Healthcare

12,311 bills across 35 states

HB 2702·PA

An Act amending Title 35 (Health and Safety) of the Pennsylvania Consolidated Statutes, in health care cost containment, repealing provisions relating to expiration.

Referred to Health

Sponsor: Dan Frankel

In Committee

HB 2701·PA

An Act amending Title 20 (Decedents, Estates and Fiduciaries) of the Pennsylvania Consolidated Statutes, in health care, further providing for definitions, for legislative findings and intent, for compliance, for conflicting advance health care directives, for life insurance, for health care instruments optional, for pregnancy and for liability, providing for prohibited conduct and damages, for judicial relief, for implementation, savings provision and transitional provision and for uniformity of application and construction, repealing provisions relating to living wills, providing for health care decisions and advance health care directives, repealing provisions relating to short title of subchapter, providing for advance mental health care directive, further providing for execution, for requirements and options, for when health care power of attorney operative, for appointment of health care agents, for authority of health care agent, for countermand, for amendment, for revocation, for relation of health care agent to court-appointed guardian and other agents, for decisions by health care representative, for duties of attending physician and health care provider, for effect on other State law, for validity and for form, providing for effect of copy and certified physical copy, repealing provisions relating to example and providing for example; repealing provisions relating to mental health care; and making an editorial change.

