Healthcare

in committee · Missouri · House May 15, 2026

HB 1989: Modifies provisions relating to advanced practice registered nurses

HB 1989 modifies Missouri law to expand prescribing authority for advanced practice registered nurses (APRNs). It allows APRNs with a certificate from the Missouri Board of Nursing to prescribe medications in Schedules III, IV, and V of controlled substances, and limited Schedule II drugs (like hydrocodone for hospice patients) in 120-hour supplies without refills. APRNs must either work under a collaborative practice agreement with a physician or qualify for an exemption from that requirement. This directly affects APRNs providing patient care in Missouri, particularly in settings where they previously faced restrictions on prescribing these medications.

Topics ✓ HealthcareSupports HealthcareExpands APRN prescribing authority for controlled substances, improving patient access to care without physician oversight in specified cases.90% confidence

Sub-Topics Healthcare Workforce

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in committee · Missouri · House May 15, 2026

HB 1820: Creates provisions relating to health insurance reimbursement of doula services

HB 1820 creates a state registration system for doulas to enable health insurance reimbursement of their services in Missouri. The bill requires the state Department of Health to establish application criteria, review registration applications, approve or deny registrations, and maintain a public registry of approved doulas. It specifies that doulas providing non-medical support (not medical care) can register to seek reimbursement, though unregistered doulas may still practice. The department must consult community organizations like the Missouri Community Doula Council when setting registration rules. This bill does not mandate insurance coverage but provides the framework for insurers to reimburse registered doulas.

Topics ✓ HealthcareSupports HealthcareEnables health insurance reimbursement for doula services, expanding coverage for non-medical childbirth support and improving patient access to healthcare services.95% confidence

Sub-Topics Insurance

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in committee · Missouri · House May 15, 2026

HB 1927: Prohibits health carriers from requiring prior authorization of inpatient psychiatric hospital services

HB 1927 prohibits Missouri health insurance plans from requiring prior authorization (pre-approval) for inpatient psychiatric hospital services. This bill directly affects patients seeking psychiatric hospitalization and health insurers who currently must approve such care before coverage. The key provision removes the requirement for insurers to review and approve inpatient psychiatric care in advance, streamlining access to treatment. It applies specifically to inpatient psychiatric hospital services, not other types of care or outpatient treatment. The bill repeals existing prior authorization rules for this service under Missouri law.

Topics ✓ HealthcareSupports HealthcareRemoves prior authorization barriers for psychiatric hospital care, improving patient access to mental health services per bill's explicit prohibition of insurer pre-approval requirements.95% confidence

Sub-Topics Hospitals Insurance Mental Health

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passed · Missouri · House May 7, 2026

HB 1717: Modifies provisions relating to alternative therapies and treatments, including psilocybin

HB 1717 would allow veterans aged 21+ with PTSD, major depression, substance use disorders, or end-of-life care needs to legally use psilocybin for therapeutic purposes under strict conditions. To qualify, veterans must enroll in a research study, provide physician documentation of their condition, identify a trained facilitator (a licensed mental health professional meeting specific criteria), and have psilocybin tested by a state-licensed lab. The bill prohibits state/local penalties for compliant use, requires a 150mg annual limit, and shields healthcare providers from professional discipline for participating. It also mandates a $2 million state grant for psilocybin research and annual reports on the program’s implementation. This bill is currently pending in committee and has not yet become law.

Topics ✓ HealthcareSupports HealthcareEnables legal access to psilocybin therapy for veterans with mental health conditions under medical supervision, expanding treatment options for mental health services.95% confidence ✓ VeteransSupports VeteransBill explicitly enables veterans with PTSD/depression to access psilocybin therapy under medical supervision, expanding mental health treatment options for veterans.95% confidence

Sub-Topics Healthcare Workforce Mental Health Veteran Mental Health

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in committee · Missouri · Senate Feb 18, 2026

SB 1086: Permits over-the-counter purchase of ivermectin and hydroxychloroquine tablets without a prescription

SB 1086 would allow Missouri residents to purchase ivermectin and hydroxychloroquine tablets (for human use) directly from pharmacies or retailers without needing a doctor's prescription or consulting a pharmacist. This policy change directly affects consumers who currently require a prescription to obtain these medications. The bill removes existing legal barriers by explicitly permitting their over-the-counter sale under state law, bypassing standard prescription requirements. The measure is still in early legislative stages, having been prefaced and referred to a committee.

