Establishes the "End Hospital Institutionalization Act"

HB 2430, the "End Hospital Institutionalization Act," requires hospitals to immediately notify courts or mental health authorities when medically stable patients - especially children or those with developmental disabilities, mental illness, or substance use disorders - are unnecessarily kept in hospitals ("boarded") without community care arrangements. It mandates juvenile courts to place affected children in appropriate settings within 24 hours of notification, and the mental health department to provide timely case management and treatment in the least restrictive environment for adults. The state must reimburse hospitals for boarding costs after intervention begins, covering either actual costs or MO HealthNet rates, whichever is higher. This bill directly affects hospitals, juvenile courts, and mental health departments by creating a structured process to end prolonged, unjustified hospital stays. The bill is currently in early legislative stages (prefiled and first reading).