Referred to Health

Sponsor: Liz Hanbidge

In Committee

SB 999·MO

SS#2/SB 999 - This act modifies several provisions relating to vulnerable persons. ASSISTANCE FROM THE ATTORNEY GENERAL (Section 27.117) Under this act, a prosecuting attorney may request assistance from the Attorney General for the prosecution of the certain sexual offenses. This provision is identical to a provision in CCS/SS/SCS/HCS/HBs 2637 & 3155 (2026) and substantially similar to a provision in the truly agreed to and finally passed SS/SCS/HCS/HBs 2273 et al (2026). "BORN-ALIVE ABORTION SURVIVORS PROTECTION ACT (Section 188.035) 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 in the provider's professional capacity 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, health, and comfort of the child as a reasonably diligent and conscientious provider would render to any other child born alive at the same gestational age. Any person who knowingly performs or attempts to perform an overt act that kills a child born alive shall be guilty of first-degree murder. A person shall have the right to bring a cause of action for wrongful death or improper health care, as described in this act. This provision is similar to HCS/HBs 195 & 1119 (2025), SB 702 (2025), SCS/SB 753 (2022), provisions in SCS/HCS/HB 2012 (2022), HCS/HBs 1593 & 1959 (2022), SB 168 (2021), SB 665 (2020), and SB 388 (2019). PREGNANCY-ASSOCIATED MORTALITY REVIEW BOARD (Section 192.990) This act modifies the "Pregnancy-Associated Mortality Review Board" within the Department of Health and Senior Services. Under this act, board membership shall include at least one member from each congressional district with demographically diverse membership. Board members are increased from no more than 18 members to no more than 22 members. Additionally, the board shall, in its study and review of maternal deaths, consider the level and timing of prenatal and postnatal care, the presence or absence of maternity care deserts, approaches taken in this state and other states to reduce or eliminate racial inequities in maternal deaths, and the adequacy of data collected by the board. Data reported by the board shall be disaggregated by race, ethnicity, language, nationality, age, zip code, and level and timing of prenatal and postnatal care. This provision is substantially similar to SCS/SB 871 (2026), SB 39 (2025), SCS/SBs 1357 & 888 (2024), and SCS/SBs 579 & 595 (2023). RELEASE FROM JAIL (Section 544.667) Currently, a person can be released from jail upon recognizance or bond. This act provides that a person that has been released under such circumstances that fails to comply with the conditions of such release that imposes no contact with the victim shall be guilty of a class A misdemeanor and shall forfeit any security that was pledged for their release. This provision is identical to a provision in CCS/SS/SCS/HCS/HBs 2637 & 3155 (2026) and SCS/SB 928 (2026). CRIMINAL OFFENSES (Sections 455.050, 565.002, 565.050-565.056, 565.072-565.074, 565.090-565.091, 565.225-565.227, 565.400-565.405, 573.570, 573.575, and Section C) This act modifies the offenses of assault in the first, second, third, and fourth degrees and the offenses of domestic violence in the first, second, third, and fourth degrees by removing the defined terms of "serious physical injury" and "physical injury" and providing for the following harms: • Great bodily harm: Bodily injury which creates a high probability of death, or which causes serious permanent or protracted loss or impairment of function of any bodily member or organ, or other serious bodily harm; • Substantial bodily harm: Bodily harm which involves a temporary but substantial disfigurement, or which causes temporary but substantial loss or impairment of the function of any bodily member or organ, or which causes a fracture of any bodily member; and • Bodily harm: Physical pain or injury, illness, or any impairment of physical condition. Under current law, the first offense of harassment in the first degree is a class E felony. This act provides that a second or subsequent conviction of harassment in the first degree shall be a class D felony where the individual has previously been found guilty of harassment in the first or second degree. Currently, a first offense of harassment in the second degree is a class A misdemeanor. Under this act, provisions relating to a second or subsequent conviction of harassment in the second degree are modified to include a conviction of harassment in the first degree as a previous conviction in which case it is a class E felony. This act modifies the offense of stalking in the first degree by repealing the elements of such offense and providing that a person commits the offense of stalking in the first degree when the person knowingly, through a course of conduct that is directed at another person or through technological abuse, as defined in the