Healthcare

SB 861 - Under this act, and unless clearly and specifically stated otherwise, the term "reproductive health care", as used in the laws and regulations of this state, shall not be construed to include gender transition surgeries or the use of cross-sex hormones or puberty-blocking drugs for the purpose of gender transition for minor children or adults. This provision is identical to SB 26 (2025), SB 1459 (2024), and HB 2830 (2024). Currently, the prohibition on the prescription or administration of cross-sex hormones or puberty-blocking drugs for the purpose of a gender transition for persons under 18 years of age expires on August 28, 2027. This act removes that expiration date. This provision is identical to provisions in SB 1264 (2026), SB 26 (2025), HCS#2/SS#2/SCS/SB 10 (2025), SB 249 (2025), SB 493 (2025), SB 1185 (2024), SB 726 (2024), and SB 776 (2024), substantially similar to HCS/HBs 2033, 1608, 1672, & 1854 (2026), SB 1200 (2026), SB 75 (2025), and similar to provisions in HCS/HBs 1520, 1519, 2355, and 2357 (2024). SARAH HASKINS

Based solely on the provided context, a substantive summary of SB 1220 cannot be created. The bill's title and official abstract ("Creates new provisions relating to criminal offenses") are entirely generic and provide no specific details about the nature of these provisions, the criminal offenses addressed, or who would be affected. No key mechanisms, provisions, or concrete policy changes are described in the available information. Without additional details about the bill's content, a factual summary meeting the requested criteria is not possible.

SB 865 revises Missouri's workers' compensation law to narrow eligibility for benefits. It redefines "employee" to exclude certain business owners, religious organization volunteers, and minors working illegally, while requiring work to be a "substantial factor" in causing injury - excluding cases where work was merely a "triggering factor." The bill explicitly excludes most cardiovascular diseases, commute injuries, and non-specific occupational illnesses from coverage, listing only 9 toxic exposure diseases (like mesothelioma) as compensable. These changes aim to restrict claims by tightening definitions of work-related injuries and disabilities under the law.

SB 951 - This act establishes the "Equal Protection Act". Under this act, the intent of the General Assembly is to acknowledge the sanctity of innocent human life, which should be protected from the beginning of biological development to natural death. This act also provides that any person accused of committing any criminal offense against a person under the laws of this state where the victim is an unborn child shall be prosecuted in a venue as provided in the act. The affirmative defense of duress for the offense of murder shall be available where the victim is an unborn child and the defendant is the child's mother. This act also provides it shall be a justifiable defense if a medical procedure is performed by a licensed physician on a pregnant female to avert the death of the female which the results in the accidental or unintentional death of the unborn child and all reasonable alternatives to save the life of the unborn child were unavailable or were unsuccessful. Finally, this act adds the definition of person in the criminal code to include a human being, including an unborn child at every stage of development from the moment of fertilization until birth. This act contains a referendum clause. This act is identical to SB 619 (2025), and to provisions in SB 775 (2024) and SB 356 (2023), and is substantially similar to HB 1682 (2026), HB 1417 (2026), and HB 1072 (2025). TRISTAN BENSON, JR.

Based solely on the provided context, a detailed summary of SB 1385 cannot be generated. The official abstract only states it "modifies provisions relating to workers' compensation" without specifying *what* provisions are changed or *how* they are modified. The bill is currently in early stages (prefiled, first reading), and no concrete policy changes or affected parties are described in the available information. To create an accurate summary, specific details about the bill's provisions would be required.

SB 1580 - This act creates a new provision relating to the ordering and administering of ketamine for mental health purposes. The act provides that a licensed physician shall not delegate to any individual the authority to order ketamine hydrochloride for mental health purposes. Further, any licensed physician who delegates the administration of ketamine to a certified registered nurse anesthetist shall be on site and immediately available to supervise and respond during such treatment. Intravenous ketamine hydrochloride treatment for mental health purposes shall not be administered without a documented diagnosis and treatment plan from a physician. This act is identical to SB 830 (2025) and substantially similar to HB 1043 (2025). SARAH HASKINS

SJR 71 - This constitutional amendment, if approved by the voters, prohibits abortions, except in cases of medical emergencies. The amendment also prohibits the use of surgeries, hormones, or drugs to assist a child with a gender transition. This amendment provides that the right to reproductive freedom shall not be construed to exempt any person, firm, or corporation from civil liability for medical malpractice, negligence, or wrongful death. The General Assembly shall have the authority to enact laws to carry out these provisions. This constitutional amendment is identical to SJR 9 (2025) and similar to the truly agreed to and finally passed HCS/HJR 73 (2025), SCS/SJR 33 (2025), SJR 5 (2025), SJR 17 (2025), SJR 23 (2025), SJR 25 (2025), SJR 27 (2025), SJR 28 (2025), SJR 29 (2025), and SJR 55 (2025). SARAH HASKINS

