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HB 3009 Missouri House · 2026 Regular Session

Creates provisions relating to pharmacies

HB 3009 allows Missouri's Board of Pharmacy to temporarily waive certain state rules for nonprofit pharmacies (501(c)(3) organizations licensed in Missouri) during declared disasters. These pharmacies can then ship prescription drugs to affected areas without following standard state regulations, provided they are responding to an active emergency and comply with federal rules and local disaster guidelines. The waiver applies only during the official disaster period (60 days after a governor's or federal emergency declaration) and is limited to the geographic area specified in the emergency declaration. It does not change routine pharmacy operations outside of emergencies.
Issues: ✓ HealthcareSupports HealthcareEnables nonprofit pharmacies to bypass state rules during disasters to ship prescriptions, improving emergency healthcare access and aligning with public health response needs.92% confidence
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
May 2026
House Passage
Apr 2026
Senate Passage
Governor
Introduced Jan 15, 2026 Last action May 5, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

House Committee Substitute → Perfected · 4 edits
MODERATE
The bill was revised to repeal three existing pharmacy sections and replace them with six new sections that redefine the scope of pharmacy practice. The changes significantly expand the definition of 'practice of pharmacy' to include new services like nicotine replacement therapy and HIV postexposure prophylaxis, while removing previous emergency disaster relief provisions. This update modernizes the law to reflect current clinical responsibilities and regulatory requirements for pharmacists in Missouri.
Scope change
The bill's scope shifted from adding a single emergency-related section to comprehensively redefining the practice of pharmacy and removing specific emergency disaster provisions.
SCOPE

The definition of 'practice of pharmacy' was expanded to explicitly include nicotine replacement therapy, HIV postexposure prophylaxis, and auxiliary personnel supervision.

REQUIREMENT

Provisions allowing pharmacies to waive state rules during declared state disasters or emergencies were deleted.

New language was added to clarify that pharmacists remain responsible for the actions of auxiliary personnel assisting them.

DEFINITION

The list of specific pharmacy duties was updated to include modern clinical services and remove outdated emergency-related criteria.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
24
Key actions
9
Committee
9
May 5, 2026
Upper · Passed
SCS Voted Do Pass (S)
upper
Apr 27, 2026
Upper · Passed
Public Hearing Scheduled (S) - AMENDED: Wednesday, April 29, 2026, 8:00 a.m., Senate Committee Room 1 - 1st Floor
upper
Apr 21, 2026
Committee
Second read and referred: Families, Seniors and Health(S)
upper
Apr 13, 2026
Lower · Passed
Third Read and Passed (H) - AYES: 133 NOES: 6 PRESENT: 1
lower
Apr 8, 2026
Lower · Passed
Perfected with Amendments (H) - HA 1, HA 2, HA 3, adopted
lower
Apr 8, 2026
Lower · Passed
HCS Adopted (H)
lower
Mar 5, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 12 NOES: 0 PRESENT: 0
lower
Mar 5, 2026
Lower · Passed
Voted Do Pass (H)
lower
Feb 23, 2026
Committee
Referred: Rules - Legislative(H)
lower
Feb 11, 2026
Lower · Passed
HCS Reported Do Pass (H) - AYES: 20 NOES: 0 PRESENT: 0
lower
Feb 11, 2026
Lower · Passed
HCS Voted Do Pass (H)
lower
Jan 29, 2026
Committee
Referred: Professional Registration and Licensing(H)
lower
Jan 15, 2026
Introduced
Introduced and Read First Time (H)
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.