act, engages in conduct that would cause a reasonable person under similar circumstances to: • Fear death or bodily injury, as defined in this act; • Fear that an offense will be committed against a member of the person's family, household members, or an individual with whom the person has a dating relationship; • Fear that an offense will be committed against the person's property; or • Feel harassed, terrified, or intimidated. This act modifies the offense of stalking in the second degree by repealing the elements of such offense and providing that a person commits the offense of stalking in the second degree when the person knowingly, through a course of conduct that is directed at another person or through technological abuse, as defined in the act, engages in conduct that would cause a reasonable person under similar circumstances to feel harassed, terrified, or intimidated. This act creates the offense of cyberharassment. A person commits this offense if he or she purposely or knowingly engages in a threatening, aggressive, or otherwise fear-inducing, course of conduct by using digital technology, internet service providers, electronic service providers or other electronic communications and devices cause reasonable fear, alarm, anxiety, undo stress, or terror to others by repeated contact with no legitimate purpose. This offense shall be a class B misdemeanor upon a first offense and a class A misdemeanor for second or subsequent offenses. A person commits the offense of cyberstalking if such person purposely or knowingly engages in a threatening, aggressive, or otherwise fear-inducing, course of conduct by using digital technology, internet service providers, electronic service providers or other electronic communications and devices to enhance the ability to intimidate, track, follow or cause reasonable fear, alarm, anxiety, undo stress, or terror to another person. A first offense shall be a class A misdemeanor and a second or subsequent offense shall be a class E felony. These provisions are identical to provisions in CCS/SS/SCS/HCS/HBs 2637 & 3155 (2026) and SCS/SB 928 (2026). This act creates the offense of disclosure of an intimate digital depiction. A person shall be guilty of such offense if he or she discloses or threatens to disclose an intimate digital depiction with the intent to harass or threaten another person. A violation of such offense is a class D felony if the person discloses an intimate digital depiction and a class E felony if the person threatens to disclose an intimate digital depiction. Any second or subsequent violation of such offense is a class C felony. Additionally, it shall be a class C felony if the disclosure interferes with a government proceeding or causes violence. This act creates the offense of sadistic online exploitation. A person commits this offense where he or she uses the internet to coerce a victim into committing certain acts. This offense shall be a class E felony. These provisions are identical to provision in the truly agreed to and finally passed SS/SCS/HCS/HBs 2273 et al (2026), CCS/SS/SCS/HCS/HBs 2637 & 3155 (2026), and SCS/SB 928 (2026). Provisions of this act have an effective date of July 1, 2027. This act has a non-severability provision for the act. SARAH HASKINS

Signed by Governor

Sponsor: Hudson, Brad

Failed

SB 1019·MO

HCS/SB 1019 - This act modifies several provisions relating to health care. HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158) This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other obligations. This act permits investment of up to 50% of funds not required for operations or other obligations in a manner described in the act, with the remaining portion to be invested into any investment in which the Treasurer is allowed to invest. Under this act, municipal hospitals in third class cities may operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals may operate in areas where municipal hospitals in third class cities and county hospitals operate. These provisions are identical to provisions in the truly agreed to and finally passed SS/SCS/HCS/SB 2372 (2026) and SB 244 (2025) and substantially similar to provisions in SS/SCS/SB 841 (2026), SCS/HCS/HB 2372 (2026), SCS/HCS/HB 943 (2025), SCS/SB 317 (2025), and HCS/SS/SB 7 (2025). LYME DISEASE (Section 192.026) This act establishes the "Missouri Lyme Disease Eradication Act." The Department shall compile an annual report on the incidence and prevalence of Lyme disease in Missouri, as described in the act. The Department shall collaborate with public four-year institutions of higher education to integrate Lyme disease surveillance data into existing tick-borne disease monitoring programs. This act also contains a repeal of this section as truly agreed to and finally passed in SS/SCS/HCS/HB 2372 (2026). This provision is substantially similar to a provision in SB 887 (2026). SARAH HASKINS

