Foundation for Health 2019 Health-Related Legislation Under Consideration by the Missouri General Assembly Updated 1/23/2019

The 100th Missouri General Assembly convenes its first regular session on January 9,2019. More than 100 bills under consideration may affect the health of Missourians. To help our partners navigate the state policymaking process, Missouri Foundation for Health tracks health-related bills and provides updates through the end of the legislative session in May.

An overview of the Missouri legislative process is available in this chart. Each step in the process has a number:

1 – Prefiled/Filed 6 – Perfected First Chamber 11 – Committee Two Released 16 – Governor’s Action 2 – Assigned to Committee One 7 – Third Read First Chamber 12 – Perfected Second Chamber 17 – Chamber One Veto Override (if needed) 3 – Committee One Public Hearing 8 – Assigned to Committee Two 13 – Third Read Second Chamber 18 – Chamber Two Veto Override (if needed) 4 – Committee One Voted 9 – Committee Two Public Hearing 14 – Conference Committee (if needed) 5 – Committee One Released * 10 – Committee Two Voted 15 – Truly Agreed and Finally Passed (TAFP)

*If in the House, the bill may be sent to a second committee for another hearing and vote before heading to the floor for debate.

Additionally, each bill is categorized by health-related topic(s), including: private insurance; safety net (TANF, SNAP, Medicaid/MO HealthNet, EITC, etc.); Behavioral Health (substance use and mental health); children & infants; corrections; health care workforce; health care facilities; prescription drugs; sexual and reproductive health; oral health; prevention & awareness (public health, infrastructure, and healthy and active living); budget & tax; and other (includes legal).

Step Topic(s) Link to Bill Link to Sponsor(s) Link to Current Committee Summary Overview of Activity

Changes the laws regarding tax credits by placing a sunset 1 Budget & Tax HB 36 Rep. (R) 1/10/19 - Read Second Time clause on every credit

1 Safety Net HB 38 Rep. (D) Expands MO HealthNet services to certain individuals 1/10/19 - Read Second Time

1 Safety Net HB 39 Rep. Deb Lavender (D) Expands MO HealthNet services to certain individuals 1/10/19 - Read Second Time

Modifies orders of protection by adding provisions that 1 Violence Prevention HB 40 Rep. Deb Lavender (D) allow the confiscation of firearms from individuals a court 1/10/19 - Read Second Time deems to be a danger to themselves or others

1 Budget & Tax HB 41 Rep. Deb Lavender (D) Requires certain out-of-state sellers to remit sales tax 1/10/19 - Read Second Time

Establishes the Missouri Food Waste Law, which requires Prevention & 1 HB 47 Rep. Richard Brown (D) organizing with annual food sales above $5M to donate 1/10/19 - Read Second Time Awareness 10% of their excess food that is fit for human consumption.

Rep. Authorizes a tax credit for certain employers who offer 1 Other HB 55 1/10/19 - Read Second Time (D) child care to employees

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1 Infants & Children HB 60 Rep. (D) Prohibits the sale of baby crib bumper pads 1/10/19 - Read Second Time

Health Care Modifies provisions relating to fees and reciprocity for 1 Workforce / HB 66 Rep. (R) 1/10/19 - Read Second Time psychologists Behavioral Health

Changes the laws relating to short term medical policies 1 Private Insurance HB 83 Rep. (R) 1/10/19 - Read Second Time sold in the state of Missouri.