SB 1167 - This act creates the offense of possession of an abortifacient drug with the intent to induce an abortion on oneself or another person and the offense of delivery of an abortifacient drug with the intent to induce, or otherwise assist in, an abortion on another person. These offenses are Class C felonies. It shall be an affirmative defense for either offense that the possession or delivery of the drug was because of an abortion induced due to a medical emergency. This act is identical to SB 119 (2025). SARAH HASKINS

SB 950 - This act modifies several provisions relating to taxation. INDIVIDUAL INCOME TAX For all tax years beginning on or after January 1, 2027, this act reduces the top rate of tax by 0.17%. Such reduction in the top rate of tax shall only occur if one or more institutions is subject to the tax on the endowments of higher education institutions imposed under this act. (Section 143.011) HIGHER EDUCATION ENDOWMENT TAX For all tax years beginning on or after January 1, 2027, this act imposes a tax on the endowments of qualifying institutions of higher education at a rate of 1.9% of the aggregate fair market value of the assets of such endowments. The tax shall apply to the endowments, as defined in the act, of higher education institutions that 1) are affiliated with, or provide medical faculty to, any abortion facility, 2) offer specific medical residencies or fellowships that offer training in performing or inducing abortions, or 3) support in any manner any abortion facility where abortions are performed or induced when not necessary to save the life of the mother. Any institution that becomes a qualifying institution of higher education on or after January 1, 2027, shall remain subject to the tax imposed by the act regardless of whether such institution no longer meets the definition of qualifying institution of higher education as defined in the act. All revenues generated by the endowment tax shall be deposited in the General Revenue Fund. (Section 146.200) This act is identical to HB 3444 (2026), SB 27 (2025), SB 1143 (2024), HB 2114 (2024), SB 290 (2023), SB 892 (2022), HB 1874 (2022), SB 451 (2021), and HB 302 (2021), and is substantially similar to HB 1332 (2023), SCS/SB 574 (2020), and SCS/SB 188 (2019). JOSH NORBERG

SB 1221 - This act creates the "Born-Alive Abortion Survivors Protection Act". Under this act, a child born alive during or after an abortion or attempted abortion shall have the same rights, privileges, and immunities as any other person, citizen, and resident of Missouri, including any other live-born child. Any licensed, registered, or certified health care provider present at the time a child is born alive during or after an abortion or attempted abortion shall exercise the same degree of professional skill, care, and diligence to preserve the life and health of the child as a reasonably diligent and conscientious provider would render to any other child born alive at the same gestational age or fetal weight, as well as ensure that the child is transported and admitted to a hospital following such care if necessary. A person shall be civilly liable under this act when he or she: (1) knowingly, recklessly, or negligently causes the death of a child born alive during or after an abortion or attempted abortion; (2) knowingly fails to comply with the health care provider standards of care described in this act; (3) knowingly performs or induces, or attempts to perform or induce, an unlawful abortion; (4) knowingly aids or abets another person to undergo a self-induced abortion or attempted self-induced abortion or to procure an unlawful abortion or attempted unlawful abortion; (5) knowingly, recklessly, or negligently supplies or makes available any instrument, device, medicine, drug, or any other means or substance for another person to undergo a self-induced abortion or attempted self-induced abortion or to procure an unlawful abortion or attempted unlawful abortion; or (6) knowingly incites, solicits, or otherwise uses speech or writing as an integral part of conduct in violation of a valid criminal statute to influence another person to undergo a self-induced abortion or attempted self-induced abortion or to procure an unlawful abortion or attempted unlawful abortion. A cause of action for personal injury, bodily injury, or wrongful death may be brought if injury or death arises out of or results from any of these circumstances to: (1) a person upon whom an unlawful abortion or attempted unlawful abortion was performed or induced; (2) a person who underwent a self-induced abortion or attempted self-induced abortion or who procured an unlawful abortion or attempted unlawful abortion; (3) a child who was born alive during or after an abortion or attempted abortion; or (4) an unborn child. In a cause of action for wrongful death, the spouse, partner, parents, and children of the deceased person, child, or unborn child shall be entitled to bring the action and receive damages, attorney fees, and other costs as described in the act. A defendant may not plead or prove a defense that the plaintiff or deceased person assumed or otherwise consented to certain risks involving self-induced or unlawful abortions or attempted self-induced or unlawful abortions. No person shall maintain a cause of action or receive an award of damages under this act if the person engaged in criminal conduct, domestic violence, or sexual assault that caused the pregnancy, or who is a family or household member who aided or abetted in the criminal conduct, domestic violence, or sexual assault. This act is identical to SB 702 (2025), substantially similar to provisions in the truly agreed to and finally passed SS#2/SB 999 (2026), HCS/HBs 1667 & 2294 (2026), HB 195 (2025), SCS/SB 753 (2022), provisions in SCS/HCS/HB 2012 (2022), HCS/HBs 1593 & 1959 (2022), SB 168 (2021), and SB 665 (2020), and similar to SB 388 (2019). SARAH HASKINS