Signed by Governor

Sponsor: Crawford, Sandy

Failed

SB 878·MO

HCS/SS/SCS/SB 878 - This act modifies provisions relating to pharmaceutical drugs and devices. LIMITS ON SALE OF OVER-THE-COUNTER DRUGS (SECTIONS 195.417 & 579.060) Currently, no person shall sell, dispense, or purchase, over a 12 month period, more than a total amount of 43.2 grams of certain meth precursors. This act increases the amount to 61.2 grams. Beginning October 1, 2026, any manufacturer of a meth precursor drug that is sold in or into this state shall pay a monthly fee to the administrator of the real-time electronic pseudoephedrine tracking system, as described in the act. The fee is set by the administrator. A manufacturer commits the offense of unlawful, sale, distribution, or purchase of over-the-counter methamphetamine precursor drugs if the manufacturer knowingly fails to pay the fees required by this act. These provisions are identical to provisions in SS/SCS/SB 841 (2026), in the truly agreed to and finally passed CCS/SS/SB 1421 (2026), HCS/HB 1962 (2026), in SCS/HB 2146 (2026), in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026) and are substantially similar to provisions in SB 1069 (2026), SB 726 (2025), HB 1036 (2025), provisions of HCS/SS/SB 7 (2025), SCS/SB 317 (2025), SCS/HCS/HB 943 (2025), SB 548 (2025), and SB 143 (2025). PRACTICE OF PHARMACY - VACCINES (SECTION 338.010) Currently, the practice of pharmacy includes the ordering and administration of vaccines approved or authorized by the FDA, but excludes certain vaccines and those vaccines approved after January 1, 2023. This act instead provides that the practice of pharmacy includes the ordering and administration of certain vaccines approved or authorized by the FDA as of January 1, 2026, but excludes certain vaccines and those vaccines approved by the FDA after January 1, 2026, that are not included by joint rules promulgated by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This provision is identical to a provision in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), is substantially similar to a provision in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2026), and is similar to a provision in SS/SCS/SB 841 (2026), HB 1976 (2026), and in SCS/HCS/HB 3009 (2026). MEDICATION THERAPEUTIC PLAN AUTHORITY (SECTION 338.012) Currently, a pharmacist with a certificate of medication therapeutic plan authority can provide certain medication therapy services if there is a statewide order issued by the Director or the Chief Medical Officer of the Department of Health and Senior Services if such person is a licensed physician or by a licensed physician designated by the Department. This act repeals this language and authorizes the provision of such medication therapy services pursuant to rules established by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This provision is identical to a provision in the perfected HCS/HB 3009 (2026). MEDICAL DEVICE PRESCRIPTIONS (SECTION 338.206) This act authorizes pharmacists to prescribe medical devices, as defined in the act. The Board of Pharmacy and the State Board of Registration for the Healing Arts shall jointly promulgate rules to implement this provision within six months of the effective date of this act. This provision is substantially similar to a provision in the perfected HCS/HB 3009 (2026). DISPENSING OF IVERMECTIN & HYDROXYCHLOROQUINE (SECTION 338.208) Under this act, a pharmacist may dispense ivermectin and hydroxychloroquine to a person, without a prescription order, upon the approval of a warning label for the use and indication in accordance with any written, standardized procedures or protocols issued by the Board of Pharmacy. Any ivermectin or hydroxychloroquine that is dispensed by a pharmacist or by a pharmacy technician under a pharmacist's supervision without a prescription shall be kept behind the counter or otherwise not available in a self-service area and be stored in a secure area accessible only to pharmacy personnel. This provision is similar to a provision in the perfected HCS/HB 3009 (2026). PHARMACY EMERGENCY WAIVERS (SECTION 338.312) The Board of Pharmacy shall have the authority to waive compliance with any Missouri rule or regulation for pharmacies dispensing, shipping, or delivering prescription drugs into another state or United States territory that is experiencing a declared state disaster or emergency, provided that: (1) The pharmacy is a licensed pharmacy in good standing and is authorized to ship prescription drugs into such state or territory; (2) The pharmacy is responding to a declared state disaster or emergency; (3) The pharmacy complies with all emergency rules and regulations for pharmacies established by the state or territory for the duration of the disaster period; (4) The pharmacy complies with all applicable federal laws and regulations; and (5) The waiver applies only to prescription drugs dispensed, shipped, or delivered to residents or health care facilities located within the geographic area specified in the declared state disaster or emergency. This provision is identical to a provision in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2026), in HCS/HB 2300 (2026), in the perfected HCS/HB 2372 (2026), and in SCS/HB 3009 (2026), and is similar to provision in SB 1640 (2026). 340B DRUGS (SECTION 376.417) Under this act, a health carrier, a pharmacy benefits manager, or an agent or affiliate of such, shall not discriminate against a covered entity, as defined in the act, including by reimbursing the covered entity for a quantity of a 340B drug in an amount less than it would pay similarly situated non-covered entities for such drugs, imposing different terms and conditions as compared to similarly situated entities, refusing to cover 340B drugs or discriminating in reimbursement for 340B drugs, and other situations described under this act. The Director of the Department of Commerce and Insurance shall impose a civil penalty on any health carrier, pharmacy benefits manager, or agent or affiliate of such, that violates this provision, not to exceed $5,000 per violation per day. This provision is identical to a provision in SS/SCS/SB 841 (2026), in HCS/SB 1019 (2026), SB 1340 (2026), in SCS/HB 2146 (2026), in SCS/HCS/HB 2372 (2026), SCS/HCS/HB 943 (2025) and HB 784 (2025). COVERAGE OF NONOPIOID PRESCRIPTION DRUGS (SECTION 376.1280) This provides that health benefit plans shall not deny coverage of a nonopioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the nonopioid drug, or require a higher level of cost-sharing for a nonopioid prescription drug than for an opioid drug. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This provision is identical to a provision in SS/SCS/SB 841 (2026) and is similar to SB 902 (2026), provisions in HCS/SB 1019 (2026) SB 1350 (2026), SB 1449 (2026), HB 1680 (2026), HB 1966 (2026), in SCS/HCS/HB 2372 (2026), HCS/SB 2642 (2026), SB 158 (2025), HB 804 (2025), and provisions in HCS/SS/SB 7 (2025). COVERAGE OF HOME BLOOD PRESSURE MONITORING DEVICES (SECTION 376.1960) This act provides that health benefit plans providing for maternity benefits shall provide coverage for a home blood pressure monitoring device and home blood pressure monitoring device services, as defined in the act, for pregnant and postpartum women when determined to be medically appropriate in accordance with American College of Obstetricians and Gynecologists guidelines. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This provision is similar to SB 1089 (2026), provisions in HCS/HB 2371 (2026), in SB 539 (2025), and in HB 842 (2025). KATIE O'BRIEN