Prevention & Authorizes a tax credit for the establishment of a grocery 1 HB 86 Rep. (D) 1/10/19 - Read Second Time Awareness store in a food desert

Requires the Department of Public Safety to commission a 1 Violence Prevention HB 90 Rep. Alan Green (D) 1/10/19 - Read Second Time study on gun violence in the state of Missouri

Prohibits the sale of an assault weapon to a person under 1 Violence Prevention HB 97 Rep. Alan Green (D) 1/10/19 - Read Second Time the age of 21

Prevention & Designates May as "Mental Health Awareness Month" in 2 HB 109 Rep. (R) Special Committee on Tourism (H) 1/17/19 - Referred to Committee Awareness Missouri

Allows the court to depart from minimum sentencing 2 Corrections HB 113 Rep. Cody Smith (R) Special Committee on Criminal Justice (H) 1/17/19 - Referred to Committee provisions in certain circumstances

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Requires the use of a fetal heartbeat detection test prior to Sexual & 1 HB 126 Rep. (R) an abortion and prohibits an abortion if a fetal heartbeat is 1/10/19 - Read Second Time Reproductive Health detected

Sexual & Changes the laws regarding the parental notification 1 HB 127 Rep. (R) 1/10/19 - Read Second Time Reproductive Health required for a minor to obtain an abortion

Prevention & Requires certain public schools to offer breakfast after the 1 HB 132 Rep. Chris Carter (D) 1/10/19 - Read Second Time Awareness bell

Establishes "Simon's Law", which changes the laws Health Care 2 HB 138 Rep. Bill Kidd (R) Health and Mental Health Policy (H) regarding life-sustaining or nonbeneficial treatment 1/16/19 - Referred to Committee Facilities policies of health care facilities.

Requires the Department of Corrections to perform Rep. 1 Corrections HB 153 specified actions to improve the ability of working inmates 1/10/19 - Read Second Time (D) to obtain employment upon release from incarceration

Creates the offense of knowingly possessing, 1 Violence Prevention HB 162 Rep. Richard Brown (D) manufacturing, transporting, repairing, or selling a bump 1/10/19 - Read Second Time stock or trigger crank

Prevention & Changes the laws regarding unlawful actions by persons 2 HB 166 Rep. Tracy McCreery (D) Health and Mental Health Policy (H) 1/17/19 - Referred to Committee Awareness knowingly infected with communicable diseases

Prevention & Changes the laws regarding unlawful actions by persons 2 HB 167 Rep. (R) Health and Mental Health Policy (H) 1/17/19 - Referred to Committee Awareness knowingly infected with communicable diseases

Exempts health care entities registered with the Department of Health and Senior Services that distribute 1 Behavioral Health HB 168 Rep. Holly Rehder (R) 1/10/19 - Read Second Time hypodermic needles or syringes from the crime of unlawful delivery of drug paraphernalia.

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Prevention & Rep. Barbara Washington Designates July as Minority Mental Health Awareness 1 Awareness/ HB 171 1/10/19 - Read Second Time (D) Month Behavioral Health

Requires long-term care facilities to have on staff one Health Care Rep. Barbara Washington 1 HB 177 person trained in suicide assessment, treatment, and 1/10/19 - Read Second Time Facilities (D) management

Requires a MO HealthNet participant to work, participate 2 Safety Net HB 183 Rep. (R) Children and Families (H) in a work program, volunteer, or participate in a workfare 1/16/19 - Referred to Committee program, unless they are other exempt.

Establishes the "Missouri Care Plan" which allows any 1 Safety Net HB 187 Rep. Peter Merideth (D) person who is not otherwise eligible for MO HealthNet to 1/10/19 - Read Second Time purchase coverage through MO HealthNet

Behavioral Health/ 2 HB 188 Rep. Holly Rehder (R) Insurance Policy (H) Establishes the Narcotics Control Act 1/16/19 - Referred to Committee Prescription Drugs

Requires that all sales or transfers of firearms be processed 1 Violence Prevention HB 210 Rep. (D) 1/10/19 - Read Second Time through a licensed firearms dealer

Changes the sunset provision of the Ticket to Work Health Assurance Program, which provides health coverage or 2 Safety Net HB 219 Rep. (R) Ways and Means (H) 1/16/19 - Referred to Committee assistance paying for health insurance premiums for employed person who is disabled.