Topics ✓ HealthcareSupports HealthcareRemoves prescription requirement for ivermectin/hydroxychloroquine, expanding patient access to medications without medical oversight.90% confidence

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in committee · Missouri · House May 15, 2026

HB 1679: Prohibits health care providers from denying a child health care services based on the child's vaccination status

HB 1679 prohibits healthcare providers from denying medical care to minor children based on whether the child has received vaccinations. The bill directly affects children seeking healthcare services and the providers who treat them, ensuring vaccination status cannot be used to withhold care. It adds a new provision requiring providers to offer all necessary health services to minors regardless of their vaccination history. This is a concrete policy change that would legally prevent discrimination in pediatric healthcare access. The bill is currently in early legislative stages, having been prefaced and read for the first time in 2026.

Topics ✓ HealthcareSupports HealthcarePrevents denial of pediatric care based on vaccination status, ensuring equitable access and protecting minors' healthcare rights per bill's explicit language.95% confidence

Sub-Topics Children's Health Public Health

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in committee · Missouri · Senate Apr 8, 2026

SB 910: Modifies the offense of abuse of elderly, disabled, or vulnerable persons

SB 910 requires long-term care facilities to maintain either $1 million in liability insurance or a segregated $1 million reserve account to cover resident abuse, neglect, or wrongful death claims. It mandates the state health department to post facility survey results, deficiencies, and a visible "abuse icon" for facilities with verified abuse findings (displayed for 36 months). The bill also requires investigations of resident harm complaints within 30 days and updates license revocation rules for facilities failing to meet safety standards or having felony convictions related to care. These provisions directly affect all Missouri-licensed long-term care facilities and their residents.

Topics ✓ HealthcareSupports HealthcareRequires long-term care facilities to maintain insurance/reserve for abuse claims, mandates transparency on facility safety, and enforces timely investigations - directly strengthens patient safety protocols in healthcare settings.90% confidence

Sub-Topics Long-Term Care

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in committee · Missouri · Senate Jan 15, 2026

SB 1047: Enacts provisions relating to insurance coverage for cancer treatment

SB 1047 aims to establish new requirements for insurance coverage related to cancer treatment, directly affecting health insurance providers and patients seeking cancer care. The bill's official abstract indicates it will enact specific provisions governing coverage standards, though the context provided does not detail exact requirements (e.g., specific treatments, coverage limits, or timelines). As the bill is in early stages (prefiled, first reading), no concrete mechanisms or affected groups beyond insurers and cancer patients are described in the available information. Without additional details on the provisions, the summary cannot specify policy changes beyond the general intent stated in the title. For precise details, review the full bill text once introduced.

Topics ✓ HealthcareSupports HealthcareBill establishes new insurance coverage requirements for cancer treatment, expanding patient access to care and strengthening coverage standards.90% confidence

Sub-Topics Insurance

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in committee · Missouri · Senate Jan 15, 2026

SB 1036: Modifies the Missouri Works program

SB 1036 modifies Missouri's Missouri Works program, which provides tax incentives to businesses creating jobs. It redefines key terms like "average wage" (calculated using payroll and hours worked) and "county average wage" (using state data, with adjustments for relocating employees from higher-wage counties requiring community endorsements). The bill also specifies that "full-time employees" must work 35+ hours weekly and receive health insurance, and clarifies that "new capital investment" includes costs after program approval. These changes aim to standardize eligibility criteria and wage calculations for businesses seeking program benefits. The bill is currently under review by the Senate Government Efficiency Committee.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill modifies tax incentive program (Missouri Works) to encourage business job creation, advancing tax policy for economic development.90% confidence ✓ HealthcareSupports HealthcareMandates health insurance for full-time employees under Missouri Works program, expanding coverage requirements for business incentives.85% confidence

Sub-Topics Tax Incentives Insurance

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in committee · Missouri · House Mar 3, 2026

HB 2512: Creates provisions relating to humane access to emergency psychiatric treatment

HB 2512 creates a new "predictable harm" standard for accessing emergency psychiatric treatment in Missouri, replacing the current "imminent danger" requirement. It allows family members or specific professionals (like social workers) to petition a court when someone with severe mental illness shows a pattern of homelessness and untreated symptoms that predict serious harm - such as repeated cycles of emergency care due to impaired judgment. If approved, the court orders a 96-hour psychiatric evaluation in a clinical setting (not jail), during which doctors may administer long-acting medication under strict clinical criteria. The bill directly affects individuals with severe mental illness who cannot recognize their need for care and aims to prevent crises before they escalate to homelessness or emergency detention.

Topics ✓ Criminal JusticeSupports Criminal JusticeAddresses mental health access to prevent criminal justice involvement by reducing cycles of emergency care leading to arrests, aligning with reform goals.85% confidence ✓ HealthcareSupports HealthcareBill replaces restrictive 'imminent danger' with 'predictable harm' standard to improve access to emergency psychiatric care, enabling earlier intervention for severe mental illness.95% confidence

Sub-Topics Corrections Courts Mental Health

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