prescribing, mandatory patient disclosures about seeing an assistant physician, and geographic proximity requirements (with limited rural clinic exceptions). The bill mandates regular chart reviews (10% of all cases, 20% for controlled substances every two weeks) and limits physicians to collaborating with no more than ten full-time equivalent assistant physicians or other providers. These provisions aim to standardize supervision, ensure patient safety, and clarify responsibilities for both providers.