Health Care Removes the sunset on advanced practice registered nurse 1 HB 226 Rep. Kathy Swan (R) 1/10/19 - Read Second Time Workforce telehealth programs

Private Modifies provisions relating to the Health Care Cost 2 Insurance/Health HB 232 Rep. Steve Helms (R) Health and Mental Health Policy (H) 1/16/19 - Referred to Committee Reduction and Transparency Act Care Providers

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Establishes a pilot program to allow MO HealthNet 1 Safety Net HB 233 Rep. Steve Helms (R) participants to receive services through direct primary care 1/10/19 - Read Second Time arrangements.

1 Violence Prevention HB 235 Rep. Bruce Franks, Jr. Requires a firearm owner to report a lost or stolen firearm 1/10/19 - Read Second Time

Establishes the Joint Committee on Substance Abuse 2 Behavioral Health HB 240 Rep. Nick Schroer (R) Special Committee on Aging (H) 1/17/19 - Referred to Committee Prevention and Treatment

Establishes a pilot program to a transfer the authority to Health Care 1 HB 244 Rep. (R) inspect nursing homes from the Department of Health and 1/10/19 - Read Second Time Facilities Senior Services to local health departments

Requires insurance companies to cover fertility preservation procedures for insureds who are at least 18 1 Private Insurance HB 245 Rep. Jim Neely (R) 1/10/19 - Read Second Time years old and are diagnosed with cancer but have not yet started cancer treatment

Changes the laws regarding managed care under the MO 1 Safety Net HB 247 Rep. Jim Neely (R) 1/10/19 - Read Second Time HealthNet program

Prevention & Proposes mandatory placement of first aid trauma kits in 1 HB 249 Rep. Nick Schroer (R) 1/10/19 - Read Second Time Awareness public buildings

Behavioral Health/ Establishes the Tricia Leann Tharp Act, which requires 1 Health Care HB 251 Rep. Lynn Morris (R) certain pharmacists to receive two hours of continuing 1/10/19 - Read Second Time Workforce education on suicide prevention

Prescription Drugs/ Modifies provisions relating to the MO Rx plan by 1 HB 252 Rep. Lynn Morris (R) 1/10/19 - Read Second Time Safety Net removing the dual eligibility requirement

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Modifies provisions relating to the concealed carrying of 1 Violence Prevention HB 258 Rep. (R) 1/10/19 - Read Second Time firearms

Authorizes Greene County and any city thin the county to, 1 Budget & Tax HB 279 Rep. (D) upon voter approval, levy a sales tax dedicated to early 1/10/19 - Read Second Time childhood education programs

2 Budget & Tax HB 291 Rep. Bill Kidd (R) Ways and Means (H) Authorizes an earned income tax credit in Missouri 1/23/19 - Referred to Committee

Creates an electronic prescription program requiring 1 Prescription Drugs HB 293 Rep. Jean Evans (R) prescribers to issue an electronic prescription, with certain 1/10/19 - Read Second Time exceptions.

Health Care Changes provisions relating to advanced practice 1 HB 301 Rep. Nick Schroer (R) 1/10/19 - Read Second Time Workforce registered nurses

Sexual & Rep. Establishes the Maternal Care Access and Reducing 1 HB 305 1/10/19 - Read Second Time Reproductive Health (D) Emergencies Act

Requires certain health care professionals to complete two Health Care Rep. Cora Faith Walker 1 HB 307 hours of cultural competency training as a condition of 1/10/19 - Read Second Time Workforce (D) licensure

Rep. Cora Faith Walker Establishes the MO HealthNet Buy-In for Workers with 1 Safety Net HB 308 1/10/19 - Read Second Time (D) Disabilities Program

Prevention & Rep. Cora Faith Walker Requires certain public schools to offer breakfast after the 1 HB 309 1/10/19 - Read Second Time Awareness (D) bell

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Requires teacher-training institutions in this state receiving Rep. Cora Faith Walker state funds to require students to demonstrate proficiency 1 Behavioral Health HB 310 1/10/19 - Read Second Time (D) on the concepts of trauma-informed approached and trauma-specific interventions

