Creates provisions relating to medical documentation

HB 2514, the "Missouri Medical Documentation and Patient Recording Accountability Act," requires healthcare providers to document all clinical communications (like diagnoses, treatments, or care plan changes) within 24 hours or the same calendar day. It prohibits attributing symptoms to psychiatric causes without proper testing and documentation, bans auto-deletion of internal communications, and mandates that all electronic patient-care communications be retained in the medical record. Patients and their advocates gain the right to request documentation within 72 hours and to record or live-stream medical encounters (with limited privacy exceptions), while facilities must post a notice of this right. Violations carry penalties ranging from class D misdemeanors for first offenses to class E felonies for repeated or harmful violations, including civil fines up to $50,000 per violation for facilities. The bill directly affects healthcare providers, facilities, and patients in Missouri.