HB 390 Missouri House · 2025 Regular Session

Creates provisions relating to referrals to independent living facilities and long-term care facilities

HB 390 requires referral agencies that send people to long-term care facilities to disclose financial ties to those facilities and provide written agreements to prospective residents. It directly affects referral agencies (like third-party brokers), prospective residents, and long-term care facilities. Key provisions include mandating clear disclosure of fees and relationships, requiring signed agreements that allow residents to cancel services anytime, and prohibiting facilities from paying referral agencies until they receive the signed agreement. Violations carry civil penalties of up to $500 per incident, enforced by the attorney general or circuit attorneys. The bill aims to increase transparency in the referral process for seniors or vulnerable adults entering care facilities.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2024
Committee Review
Floor Vote
Governor
Introduced Dec 4, 2024 Last action Apr 10, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced House Committee Substitute · 4 edits
MODERATE
The bill was revised to expand its scope from only licensed long-term care facilities to include independent living facilities, broadening consumer protections for residents in both settings. The committee substitute also strengthened disclosure requirements by adding details about services provided in exchange for referral fees and clarifying that facilities cannot charge fees when residents terminate agreements.
Scope change
Expanded from licensed long-term care facilities only to include both licensed long-term care facilities and unlicensed independent living facilities.
DEFINITION

Added a new definition for 'independent living facility' to cover communal living structures for 55+ residents that provide dining, transportation, medical care, and housekeeping but are not state-licensed.

REQUIREMENT

Added requirement that referral agreements must include a detailed description of services provided in exchange for referral fees.

Clarified that referral agencies cannot charge fees or penalties when a prospective resident terminates the agreement.

Updated language to refer to 'facility' instead of 'long-term care facility' throughout to encompass both licensed and unlicensed facilities.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
9
Key actions
2
Committee
4
Apr 10, 2025
Committee
Referred: Rules - Administrative(H)
lower
Apr 3, 2025
Lower · Passed
HCS Reported Do Pass (H) - AYES: 13 NOES: 0 PRESENT: 0
lower
Apr 2, 2025
Lower · Passed
HCS Voted Do Pass (H)
lower
Feb 6, 2025
Committee
Referred: Health and Mental Health(H)
lower
Dec 4, 2024
Introduced
Prefiled (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Phil Amato
Phil Amato
RRepublican
MO
113