Sexual & Rep. Cora Faith Walker 1 HB 312 Authorizes a tax credit for certain contraception costs 1/10/19 - Read Second Time Reproductive Health (D)

Rep. Cora Faith Walker 1 Other HB 314 Creates the "Evidence-Based Policy Making Commission" 1/10/19 - Read Second Time (D)

Designates the month of September as Deaf Awareness Prevention & 1 HB 316 Rep. (D) Month and the last week of September as Deaf Awareness 1/10/19 - Read Second Time Awareness week

Changes the law regarding unsecured loans of five 1 Other HB 323 Rep. Steve Helms (R) 1/10/19 - Read Second Time hundred dollars or less, also known as "Payday Loans."

Health Care Changes the definition of primary care physician to include 1 HB 335 Rep. Kathy Swan (R) 1/10/19 - Read Second Time Workforce licensed psychiatrists for the purpose of loan repayment.

Establishes the Senior Services Growth and Development 1 Other HB 337 Rep. Kathy Swan (R) 1/10/19 - Read Second Time Program

Prevention & Rep. Barbara Washington Modifies provisions relating to prefilled epinephrine auto 1 HB 342 1/10/19 - Read Second Time Awareness (D) syringes in schools

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Modified provisions relating to unlawful discriminatory 1 Other HB 350 Rep. (R) 1/10/19 - Read Second Time practices

Changes the laws regarding local sales taxes so that no 2 Budget & Tax HB 374 Rep. (R) Ways and Means (H) political subdivision may raise the rates above twelve 1/16/19 - Referred to Committee percent.

1 Safety Net HB 377 Rep. (R) Modifies the laws in regards to personal care assistance 1/10/19 - Read Second Time

Rep. Mary Elizabeth Modifies provisions regarding the protection of children 2 Infants & Children HB 397 General Laws (H) 1/16/19 - Referred to Committee Coleman (R) from sex trafficking

Changes the laws regarding health care for persons with 1 Safety Net HB 399 Rep. (R) 1/10/19 - Read Second Time disabilities

Establishes the Missouri Freedom to Choose Health Care Act requiring health insurance carriers to annually submit a Rep. Jeffrey Messenger 1 Private Insurance HB 405 list of Medicare rates or capitates rates for covered 1/10/19 - Read Second Time (R) services on the Department of Insurance, Financial Institutions, and Professional Registration's website.

Health Care Allows physical therapists to treat patients without a 2 HB 410 Rep. David Gregory (R) Professional Registration and Licensing (H) 1/16/19 - Referred to Committee Workforce prescription.

Removes geographical practice area limitations for certain Health Care assistance physicians, registered professional nurses, and 1 HB 420 Rep. Hannah Kelly (R) 1/10/19 - Read Second Time Workforce physician assistants who are working in an alternatives to abortion agency.

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Requires the Department of Health and Senior Services to Rep. Barbara Washington 1 Other HB 440 make certain considerations when granting medical 1/10/19 - Read Second Time (D) marijuana licenses and certifications.

1 Private Insurance HB 449 Rep. Justin Hill (R) Creates the Missouri Reinsurance Plan 1/10/19 - Read Second Time

Allows structured family caregiving as a covered service 2 Safety Net HB 466 Rep. David Wood (R) Special Committee on Aging (H) under MO HealthNet, subject to the approval of federal 1/23/19 - Referred to Committee waivers

Modifies provisions for temporary assistance to needy 2 Safety Net HB 474 Rep. J. Eggleston (R) Children and Families (H) 1/23/19 - Referred to Committee families and supplemental nutrition assistance programs.

Modifies provisions for temporary assistance to needy 2 Safety Net HB 475 Rep. Hannah Kelly (R) Children and Families (H) 1/23/19 - Referred to Committee families and supplemental nutrition assistance programs.

