Establishes the "Missouri Terminally Ill Patient Dignity and Care Act"

HB 2464 establishes the "Missouri Terminally Ill Patient Dignity and Care Act," requiring hospitals to provide specific care standards for patients certified by a physician as terminally ill (expected to die within six months). Key provisions mandate timely pain management, a 30-minute response time to patient requests for assistance (unless clinically justified), documented care protocols, and access to a terminal care ombudsman to address complaints. Hospitals must track response times, investigate neglect complaints, and report annually to the Department of Health, with penalties including civil fines up to $5,000 per violation or license suspension for noncompliance. The law directly affects terminally ill patients in Missouri hospitals and takes effect January 1, 2027.