HB 2513 Missouri House · 2026 Regular Session

Creates provisions relating to individualized care plans for children with rare or medically complex conditions

HB 2513 requires healthcare providers to create and maintain written, physician-approved individualized care plans for children under 18 with rare or medically complex conditions (defined as conditions affecting fewer than 200,000 people nationally or requiring specialized management). The bill mandates annual reviews of these plans, updates after hospitalizations, and specific emergency care instructions within the plan. It requires hospitals and emergency services to report significant protocol deviations (any change from the care plan causing or risking harm) to the child’s primary specialist within 24 hours. The law also establishes training for healthcare professionals on adhering to these care plans and encourages a centralized registry of plans for authorized access. The provisions become effective March 1, 2027.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 18, 2025 Last action May 15, 2026
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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
May 15, 2026
Committee
Referred: Emerging Issues(H)
lower
Dec 18, 2025
Introduced
Prefiled (H)
lower
1 primary · 1 co-sponsor

Sponsors