SB 1151 Missouri Senate · 2026 Regular Session

Establishes the "End Hospital Institutionalization Act"

SB 1151, the "End Hospital Institutionalization Act," prevents hospitals from keeping medically stable patients unnecessarily in emergency rooms or inpatient settings ("boarding") when community care options are unavailable. It requires juvenile courts to act immediately for children under their jurisdiction or not under court care, and directs the Department of Mental Health to provide case management and treatment (including residential care) for adults with developmental disabilities, serious mental illness, or substance use disorders. Hospitals must notify the relevant authorities when boarding occurs, and the state will reimburse hospitals for boarding costs after notification. This law aims to move patients from hospitals to appropriate community-based care settings without delay.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025 Last action Mar 25, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
4
Key actions
1
Committee
1
Mar 25, 2026
Upper · Passed
Hearing Conducted S Families, Seniors and Health Committee
upper
Dec 1, 2025
Introduced
Prefiled
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Jamie Burger
Jamie Burger
RRepublican
MO
27