SB 1482 - This act modifies provisions relating to abuse and neglect of adult day care program participants, including modifying the definition of "abuse" to include financial exploitation, creating a definition of "neglect", requiring mandated reporting of abuse or neglect with criminal penalties for failure to report, establishing procedures for investigating reports of abuse or neglect, and establishing procedures for reporting misappropriated property or funds of adult day care program participants. This act also modifies provisions relating to abuse and neglect of elderly and disabled persons by adding financial exploitation to the definition of "abuse"; adding persons to the list of mandated reporters in current law for in-home services clients, long-term care facilities, and personal care assistance services; requiring certain investigative reports to be confidential; and permitting hearings for persons placed on employee disqualification lists to take place by telephone or electronic means. This act establishes procedures for reporting misappropriation of property or funds for patients of certain medical facilities and entities, including hospitals and home health agencies. Finally, this act makes several technical changes to the current elderly and disabled persons abuse and neglect statutes. SARAH HASKINS
This bill establishes insurance coverage provisions for orthotic, prosthetic, and assistive devices for individuals enrolled in Missouri's MO HealthNet program, which provides health care to low-income residents. The legislation outlines specific payment rules and coverage limits for various health services, including hospital care, physician services, prescription drugs, and home health care, while explicitly excluding certain providers like abortion facilities from receiving funds. Key provisions include setting payment amounts at no more than 80% of reasonable costs for outpatient services, limiting chiropractic visits to 20 per year, and restricting nursing home coverage for those with significant home equity. The bill also defines eligibility criteria and payment methodologies for different types of care, ensuring services are medically necessary and aligned with federal regulations.
SB 1683 modifies Missouri's Medicaid (MO HealthNet) rules to clarify how the state recovers costs paid for beneficiaries' injuries or illnesses. It requires beneficiaries, their representatives, or estates to notify MO HealthNet when pursuing third-party claims (like insurance or accident lawsuits), and mandates repayment of MO HealthNet benefits from settlement proceeds within 60 days. The bill establishes a 3-year window for submitting subrogation claims and a 6-year enforcement period, while prohibiting third parties from denying claims due to minor administrative errors. Failure to cooperate with recovery efforts may result in loss of MO HealthNet eligibility. The policy directly affects MO HealthNet beneficiaries, their estates, and liable third parties (e.g., insurers, hospitals).
HB 3412 requires long-term care facilities to maintain either $1 million in liability insurance or a segregated reserve fund to cover abuse, neglect, or wrongful death claims against residents. It specifies violations that could trigger license revocation, including failing inspections, felony convictions related to facility operations, or failing to maintain required insurance/reserve funds. The bill mandates that the state department post facility survey results, deficiency findings, and abuse/neglect substantiations on a public website with a visible icon for 36 months, along with complaint investigation timelines (30 days) and accessible results for the public. These provisions directly affect licensed long-term care facilities and their residents in the state.
HB 3360 changes how Missouri's MO HealthNet program pays nursing homes for Medicaid-covered services. It requires the state to seek a federal waiver to shift payments from volume-based (e.g., number of therapy sessions) to patient-driven payments based on residents' clinical needs. The bill also adds per diem payments tied to facility quality performance metrics and incentives for nursing assistant training and pay, while eliminating a prior payment adjustment for facilities with high rates of schizophrenia or bipolar disorder diagnoses among residents. These changes directly affect nursing homes participating in Missouri's Medicaid program for long-term care.
HB 3422 requires health insurance plans sold in the state to cover annual kidney function screening tests starting August 28, 2026. This affects all health carriers offering plans in the state after that date, directly benefiting individuals at risk for chronic kidney disease by ensuring access to preventive screenings. The bill mandates coverage for specific tests including kidney function (glomerular filtration rate), basic metabolic panels, and urine tests for albumin/creatinine. It excludes certain supplemental policies like Medicare supplements, short-term plans, and long-term care coverage. The law aims to promote early detection of chronic kidney disease through mandated insurance coverage.
This bill requires all long-term care facilities (like nursing homes) licensed under state law to maintain liability insurance covering resident and guest injuries from facility negligence. The insurance must provide a minimum of $1 million per incident and $3 million total annual coverage for death or personal injury. It directly affects every licensed facility by mandating these specific insurance levels. The law would take effect upon passage, replacing current voluntary standards with a clear financial requirement.
HB 3319 modifies the personal needs allowance for Missouri HealthNet participants residing in institutional care facilities. It sets a minimum monthly allowance of $30 (or the federal minimum if higher) and requires annual increases tied to Social Security cost-of-living adjustments or the Consumer Price Index, capped at $70 per month. The allowance increases by up to $5 yearly until reaching $70, after which it adjusts annually based on the national Consumer Price Index. This directly affects low-income Missourians in long-term care facilities who must cover some care costs from their income.
This Missouri House resolution (HCR 51) urges Congress to pass HR 1970, a federal bill that would require the U.S. Department of Veterans Affairs to fully reimburse veterans' homes or directly provide high-cost medications and treatments for severely disabled veterans. It specifically addresses current shortfalls in VA funding that leave veterans' homes unable to cover expenses for specialized care. The resolution does not create new law but expresses Missouri's support for federal action to better support veterans' long-term care facilities.
HB 2833 requires new long-term care facilities and expansions of existing facilities to obtain a certificate of need from a state committee before opening, receiving state funding, or being licensed. The committee must verify the service is needed in the community and that the facility meets health, safety, and financial standards before approval. The bill sets application fees (at least $1,000 or 0.1% of project cost), mandates periodic reporting during construction, and prohibits funding for facilities without a certificate. Exceptions include state-operated facilities, certain research equipment purchases, and transfers of existing ownership. This law aims to manage costs and ensure new long-term care services are appropriately located and necessary.
