HB 1104 Missouri House · 2025 Regular Session

Modifies provisions relating to hospitals

HB 1104 modifies how county public hospital boards of trustees are structured and governed. It changes trustee election terms to be determined by lot (ranging from one to five years), restricts who can serve (banning current/former hospital employees or related health care workers), and clarifies board authority over hospital operations, finances, and leases. The bill directly affects county public hospitals by altering trustee selection, qualifications, and governance procedures. Key provisions include standardized term lengths, eligibility rules to prevent conflicts of interest, and board powers regarding hospital management and contracts.

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 29, 2025 Last action Apr 15, 2025

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What changed between versions

Introduced → House Committee Substitute · 3 edits

MINOR

The bill was amended to repeal an additional statute (206.090) and expand the scope from county hospitals to hospitals generally. The committee substitute reorganized the trustee term structure and removed conflict of interest provisions related to health care organizations, while retaining restrictions on current and recent hospital employees.

Scope change

Expanded from applying only to county hospitals to applying to hospitals generally, and added repeal of section 206.090.

SCOPE

Added repeal of section 206.090 and changed bill language from 'county hospitals' to 'hospitals' to broaden applicability.

REQUIREMENT

Removed conflict of interest restriction prohibiting trustees from being employees or officers of organizations that provide health care services.

TECHNICAL

Reorganized trustee term election procedures and renumbered subsections to accommodate the new repeal and additions.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 15, 2025

Committee

Referred: Rules - Administrative(H)

lower

Mar 27, 2025

Lower · Passed

HCS Reported Do Pass (H) - AYES: 12 NOES: 5 PRESENT: 0

lower

Mar 25, 2025

Lower · Passed

HCS Voted Do Pass (H)

lower

Feb 19, 2025

Committee

Referred: Government Efficiency(H)

lower

Jan 29, 2025

Introduced

Introduced and Read First Time (H)

lower

1 primary · 0 co-sponsors