HB 2745 Missouri House · 2026 Regular Session

Modifies provisions relating to health screenings for a child taken into the custody of the children's division

HB 2745 requires specific health screenings for children entering Missouri's foster care system under the Children's Division. Within 72 hours of custody, a pediatrician must conduct a physical exam, and within 30 days, a developmental/behavioral screening must be completed by a licensed professional. Foster families gain access to the child's medical records within 30 days, and screenings must follow American Academy of Pediatrics guidelines. The bill directly affects children in state custody, their foster caregivers, and healthcare providers involved in their care.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2026

Committee Review

Floor Vote

Governor

Introduced Jan 6, 2026 Last action Mar 12, 2026

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What changed between versions

Introduced → House Committee Substitute · 4 edits

MODERATE

The bill was amended to change the bill number from HB 2745 to HCS HB 2745 and update the bill number in the header from 5913H.01I to 5913H.02C. Substantive changes include modifying the physical examination requirement to allow physicians or nurse practitioners instead of just pediatricians, adding a provision that vaccines cannot be administered without biological parent consent, and changing the timeline for medical records requests from a general timeframe to within thirty days of placement.

Scope change

The bill's scope regarding who can perform physical examinations was expanded to include nurse practitioners, and new restrictions on vaccine administration were added.

REQUIREMENT

Physical examinations can now be performed by physicians or nurse practitioners instead of only pediatricians

Added restriction that no vaccines may be administered during the physical without biological parent consent

TIMELINE

Medical records request deadline changed to thirty days from placement

TECHNICAL

Bill number updated from 5913H.01I to 5913H.02C and title changed from Introduced to House Committee Substitute

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 12, 2026

Lower · Passed

HCS Reported Do Pass (H) - AYES: 14 NOES: 0 PRESENT: 0

lower

Mar 12, 2026

Lower · Passed

HCS Voted Do Pass (H)

lower

Feb 18, 2026

Committee

Referred: Health and Mental Health(H)

lower

Jan 6, 2026

Introduced

Prefiled (H)

lower

1 primary · 0 co-sponsors