Signed by Governor

Sponsor: Fitzwater, Travis

Failed

SB 1233·MO

HCS/SS#2/SB 1233 - This act modifies provisions relating to the licensing of certain professionals. INTERIOR DESIGNERS (SECTIONS 324.001, 324.028, 327.011, 327.031, 327.041, 327.081, 327.381, 327.411, 327.442, 327.451, 327.700, 327.705, 327.710, 327.720, 327.725, 327.730, 327.735, 327.740, 327.745, 327.750, 537.033 & 621.045 AND THE REPEAL OF SECTIONS 324.406, 324.412, 324.421, 324.424 & 324.436) This act modifies the registration of interior designers from the Division of Professional Registration with advice and recommendations by the Interior Design Council to the licensing of interior designers from the Missouri Board for Architects, Professional Engineers, Professional Land Surveyors, Professional Landscape Architects, and Licensed Interior Designers ("Board"). The Board shall increase from fifteen members to seventeen members with the two new members being licensed interior designers. The Interior Design Council and the Interior Design Council Fund shall be abolished upon the appointment by the Governor and confirmation by the Senate of the licensed interior designer members of the Board. The rules of the Interior Design Council shall be deemed adopted by the Board until revised, amended, or repealed, of which such action shall be taken on or before January 1, 2027. The funds in the Interior Design Council Fund shall be transferred to the State Board of Architects, Professional Engineers, Professional Land Surveyors, Professional Landscape Architects, and Licensed Interior Designers Fund. Additionally, this act defines the practice of licensed interior design and provides that a licensed interior designer shall undertake to perform licensed interior design services only when he or she is qualified by education, training, and experience in the specific technical areas involved. Furthermore, licensed interior designers shall be in responsible charge of interior design technical submissions that can affect the health, safety, and welfare of the public within their scope of practice. Licensed interior designers shall not take responsible charge over interior technical submissions prepared by another person unless the licensed interior designer actually exercises personal supervision and direct control over such interior technical submissions. This act modifies the educational and training requirements for licensed interior designers by repealing the qualification of at least three years of an interior design curriculum from an accredited institution with three years of experience. Additionally, an applicant shall be exempt from providing substantial evidence of certain educational and training qualifications if his or her curriculum or transcript has been approved by the Board. Nothing in this act shall be construed as precluding an architect from performing any of the services within the practice of licensed interior design. Current law provides that a renewal or reinstatement application for registration as an interior designer shall be accompanied by proof of completion of continuing education in the fields of either interior design or architecture. This act repeals such provision and provides that the Board shall establish the continuing education requirements for interior designers which shall be substantially equivalent to the continuing education requirements for architects. Finally, this act includes licensed interior designers in the definition of "design professional" for immunity from civil liability for participation in a peer review process. This act contains a delayed effective date for the repeal of the Interior Design Council and the Interior Design Fund, which shall become effective upon notification to the Revisor of the appointment of the interior designer members of the Board by the Director of the Division of Professional Regulation. These provisions are identical to provisions in the perfected SS/SB 895 (2026), SS/SCS/SB 991 (2026), in HCS/SS/SB 1083 (2026), HCS/HB 2353 (2026), and are similar to provisions in SB 287 (2025), HB 566 (2025), SB 1325 (2024), and HB 2158 (2024). NONRENEWABLE TEMPORARY LICENSES (SECTION 324.004) Under this act, any person who has at least three years of work experience in an occupation or profession in another state or the District of Columbia that does not use a license to regulate that occupation or profession may submit an application for a non-renewable, two-year temporary license in Missouri to the relevant oversight body. A person shall submit proof of experience in the occupation or profession and proof of citizenship or lawful presence in the United States, except as provided. Within 45 days of receiving the application, the oversight body shall make a determination of qualification. The oversight body shall require an applicant to take and pass a profession-specific examination and may require an examination specific to Missouri laws. If the applicant is not residing in Missouri, the oversight body shall conditionally approve the application. If an applicant fails to provide proof of domicile in Missouri within 60 days of receipt of temporary license, the oversight body may terminate the temporary license and the applicant may reapply for the temporary license. Upon expiration of the temporary license, individuals shall be required to apply for a permanent license, consistent with the licensure and application requirements of that license as set forth in statute and rule. A license issued under this act shall not be qualified for reciprocity with another state or as part of an interstate compact. The