HB 1699 Missouri House · 2026 Regular Session

Modifies provisions relating to county health officers

HB 1699 modifies how counties appoint county health officers. It allows county commissions to appoint a licensed physician for a one-year term, fill vacancies with interim appointments until a permanent officer is named, and agree on compensation paid from the county treasury. The bill explicitly states counties are not required to appoint a health officer. It does not change existing duties or state health laws but clarifies appointment procedures for county commissions. (Note: Bill is in early legislative stages with no action beyond prefiling.)

Bill status in committee 1 of 4 stages cleared

Introduction

Dec 2025

Committee Review

Floor Vote

Governor

Introduced Dec 1, 2025 Last action Apr 21, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → House Committee Substitute · 2 edits

MINOR

The bill was reclassified from an 'Introduced' version to a 'House Committee Substitute,' indicating it has been amended by the legislature. Substantively, the text now explicitly requires a county health officer to vacate their office if not reappointed, whereas the previous version only stated they would not be reappointed. Additionally, the appointment of an interim officer is now a mandatory duty for the county commission rather than a discretionary option.

Scope change

The bill's scope regarding the transition of county health officers has been clarified to enforce automatic vacancy and mandatory interim appointments.

REQUIREMENT

Changed the status of the county health officer from simply not being reappointed to explicitly vacating the office if not reappointed.

Changed the appointment of an interim county health officer from a discretionary action ('may appoint') to a mandatory requirement ('shall appoint').

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 21, 2026

Lower · Passed

Reported Do Pass (H) - AYES: 11 NOES: 0 PRESENT: 0

lower

Apr 20, 2026

Lower · Passed

Voted Do Pass (H)

lower

Apr 13, 2026

Committee

Referred: Rules - Legislative(H)

lower

Apr 9, 2026

Lower · Passed

HCS Reported Do Pass (H) - AYES: 11 NOES: 0 PRESENT: 0

lower

Apr 8, 2026

Lower · Passed

HCS Voted Do Pass (H)

lower

Mar 9, 2026

Committee

Referred: Special Committee on Rural Issues(H)

lower

Dec 1, 2025

Introduced

Prefiled (H)

lower

1 primary · 0 co-sponsors