Requires certain service-industry employees to receive 1 Infants & Children HB 480 Rep. Tom Hannegan (R) 1/10/19 - Read Second Time training on detecting and reporting human trafficking

Requires health care providers to obtain consent before Sexual & 1 HB 486 Rep. (R) performing a pelvic examination on an anesthetized or 1/10/19 - Read Second Time Reproductive Health unconscious woman

Sexual & Changes the laws regarding the dispensing of 2 HB 487 Rep. (R) Children and Families (H) 1/23/19 - Referred to Committee Reproductive Health contraceptives

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Prohibits a physician from prescribing opioids to a person 1 Behavioral Health HB 491 Rep. (R) under the age of eighteen, except for under certain 1/10/19 - Read Second Time circumstances

Changes provisions relating to health carrier 1 Private Insurance HB 492 Rep. Mike Henderson (R) 1/10/19 - Read Second Time reimbursements

Changes the law regarding emergency medical response 1 Private Insurance HB 493 Rep. Mike Henderson (R) 1/10/19 - Read Second Time agencies

Requires the Director of Medical Marijuana to be a 1 Other HB 509 Rep. (R) 1/10/19 - Read Second Time licensed pharmacist

Prohibits mental health professionals from engaging in 1 Other HB 516 Rep. Tracy McCreery (D) conversion therapy or sexual orientation change efforts 1/10/19 - Read Second Time with minors

Prevention & Prohibits persons under 18 years of age from using any 1 HB 518 Rep. Nick Schroer (R) 1/10/19 - Read Second Time Awareness tanning device of any tanning facility in this state

1 Safety Net HB 526 Rep. (D) Changes the laws regarding MO HealthNet services 1/14/19 - Read Second Time

1 Violence Prevention HB 545 Rep. Alan Green (D) Establishes the "Extreme Risk Protection Order Act" 1/14/19 - Read Second Time

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Requires each judicial circuit to establish a veterans' 2 Corrections HB 547 Rep. Dave Griffith (R) Judiciary (H) 1/23/19 - Referred to Committee treatment court

1 Behavioral Health HB 553 Rep. Martha Stevens (D) Establishes a needle and syringe exchange pilot program 1/15/19 - Read Second Time

Requires the Joint Committee on Legislative Research to 1 Safety Net HB 554 Rep. (D) 1/15/19 - Read Second Time investigate the merits of a Medicaid Buy-In program

Changes provisions relating to multiple employer self 1 Private Insurance HB 562 Rep. Steve Helms (R) 1/15/19 - Read Second Time insured health plans

Changes provisions of law relating to personal care 1 Safety Net HB 569 Rep. David Wood (R) 1/16/19 - Read Second Time assistance services

Prevention & Rep. Barbara Washington Authorizes a tax credit for producing an urban agriculture 1 HB 571 1/16/19 - Read Second Time Awareness (D) product in a food desert

Changes provisions relating to short term limited duration 1 Private Insurance HB 582 Rep. Steve Helms (R) 1/17/19 - Read Second Time insurance

1 Infants & Children HB 594 Rep. Kathy Swan (R) Modifies provisions relating to early childhood education 1/17/19 - Read Second Time

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Establishes two prostate cancer pilot programs to fund Prevention & 1 HB 598 Rep. Chris Carter (D) screening and treatment services and to provide education 1/17/19 - Read Second Time Awareness to men residing in the state

Health Care Modifies provisions relating to Medicaid per diem 1 HB 600 Rep. (R) 1/17/19 - Read Second Time Facilities reimbursement rates

Creates new provisions related to serving meals to 1 Infants & Children HB 618 Rep. (D) 1/22/19 - Read Second Time students

Prevention & Rep. Brandon Ellington Requires children under two years of age to be secured in 1 HB 621 1/23/19 - Read Second Time Awareness (D) rear-facing child passenger restraint systems

Creates new provisions related to serving meals to 1 Infants & Children HB 627 Rep. (D) 1/23/19 - Read Second Time students

