Modifies provisions relating to the use of van accessible parking spaces

HB 2645 modifies the rules for obtaining disabled license plates and windshield placards in Missouri by clarifying who qualifies as physically disabled and expanding the list of medical professionals authorized to issue certification statements. The bill defines physical disability based on specific limitations in walking ability, respiratory function, or cardiac conditions, while explicitly stating that age alone does not determine eligibility. It allows advanced practice nurses, physician assistants, chiropractors, and other licensed health care providers to sign the required medical statements, provided they are treating the specific condition in question. Additionally, the legislation requires these providers to document the certification in the patient's medical records and mandates that statements include the provider's license number and a specific diagnosis.