SB 1019 Missouri Senate · 2026 Regular Session

Modifies several provisions relating to health care

SB 1019 modifies rules governing hospital investments and service areas, but the provided context does not specify the exact changes or who is directly affected. The bill's official abstract and summary lack details on the specific provisions being altered or the mechanisms involved. As a procedural bill in early committee review (prefiled January 2025, referred to committee January 2026), no concrete policy changes are described in the available information. Without further details on the modifications, a substantive summary cannot be provided.
Bill status signed all 5 stages cleared
Introduction
Dec 2025
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
Jul 2026
Introduced Dec 1, 2025 Signed Jul 13, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

4774H.04C - House Committee Substitute 4774S.01P - Perfected · 3 edits
MINOR
The bill was significantly narrowed to repeal only three specific sections instead of thirteen, reducing the scope from a broad healthcare overhaul to a focused update on hospital investment rules and district powers. This change removes provisions related to telemedicine, physician licensing, and various hospital financial activities, limiting the legislation strictly to hospital funding strategies and district operational authority.
Scope change
The bill's scope was reduced from a comprehensive healthcare reform affecting multiple statutes to a narrow focus solely on hospital investment limits and hospital district powers.
SCOPE

Provisions repealing sections 191.1146, 324.009, 334.108, 345.050, 376.1000, 376.1012, 376.1017, 632.305, 632.489, 632.492, 632.495, 632.504, and 632.520 were removed, eliminating changes to telemedicine, nursing, and other healthcare regulations.

The list of new sections to be enacted was reduced from thirty-one to just four, removing the creation of new sections 192.021, 197.708, 208.149, 376.417, 376.1280, 407.3007, 632.580, 632.585, 632.590, 632.593, 632.595, 632.600, 632.605, and 632.610.

The bill now only addresses hospital investment rules (Section 96.192), hospital expansion activities (Section 96.196), and hospital district powers (Section 206.110), replacing the previous broader legislative intent.

Floor votes

How they voted

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

Actions timeline

Total actions
40
Key actions
21
Committee
14
Amendments
1
Jul 13, 2026
Signed into law
Signed by Governor
executive
May 28, 2026
Upper · Passed
Reported Duly Enrolled Rules, Joint Rules, Resolutions & Ethics Committee
upper
May 15, 2026
Upper · Passed
Truly Agreed To and Finally Passed
upper
May 15, 2026
Upper · Passed
S Third Read and Passed
upper
May 15, 2026
Introduced
S concurs in HCS, as amended
upper
May 14, 2026
Lower · Passed
HSA 1 for HA 1 to HCS H offered & adopted (Kalberloh)--(4774H04.34H)
lower
May 14, 2026
Lower · Passed
Motion to reconsider the adoption HA 1 to HCS H adopted
lower
May 14, 2026
Lower · Passed
Motion to reconsider the adoption of the HCS, as amended, H adopted
lower
May 14, 2026
Lower · Passed
H Third Read and Passed
lower
May 14, 2026
Lower · Passed
HCS, as amended, H adopted --(4774H.04C)
lower
May 14, 2026
Lower · Passed
HA 1 to HCS H offered & adopted (Stinnett)--(4774H04.27H)
lower
May 14, 2026
Lower · Passed
HCS Reported Do Pass H Fiscal Review
lower
May 14, 2026
Lower · Passed
HCS Voted Do Pass H Fiscal Review
lower
May 12, 2026
Committee
Referred H Fiscal Review Committee
lower
Apr 28, 2026
Lower · Passed
HCS Reported Do Pass H Rules - Administrative
lower
Apr 28, 2026
Lower · Passed
HCS Voted Do Pass H Rules - Administrative
lower
Apr 23, 2026
Committee
Referred H Rules - Administrative
lower
Apr 21, 2026
Lower · Passed
HCS Reported Do Pass H Health and Mental Health
lower
Apr 21, 2026
Lower · Passed
HCS Voted Do Pass H Health and Mental Health
lower
Apr 2, 2026
Committee
Referred H Health and Mental Health
lower
Mar 12, 2026
Upper · Passed
S Third Read and Passed
upper
Mar 10, 2026
Upper · Passed
Reported Truly Perfected S Rules, Joint Rules, Resolutions and Ethics Committee
upper
Feb 12, 2026
Upper · Passed
Reported from S General Laws Committee
upper
Jan 28, 2026
Upper · Passed
Voted Do Pass S General Laws Committee
upper
Jan 21, 2026
Upper · Passed
Hearing Conducted S General Laws Committee
upper
Dec 1, 2025
Introduced
Prefiled
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Sandy Crawford
Sandy Crawford
RRepublican
MO
28