Behavioral Health/ Rep. Mary Elizabeth Places restrictions on the authority of dentists to prescribe 1 HB 628 1/23/19 - Read Second Time Oral Health Coleman (R) certain opioids

Requires the Department of Health and Senior Services to develop a voluntary nonopioid directive form to allow a 1 Behavioral Health HB 639 Rep. (R) 1/23/19 - Read First Time person to refuse the administration or prescription of opioids

Requires the Department of Health and Senior Services to Rep. LaDonna Applebaum 1 Behavioral Health HB 642 promulgate regulations consistent with CDC guidelines for 1/23/19 - Read First Time (D) prescribing opioids for chronic pain

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Changes provisions relating to mental health insurance 1 Behavioral Health HB 653 Rep. Jim Neely (R) 1/23/19 - Read First Time coverage

Requires long-term care insurers to file their premium rates with the Department of Insurance, Financial 1 Private Insurance HB 657 Rep. (D) 1/23/19 - Read First Time Institutions and Professional Registration and annual rate increases over 20% to be approved by director

Requires the Department of Mental Health and the 1 Safety Net HB 659 Rep. (R) Department of Social Services to apply for a Medicaid 1/23/19 - Read First Time waiver program

Requires the Department of Social Services to conduct a 1 Safety Net HB 660 Rep. (R) 1/23/19 - Read First Time study on generational use of public assistance

Rep. Jeffrey Messenger Modifies provisions regarding prosthetic and orthotic 1 Other HB 663 1/23/19 - Read First Time (R) devices

Establishes the Healthy Mothers Initiative within the office Sexual & 1 HB 664 Rep. Sarah Unsicker (D) on women's health of the department of health and senior 1/23/19 - Read First Time Reproductive Health services

Requires the Department of Health and Senior Services to 2 Other SB 2 Sen. (D) Small Business and Industry (S) make certain considerations when granting medical 1/17/19 - Referred to Committee marijuana licenses and certifications.

Modifies the law relating to work requirements for 2 Safety Net SB 4 Sen. David Sater (R) Seniors, Families, and Children (S) participants in the Supplemental Nutrition Assistance 1/23/19 - Hearing Scheduled But Not Heard Program

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Behavioral Modifies provisions relating to controlled substances, 2 Health/Prescription SB 6 Sen. David Sater (R) Health and Pensions (S) including the Schedules and criminal provisions involving 1/23/19 - Hearing Conducted Drugs controlled substances.

Health Care Sen. Mike Cunningham Modifies provisions relating to Medicaid per diem 2 SB 11 Appropriations (S) 1/17/19 - Referred to Committee Facilities/Safety Net (R) reimbursement rates

Transportation, Infrastructure, and Public Creates new provisions relating to firearm restraining 2 Violence Prevention SB 23 Sen. (D) 1/17/19 - Referred to Committee Safety (S) orders

Provides for the expansion of MO HealthNet services 2 Safety Net SB 27 Sen. Scott Sifton (D) Health and Pensions (S) 1/17/19 - Referred to Committee beginning on January 1, 2021

2 Budget & Tax SB 28 Sen. (R) Economic Development (S) Places a cap on the Low-Income Housing Tax Credit 1/29/19 - Hearing Scheduled

Extends the sunset on certain healthcare provider 2 Budget & Tax SB 29 Sen. Dan Hegeman (R) Appropriations (S) reimbursement allowances and modifies the managed care 1/17/19 - Referred to Committee organization reimbursement allowance

Transportation, Infrastructure, and Public Creates the offense of unlawfully storing and securing a 2 Violence Prevention SB 40 Sen. (D) 1/17/19 - Referred to Committee Safety (S) firearm in the presence of a child

Modifies provisions relating to domestic violence offenders 2 Violence Prevention SB 41 Sen. Jill Schupp (D) Judiciary and Civil and Criminal Jurisprudence 1/22/19 - Referred to Committee by requiring the offender to surrender any firearms

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Creates extreme risk orders of protection to be granted when a person is found to pose an extreme risk to him or 2 Violence Prevention SB 42 Sen. Jill Schupp (D) Judiciary and Civil and Criminal Jurisprudence 1/22/19 - Referred to Committee herself or others by possessing, controlling, or owning a firearm.

