Modifies provisions relating to long-term care facilities

This bill updates Missouri's regulations for long-term care facilities by replacing old statutes with new rules that require a "certificate of need" before any new health services are developed. The law mandates that these certificates be issued only when a committee determines the new services are necessary, and it prevents state agencies from licensing facilities or approving funding without this approval. Key provisions include specific requirements for project cost limits, mandatory reporting, and protections ensuring that a facility's request is not denied based on nearby competition or the applicant's refusal to provide abortion services. Additionally, the bill clarifies that transferring ownership of an existing facility does not require a new certificate, except for certain types of assisted living and nursing homes.