HB 2643 Missouri House · 2026 Regular Session

Establishes the "Hope for Missouri Patients Act"

HB 2643, the "Hope for Missouri Patients Act," creates a legal framework for patients with life-threatening or severely debilitating conditions to access individualized investigational treatments based on their unique genetic profile. It directly affects eligible patients who have exhausted all FDA-approved treatments, received a physician recommendation for personalized therapy, and provided written informed consent. Key provisions require facilities to comply with federal human subjects protections and define "individualized investigational treatment" as drugs or devices produced exclusively for a patient using their genomic data (excluding those derived from abortion or embryonic stem cells). The bill mandates specific consent documentation detailing treatment alternatives and potential outcomes, without authorizing new drugs or altering FDA approval processes.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 2, 2026 Last action May 7, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
14
Key actions
4
Committee
6
Mar 30, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0
lower
Mar 30, 2026
Lower · Passed
Voted Do Pass (H)
lower
Mar 25, 2026
Committee
Referred: Rules - Administrative(H)
lower
Mar 16, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 12 NOES: 0 PRESENT: 0
lower
Mar 11, 2026
Lower · Passed
Voted Do Pass (H)
lower
Feb 12, 2026
Committee
Referred: Emerging Issues(H)
lower
Jan 2, 2026
Introduced
Prefiled (H)
lower
1 primary · 1 co-sponsor

Sponsors