provisions of this act shall not apply to certain specified professions. This provision is identical to a provision in SS/SB 895 (2026), in HCS/SS/SB 1083 (2026), and in HCS/SB 1092 (2026) and is similar to a provision in HCS/HB 2300 (2026), in SS/SB 61 (2025) and in the perfected HB 478 (2025), SB 817 (2024), in HCS/SS#2/SCS/SB 88 (2023), and HB 1900 (2022). LICENSE RECIPROCITY - TELEHEALTH (SECTION 324.009) Those health care providers, who hold a current license issued by another jurisdiction and are licensed in Missouri with a waiver of examination, educational, or experience requirements, shall be deemed to be fully licensed to practice within the profession's scope of practice in Missouri and may provide telehealth services to the same extent and manner as health care providers who receive a license without a waiver. This provision is identical to a provision in HCS/SB 1019 (2026), in HCS/SB 1092 (2026), SB 1691 (2026), in HCS/HB 2300 (2026), in SCS/HCS/HB 2372 (2026), and in the truly agreed to and finally passed SS/HCS/HB 2974 (2026). NONRENEWABLE TEMPORARY LICENSES FOR DIETITIANS (SECTION 324.218) This act establishes a temporary license for dietitians. Under the act, an applicant who has not previously taken or passed an examination recognized by the State Committee of Dietitians ("Committee") and who meets the qualifications for licensure as a dietitian may obtain without examination a nonrenewable temporary license by paying a temporary license fee and submitting to the Committee an agreement-to-supervise form that is signed by a licensed dietitian who has agreed to supervise the applicant and has active dietetics practice in this state for a minimum of one year. The temporary license shall expire the date the Committee is notified by the supervising dietitian that the temporary licensee's employment has ceased or within one hundred eighty days of its issuance, whichever occurs first. This act further provides that the supervising dietitian shall not be an immediate family member of the temporary licensee. Additionally, the act requires the supervising dietitian to submit a signed and notarized form attesting that the applicant shall begin employment at a location in this state within seven days of issuance of the temporary license. If the temporary licensee's employment ceases, the supervising dietitian shall notify the Committee within three days. Finally, this act provides that a supervising dietitian shall not supervise more than one temporary licensee at a time. This provision is identical to a provision in HCS/SB 1092 (2026), in HB 1961 (2026), in the perfected HCS/HB 268 (2025), and in HB 397 (2025), and is substantially similar to a provision in SB 1339 (2026) SB 412 (2025), in SB 1053 (2024), HB 1666 (2024), in SCS/HB 2280 (2024), HB 845 (2023), and HB 873 (2023). EMERGENCY SUSPENSIONS - MASSAGE THERAPY & CHIROPRACTIC (SECTIONS 324.263 & 331.084) This act provides that the Board of Therapeutic Massage and the Board of Chiropractic Examiners can apply to the Administrative Hearing Commission ("AHC") for an emergency suspension or restriction of a license if the licensee is the subject of a pending criminal indictment, information, or other charge related to the duties and responsibilities of the licensed occupation, and there is reasonable cause to believe that the public health, safety, or welfare is at imminent risk of harm. Within one business day of receiving the complaint, the AHC shall return a service packet, as described in the act, to the board, which shall then serve the licensee within twenty-four hours. Within five days of receipt of the complaint, the AHC shall conduct a review and, if the AHC determines there is reasonable cause for the board's complaint, the AHC shall enter an order of suspension or restriction. The order will be effective upon personal service or delivery of a copy at all of the licensee's addresses on file. The AHC shall then hold an evidentiary hearing on the record within forty-five days of the board's filing, or upon final adjudication of the criminal charges, to determine if the initial order entered by the AHC will continue in effect and whether a cause for discipline exists. If no cause for discipline is found, the AHC shall issue findings and terminate the order for suspension or restriction. If the AHC finds cause for discipline, the AHC shall issue findings and order the suspension or restriction to remain in effect until a disciplinary hearing before the board, which may impose discipline otherwise authorized by state law. Furthermore, this act provides that if the AHC does not grant an initial order, the board shall remove all reference to such emergency suspension or restriction from public records. These provisions are identical to HB 1623 (2026), SB 1647 (2026), provisions in HCS/HB 2300 (2026), HB 58 (2025), in the perfected HCS/HB 268 (2025), in the perfected HB 478 (2025), and in SCS/HB 834 (2025) and contains a provision similar to HB 1549 (2024), a provision in SCS/HCS/HB 2280 (2024), HCS/HB 175 (2023), and HB 1610 (2022). ACCOUNTANTS (SECTIONS 326.256 TO 326.292) This act modifies the requirements for licensing of accountants. This act provides that an applicant for examination shall provide proof that the applicant has obtained a baccalaureate degree or a post-baccalaureate degree, instead of proof of completion of at least 120 semester hours of college education. Additionally, for licensure, the applicant shall either hold a baccalaureate degree, a baccalaureate degree and 30 additional semester hours of college education, or a post-baccalaureate degree from