Requires schools to establish cardiac emergency response plans
HB 232 requires Missouri public schools to create and implement cardiac emergency response plans starting in the 2026-27 school year. The bill directly affects all public schools, mandating they establish response teams, place AEDs in accessible locations (especially at athletic venues), provide annual CPR/AED training for staff, and conduct practice drills. Key provisions include integrating plans with local emergency services, ensuring AEDs are available within three minutes during school activities, and following evidence-based standards from groups like the American Heart Association. The law aims to improve response to sudden cardiac arrest incidents on school campuses.
Bill status
passed
3 of 5 stages cleared
Introduction
Dec 2024
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
Governor
Introduced Dec 2, 2024
Last action Apr 29, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Perfected
·
5 edits
MODERATE
HB 232 was substantially rewritten to shift from adding a single cardiac emergency response section to repealing multiple existing school safety and emergency preparedness statutes and replacing them with eleven new comprehensive school safety sections. The bill now mandates broader emergency operations planning that addresses general school safety crises rather than focusing exclusively on cardiac emergencies, while maintaining specific AED and CPR definitions.
Scope change
The bill's scope expanded from a narrow focus on cardiac emergency response to comprehensive school safety planning covering natural disasters, crises, and community emergencies, with requirements for physical security assessments and collaboration with emergency services.
REQUIREMENT
Removed the requirement for a standalone cardiac emergency response plan that was previously mandated for public schools.
Added requirement for comprehensive emergency operations plans addressing multiple crisis types including natural disasters and community emergencies.
Added mandate for annual physical security site assessments at all school facilities.
SCOPE
Changed from adding one new section to repealing eight existing sections and enacting eleven new sections covering broader school safety topics.
DEFINITION
Retained AED and CPR definitions but reorganized them within the new comprehensive framework.
Floor votes
How they voted
This bill passed the House by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
30
Key actions
10
Committee
12
Apr 29, 2025
Upper · Passed
SCS Voted Do Pass (S)
upper
Apr 17, 2025
Upper · Passed
Public Hearing Scheduled (S) - Wedneday, April 23, 2025, 10:00 a.m., Senate Committee Room - 1st Floor
upper
Apr 17, 2025
Committee
Second read and referred: Education(S)
upper
Apr 10, 2025
Lower · Passed
Third Read and Passed (H) - AYES: 123 NOES: 19 PRESENT: 4
lower
Apr 8, 2025
Lower · Passed
Reported Do Pass (H) - AYES: 8 NOES: 0 PRESENT: 0
lower
Apr 8, 2025
Lower · Passed
Voted Do Pass (H)
lower
Apr 3, 2025
Committee
Referred: Fiscal Review(H)
lower
Apr 2, 2025
Lower · Passed
Perfected with Amendments (H) - HA 1, HA 2, HA 3, HA 4 adopted
lower
Mar 13, 2025
Lower · Passed
Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0
lower
Mar 11, 2025
Lower · Passed
Voted Do Pass (H)
lower
Mar 6, 2025
Committee
Referred: Rules - Administrative(H)
lower
Feb 26, 2025
Lower · Passed
Reported Do Pass (H) - AYES: 11 NOES: 0 PRESENT: 0
lower
Feb 25, 2025
Lower · Passed
Voted Do Pass (H)
lower
Feb 6, 2025
Committee
Referred: Health and Mental Health(H)
lower
Dec 2, 2024
Introduced
Prefiled (H)
lower
1 primary · 1 co-sponsor
Sponsors
Ask Maddy
·
AI policy assistant
Ask Maddy about HB 232
Scope: MO
Hi! I can help you understand HB 232. What would you like to know?
Try one of these
i
Maddy answers using official bill text and legislative records. Always verify before sharing.
Sources cited inline