Enacts provisions relating to health care for persons with 2 Safety Net SB 45 Sen. (R) Health and Pensions (S) 1/22/19 - Referred to Committee disabilities

Modifies several provisions relating to taxation, including 2 Budget & Tax SB 46 Sen. Andrew Koenig (R) Ways and Means (S) the requirement that the Department of Revenue enter 1/22/19 - Referred to Committee into the Streamlined Sales and Use Tax Agreement.

Modifies provisions relating to short-term major medical 2 Private Insurance SB 48 Sen. Andrew Koenig (R) Insurance and Banking (S) 1/22/19 - Referred to Committee insurance policies

Modifies sales tax collection requirement for certain sellers 2 Budget & Tax SB 50 Sen. Bill Eigel (R) Ways and Means (S) 1/22/19 - Referred to Committee and reduces the top income tax rates

2 Budget & Tax SB 52 Sen. Bill Eigel (R) Ways and Means (S) Modifies several provisions relating to taxation 1/22/19 - Referred to Committee

2 Safety Net SB 70 Sen. Lincoln Hough (R) Appropriations (S) Modifies provisions relating to personal care assistance 1/22/19 - Referred to Committee

Modifies provisions relating to mandatory prison terms, 2 Corrections SB 74 Sen. Karla May (D) Judiciary and Civil and Criminal Jurisprudence 1/22/19 - Referred to Committee and eligibility for parole.

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Transportation, Infrastructure, and Public Modifies provisions relating to the concealed carrying of 2 Violence Prevention SB 75 Sen. Kiki Curls (D) 1/22/19 - Referred to Committee Safety (S) firearms

Requires certain MO HealthNet participants to comply with 2 Safety Net SB 76 Sen. David Sater (R) Seniors, Families, and Children (S) 1/22/19 - Referred to Committee work and community engagement requirements

Requires the Department of Social Services to apply for a 2 Safety Net SB 77 Sen. David Sater (R) Seniors, Families, and Children (S) 1/22/19 - Referred to Committee global waiver for MO HealthNet with several reforms.

Modifies provisions relating to the Missouri Rx plan buy 2 Prescription Drugs SB 78 Sen. David Sater (R) Seniors, Families, and Children (S) 1/22/19 - Referred to Committee removing the dual eligibility requirement.

Health Care Sen. Mike Cunningham Modifies provisions of law relating to health care facilities 2 SB 82 Health and Pensions (S) 1/22/19 - Referred to Committee Facilities (R) and certificates of need.

Sen. Establishes the Senior Services Growth and Development 2 Other SB 86 Seniors, Families, and Children (S) 1/22/19 - Referred to Committee (R) Program

Sen. Wayne Wallingford Reauthorizes a tax refund donation check-off for pediatric 2 Budget & Tax SB 87 Ways and Means (S) 1/22/19 - Referred to Committee (R) cancer research

2 Private Insurance SB 99 Sen. (R) Insurance and Banking (S) Enacts the Missouri Reinsurance Plan 1/23/19 - Referred to Committee

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Enacts provisions relating to unanticipated out-of-network 2 Private Insurance SB 103 Sen. Jill Schupp (D) Insurance and Banking (S) 1/23/19 - Referred to Committee health care services

Provides for the expansion of MO HealthNet services 2 Safety Net SB 104 Sen. Jill Schupp (D) Health and Pensions (S) 1/23/19 - Referred to Committee beginning on January 1, 2021

Sexual & Changes the laws regarding consent for a minor to obtain 2 SB 106 Sen. Denny Hoskins (R) Seniors, Families, and Children (S) 1/23/19 - Referred to Committee Reproductive Health an abortion

