HB 3457 Missouri House · 2026 Regular Session

Creates provisions relating to medically complex pediatric patients

HB 3457 requires hospitals with emergency departments to implement a visible electronic alert for medically complex pediatric patients (under 18 with chronic conditions needing specialty care). The alert must provide quick access to a parent-submitted care plan (created with a healthcare provider) without delaying treatment, using existing electronic health record systems. Participation is voluntary with parental consent, and hospitals aren't required to buy new technology or create new positions. The bill explicitly prohibits creating a state registry or database and ensures all information complies with privacy laws like HIPAA.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2026

Committee Review

Floor Vote

Governor

Introduced Feb 26, 2026 Last action Apr 30, 2026

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What changed between versions

Introduced → House Committee Substitute · 4 edits

MODERATE

The bill was amended to make the implementation of pediatric alert systems voluntary for hospitals rather than mandatory, and to clarify that care plans must be approved by a physician before being entered into the system. These changes reduce the administrative burden on hospitals and add a safety step to ensure medical accuracy before alerts are active.

Scope change

The bill's scope was narrowed from requiring all hospitals to implement the system to allowing them to choose whether to participate.

REQUIREMENT

Changed the requirement for hospitals to implement the alert system from mandatory ('shall') to optional ('may').

Added a requirement that a care plan must be confirmed by the patient's primary physician before it can be approved and placed in the alert system.

Clarified that parents can request that their child's care plan be sent to the hospital by the licensed health care provider.

DEFINITION

Updated the definition of 'care plan' to specify that it must be developed by the primary physician.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 30, 2026

Lower · Passed

HCS Reported Do Pass (H) - AYES: 15 NOES: 0 PRESENT: 0

lower

Apr 30, 2026

Lower · Passed

HCS Voted Do Pass (H)

lower

Mar 5, 2026

Committee

Referred: Health and Mental Health(H)

lower

Feb 26, 2026

Introduced

Introduced and Read First Time (H)

lower

1 primary · 0 co-sponsors