an accredited college or university recognized by the Missouri State Board of Accountancy ("Board") with the total educational program including a Board-appropriate accounting concentration or equivalent. If the applicant has a baccalaureate degree, the applicant shall have two years of experience. If the applicant has a baccalaureate degree and 30 additional semester hours of college education or a post-baccalaureate degree, the applicant shall have at least one year of experience. This act also repeals the eligibility for examination if the applicant expects to meet the educational requirements within 60 days. This act changes the educational and examination requirements for reciprocity of those individuals whose principal place of business, domicile, or residency is not in this state and who hold a valid and unrestricted public accounting license in another state. Current law provides that such non-Missouri individuals shall have all the privileges of licensees without the need to obtain a license, notify or register with the Board, or pay a fee if the license has been determined by the Board to be in substantial equivalence with the Missouri licensure requirements or if the individual's qualifications are substantially equivalent to Missouri licensure requirements. This act provides that a non-Missouri individual, whose license is in good standing, shall have all the privileges of a licensee without the need to obtain a license, notify or register with the Board, or pay a fee if the individual was required to show proof of passage of the Uniform Certified Public Accountant Examination and the educational and experience requirements of Missouri licensees. Additionally, non-Missouri individuals, whose licenses are in good standing to practice public accountancy from any state as of December 31, 2024, and who has practice privileges in this state as of December 31, 2024, shall continue to have such privileges. Rather than receiving verification on substantial equivalence of an individual's qualifications from the NASBA National Qualification Appraisal Service, the Board may license a person whose qualifications the Board verifies to be comparable to the Missouri licensure requirements. Sole practitioners or single member LLCs that use "certified public accountant," "CPA," or other abbreviations, but that do not offer nor perform attest services or other services subject to peer review may request exemption from the Board for the firm permit requirements. This act provides that the rules regarding peer review shall include reasonable provision for compliance by a firm showing that it has undergone a peer review that is comparable, rather than satisfactory equivalent, to peer review generally required under current law within three years. Lastly, the Board may charge a fee for oversight of peer reviews, provided that the fee charged shall be comparable, rather than substantially equivalent, to the cost of oversight. These provisions are identical to provisions in the perfected HCS/HB 1797 (2026). PRACTICE OF DENTISTRY IN CORRECTIONAL CENTERS (SECTION 332.081) Current law provides that no corporation shall practice dentistry unless that corporation is a nonprofit corporation or a professional corporation under Missouri law. This act provides that such provision shall not apply to entities contracted with the state to provide care in correctional centers. This provision is identical to a provision in SCS/SB 841 (2026), in HCS/SB 1092 (2026), in SCS/HB 2591 (2026), HB 1710 (2026), HB 1847 (2026), in HCS/HB 2372 (2026), in HCS/SS/SB 7 (2025), in the perfected HB 56 (2025), HB 122 (2025), SB 143 (2025), in the perfected HCS/HB 268 (2025), in SCS/SB 317 (2025), SB 548 (2025), in SCS/HCS/HB 943 (2025), in HCS/HB 1505 (2025), in SS/SCS/HCS/HB 1659 (2024), SB 1287 (2024), and HB 2280 (2024). RESPIRATORY CARE LICENSES (SECTIONS 334.870 & 334.880) Currently, an applicant for a respiratory care license is required to submit written evidence of credentials from the cognitive competency testing organization authorized by the Missouri Board for Respiratory Care or current licensure or registration as a respiratory care practitioner in another jurisdiction that meets or exceeds Missouri licensure standards. This act instead provides that the applicant shall submit: (1) An active credential as a registered respiratory therapist through the National Board for Respiratory Care (NBRC); (2) Current licensure or registration with an active credential as a respiratory care practitioner in another jurisdiction that meets or exceeds Missouri licensure standards; or (3) An active credential as a certified respiratory therapist earned prior to January 1, 2027, through the NBRC. Additionally, this act provides that license renewals shall be subject to random audits to ensure the licensee has an active credential through the NBRC. These provisions are identical to SB 1083 (2026) and to provisions in SCS/HB 2591 (2026) and are similar to provisions in HCS/HB 2957 (2026). ADMINISTRATION OF CERTAIN INJECTIONS BY NURSE TECHNICIANS OR AIDES (SECTION 335.081) This act provides that licensing laws relating to nursing shall not prohibit the administration of subcutaneous injectable medications by a technician, nurses' aide, or their equivalent, provided the medications are prescribed by a physician for a long-term care resident. This provision is identical to a provision in SB 1528 (2026) and in HB 2413 (2026). SOCIAL WORK SUPERVISORS (SECTION 337.600) This act modifies the definitions of a "qualified advanced macro supervisor," "qualified baccalaureate supervisor," and "qualified clinical supervisor" to provide that such person is a licensed social worker who has practiced social work for which he or she is supervising the applicant for a minimum of three, instead of five, years. This provision is identical to a provision in HCS/SB 1092 (2026), SB 1417 (2026), HB 1963 (2026), in HCS/HB 2300 (2026), SB 479 (2025), and SB 563 (2025) and is substantially similar to HB 886 (2025). PRACTICE OF PHARMACY - VACCINES (SECTION 338.010) Currently, the practice of pharmacy includes the ordering and administration of vaccines approved or authorized by the FDA, but excludes certain vaccines and those vaccines approved after January 1, 2023. This act instead provides that the practice of pharmacy includes the ordering and administration of certain vaccines approved or authorized by the FDA as of January 1, 2026, but excludes certain vaccines and those vaccines approved by the FDA after January 1, 2026, that are not included by joint rules promulgated by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This provision is substantially similar to a provision in the truly agreed to and finally passed HCS/SS/SCS/SB 878 (2026) and in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026) and is similar to a provision in SS/SCS/SB 841 (2026), HB 1976 (2026), and in SCS/HCS/HB 3009 (2026). PHARMACY EMERGENCY RULE WAIVERS (SECTION 338.312) The Board of Pharmacy shall have the authority to waive compliance with any Missouri rule or regulation for pharmacies dispensing, shipping, or delivering prescription drugs into another state or United States territory that is experiencing a declared state disaster or emergency, provided that: (1) The pharmacy is a licensed pharmacy in good standing and is authorized to ship prescription drugs into such state or territory; (2) The pharmacy is responding to a declared state disaster or emergency; (3) The pharmacy complies with all emergency rules and regulations for pharmacies by the state or territory for the duration of the disaster period; (4) The pharmacy complies with all applicable federal laws and regulations; and (5) The waiver applies only to prescription drugs dispensed, shipped, or delivered to residents or health care facilities located within the geographic area specified in the declared state disaster or emergency. This provision is identical to a provision in HCS/HB 2300 (2026), in the perfected HCS/HB 2372 (2026), and in HCS/HB 3009 (2026), and is similar to provision in SS/SCS/SB 878 (2026) and SB 1640 (2026). LICENSURE OF WHOLESALE DRUG DISTRIBUTORS (SECTION 338.333) Under this act, the Board of Pharmacy may permit an out-of-state wholesale drug distributor or third-party logistics provider to be licensed in this state despite not having a license issued by the distributor's or provider's resident state if the distributor or provider has a current and valid drug distributor accreditation from the National Association of Boards of Pharmacy. This provision is identical to a provision in SCS/SB 841 (2026), in HCS/HBs 1945 & 2570 (2026), in HCS/HB 2372 (2026), in the perfected HCS/HB 3009 (2026), in SCS/HCS/HB 943 (2025), in HCS/SB 94 (2025), and HB 1465 (2025). RX CARES FOR MISSOURI PROGRAM (Section 338.710) This act removes the expiration date of August 28, 2026, from the "RX Cares for Missouri Program". This provision is identical to a provision in SCS/SB 841 (2026), HB 1978 (2026), in HCS/HB 2372 (2026), and HB 1445 (2025). SPEECH PATHOLOGISTS AND AUDIOLOGISTS (SECTION 345.050) This act modifies the requirements for licensure as a speech pathologist or audiologist by providing for completion of a clinical fellowship under the direct supervision of a licensed speech-language pathologist in good standing in any state, rather than under the direct supervision of a person licensed by the state of Missouri in the profession in which the applicant seeks to be licensed. This provision is identical to a provision in HCS/HB 2300 (2026) and HB 2591 (2026), and is substantially similar to a provision in SB 1405 (2026), in HCS/HB 2372 (2026), in HCS/SS/SB 7 (2025), in the perfected SS/SB 61 (2025), in the perfected HCS/HB 268 (2025), SB 431 (2025), in the perfected HB 478 (2025), in HB 765 (2025), and in SCS/HB 834 (2025). SEVERABILITY (SECTION 1) In the event that any section, provision, clause, phrase, or word of this act or the application of the act is declared invalid under the Constitution of the United States or the Constitution of the State of Missouri, the General Assembly intends for the severability of this act. KATIE O'BRIEN

Signed by Governor

Sponsor: Trent, Curtis

Failed

HR 9644·Federal

Medicare Advantage MLR Transparency Act

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsor: Rep. Moran, Nathaniel [R-TX-1]

In Committee

HR 5347·Federal

Health Care Efficiency Through Flexibility Act

Received in the Senate and Read twice and referred to the Committee on Finance.

Sponsor: Rep. Buchanan, Vern [R-FL-16]

In Committee

HR 9642·Federal

Medicare Access to Rural Anesthesiology Act

Referred to the House Committee on Ways and Means.

Sponsor: Rep. Moolenaar, John R. [R-MI-2]

In Committee

HR 9645·Federal

Health Care Price Certainty for All Americans Act

Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsor: Rep. Smith, Jason [R-MO-8]

In Committee

HR 9656·Federal

To amend title XI of the Social Security Act to require hospitals participating in Federal health care programs to report certain information related to immigration status.

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsor: Rep. Roy, Chip [R-TX-21]

In Committee

HB 1505·PA