HB 3269 updates Missouri's Pregnancy-Associated Mortality Review Board to improve data collection and analysis of maternal deaths. The bill expands the board to 22 members with mandatory diversity requirements, including representation from each congressional district and across racial, ethnic, and rural/urban groups. It requires the board to review all maternal deaths (defined as deaths during pregnancy or within one year postpartum, regardless of cause), identify factors like racial disparities and "maternity care deserts" (counties lacking adequate maternity services), and collect specific data on prenatal/postnatal care. The board must produce annual reports with disaggregated data by race, ethnicity, and location, and share recommendations to reduce maternal mortality with policymakers and the public.
HB 3169 requires Missouri's Medicaid program (MO HealthNet) to cover doula services for eligible pregnant women, including support during prenatal care, childbirth, and the postpartum year. It expands existing coverage by allowing doula attendance at scheduled cesarean sections and increasing covered support sessions from six to sixteen total. The bill also mandates that all private health insurance plans in Missouri must cover doula services starting January 1, 2027, with exceptions for supplemental policies like accident-only or short-term plans. This directly affects pregnant and postpartum individuals enrolled in MO HealthNet or private insurance, ensuring access to nonmedical support from trained doulas.
HB 3460 (the "Assistance for Rape Emergencies (CARE) Act") requires hospitals and affiliated health care facilities to provide specific medical care to sexual assault victims. It mandates that facilities: (1) verbally inform victims about emergency contraception, (2) immediately provide the full regimen if requested, and (3) offer sexually transmitted infection screening and treatment. The bill also establishes standards for forensic examinations, requiring trained providers or telehealth support for non-SANE staff, with limited waivers for technological barriers. This directly affects hospitals, health care facilities, and sexual assault victims across the state, standardizing emergency medical responses to sexual assault.
SB 1616 restricts access to Missouri's SNAP food assistance and MO HealthNet medical benefits for non-U.S. citizens, requiring applicants to prove citizenship, national status, or specific federal immigration eligibility. It mandates documentary proof (like driver's license documents or federal status verification) at application, with temporary benefits allowed via sworn affidavit for up to 90 days or until citizenship documentation is provided. The bill explicitly excludes emergency medical care, prenatal services, children's benefits (when applied for by a citizen parent), and certain other non-cash aid like unemployment or postsecondary education. It also requires state agencies to verify immigration status through federal systems like DHS's SAVE program but prohibits denying benefits based solely on data matching.
SB 1692 replaces multiple Missouri statutes related to abortion with new definitions and reporting requirements. It defines key terms like "abortion" (including termination for reasons other than live birth), "unborn child" (from conception), and "abortion facility" (clinics or offices performing abortions outside hospitals). The bill adds abortion facilities to mandatory reporting requirements for healthcare-associated infections and financial data under Missouri's hospital reporting laws. These changes create a new administrative framework for tracking abortion services and facility compliance, without altering current abortion access rules.
HJR 109 proposes amending Missouri's state constitution to define "person" as including all human beings from conception, explicitly stating this includes "every in utero human child at every stage of biological development." It repeals the current Section 2 of Article I and replaces it with language affirming a natural right to life, while adding that the constitution "secures or protects a right to abortion" or requires abortion funding. The amendment would be submitted to Missouri voters in 2026, with an official ballot question asking if the constitution should "protect each human life with a unique DNA code regardless of age." The bill notes this change is expected to have "no fiscal impact."
SB 1569 requires health insurance plans to cover treatment for certain menopause-related conditions, directly affecting insured individuals experiencing these health issues. The bill establishes new insurance coverage mandates, ensuring that specific treatments are included in standard coverage without additional out-of-pocket costs for patients. This policy change applies to all health insurance providers offering coverage within the state, aiming to improve access to medically necessary menopause care. The bill is currently under review by the Senate Insurance and Banking Committee.
HB 2824 requires licensed hospitals to offer FDA-approved emergency contraception to women reporting sexual assault within the previous five days. The bill defines emergency contraception as drugs that prevent pregnancy after sexual intercourse. This policy directly affects sexual assault victims seeking hospital care and the hospitals providing emergency services. It mandates that hospitals proactively provide this medical option as part of standard care for eligible patients.
HB 2735 requires health digital services (like apps tracking reproductive or sexual health) to obtain explicit user consent before sharing, selling, or using sensitive health data - including pregnancy status, birth control usage, or gender transition care details. It prohibits government entities from demanding this data for most investigations, except limited criminal cases unrelated to abortion, pregnancy outcomes, or gender transition care. The bill directly affects health apps, their users, and state/local law enforcement agencies. Key provisions mandate affirmative consent for each data use instance and restrict government access to protect privacy around reproductive and sexual health information.
HB 2670 requires hospitals, ambulatory surgical centers, abortion facilities, and laboratories to report data on specific health care-associated infections - such as MRSA and VRE - to Missouri's Department of Health and Senior Services. The data must include patient counts by facility type and will be used to track preventable infections and monitor antibiotic resistance trends, while maintaining patient confidentiality. The department must follow CDC guidelines and consider input from an infection control advisory panel when developing reporting systems and analyzing the data. This bill also aligns Missouri's requirements with federal data systems like the CDC's National Healthcare Safety Network to reduce duplicate reporting for facilities.
