HB 3170 Missouri House · 2026 Regular Session

Creates provisions relating to the powers of the curators of the University of Missouri in the health care industry

HB 3170 grants the University of Missouri's board of curators the authority to acquire, manage, lease, or operate hospitals and health care facilities across Missouri, directly affecting the university and health care providers in the specified 25-county region. The bill allows the university to engage in health care ownership or operations without facing antitrust lawsuits, as it explicitly immunizes the curators from federal and state antitrust laws for these activities. The state states this policy aims to expand health care access, enhance professional training, support research, and improve efficiency in medically underserved areas, arguing these benefits outweigh potential competition concerns. The law applies specifically to facilities within Adair, Audrain, Boone, and 21 other designated counties.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 3, 2026 Last action Mar 12, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced House Committee Substitute · 3 edits
MINOR
The bill was amended to restrict the University of Missouri's ability to acquire or operate healthcare facilities to only those located within a specific 25-county area, added a requirement to comply with state certificate of need laws, and clarified that certain anticompetitive conduct remains illegal despite antitrust immunity.
Scope change
The bill's scope was narrowed from statewide to a specific 25-county area in Missouri, and new compliance requirements were added.
SCOPE

Changed the geographic scope from statewide to only healthcare facilities within a specific 25-county area in Missouri.

REQUIREMENT

Added a requirement that the university must comply with state certificate of need laws when acquiring or operating healthcare facilities.

ENFORCEMENT

Added specific exclusions clarifying that price-fixing, bid-rigging, and market-allocation schemes remain illegal even with antitrust immunity.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
11
Key actions
4
Committee
6
Mar 12, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 9 NOES: 1 PRESENT: 0
lower
Mar 11, 2026
Lower · Passed
Voted Do Pass (H)
lower
Mar 5, 2026
Committee
Referred: Rules - Administrative(H)
lower
Mar 5, 2026
Lower · Passed
HCS Reported Do Pass (H) - AYES: 8 NOES: 3 PRESENT: 0
lower
Mar 4, 2026
Lower · Passed
HCS Voted Do Pass (H)
lower
Feb 12, 2026
Committee
Referred: Special Committee on Rural Issues(H)
lower
Feb 3, 2026
Introduced
Introduced and Read First Time (H)
lower
1 primary · 1 co-sponsor

Sponsors