Sexual & 2 SB 110 Sen. Andrew Koenig (R) Health and Pensions (S) Modifies provisions relating to abortion 1/23/19 - Referred to Committee Reproductive Health

Transportation, Infrastructure, and Public Modifies provisions relating to the concealed carrying of 2 Violence Prevention SB 121 Sen. Burlison (R) 1/23/19 - Referred to Committee Safety (S) firearms

Requires the Department of Health and Senior Services to 2 Prescription Drugs SB 127 Sen. David Sater (R) Seniors, Families, and Children (S) conduct a study regarding the importation of certain 1/23/19 - Referred to Committee prescription drugs by the state

Modifies provisions relating to consumer-directed services 2 Safety Net SB 128 Sen. David Sater (R) Appropriations (S) 1/23/19 - Referred to Committee in the MO HealthNet Program

Sexual & 1 SB 139 Sen. Andrew Koenig (R) Modifies provisions of law relating to abortion 1/9/19 - Read First Time Reproductive Health

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Behavioral Health/ 1 SB 155 Sen. Luetkemeyer (R) Establishes the Narcotics Control Act 1/9/19 - Read First Time Prescription Drugs

Provides that all sales of firearms be processed through a 1 Violence Prevention SB 163 Sen. Jill Schupp (D) 1/9/19 - Read First Time licensed firearm dealer

Behavioral Health/ Requires marital and family therapists to complete two 1 Health Care SB 164 Sen. Jill Schupp (D) hours of suicide management training as a condition of 1/9/19 - Read First Time Workforce licensure

Health Care 1 SB 165 Sen. Bill Eigel (R) Repeals the certificate of need law 1/9/19 - Read First Time Facilities

Sexual & 1 SB 170 Sen. Jill Schupp (D) Repeals the 72-hour waiting period prior to an abortion 1/9/19 - Read First Time Reproductive Health

Bars discrimination based on sexual orientation or gender 1 Other SB 172 Sen. Jill Schupp (D) 1/9/19 - Read First Time identify

Modifies education and experience qualifications for the Prevention & 1 SB 177 Sen. Lincoln Hough (R) Director of the Department of Health and Senior Services 1/9/19 - Read First Time Awareness and local public health centers administrators

1 Budget & Tax SB 183 Sen. (D) Creates the Missouri Earned Income Tax Credit 1/9/19 - Read First Time

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1 Budget & Tax SB 189 Sen. Sandy Crawford (R) Modifies several provisions relating to use taxes 1/9/19 - Read First Time

1 Other SB 192 Sen. Jill Schupp (D) Modifies the law relating to small loans 1/9/19 - Read First Time

Health Care 1 SB 204 Sen. (R) Modifies provisions relating to psychologist licenses 1/9/19 - Read First Time Workforce

Requires organizations that provide pregnancy-related Sexual & services to provide medically accurate information 1 SB 216 Sen. Jill Schupp (D) 1/9/19 - Read First Time Reproductive Health regarding reproductive health options in order to receive state funding

Repeals restrictions regarding which associations may be 1 Private Insurance SB 226 Sen. David Sater (R) issued health benefit plans for the benefit of their 1/8/19 - Read First Time members

Prohibits health carriers from denying reimbursement for 1 Private Insurance SB 229 Sen. Sandy Crawford (R) 1/9/19 - Read First Time health care services provided by licensed athletic trainers

Extends the expiration date of the Ticket to Work Health 1 Safety Net SB 232 Sen. David Sater (R) 1/9/19 - Read First Time Assurance Program

Requires health insurance policies to provide coverage for 1 Private Insurance SB 235 Sen. Bill White (R) hearing instruments and related services for enrollees 1/10/19 - Read First Time under the age of 18

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This act modifies that structured cognitive behavioral Corrections / 1 SB 236 Sen. Bill White (R) intervention program into which a court can order a 1/10/19 - Read First Time Behavioral Health person on probation to be placed

Prevention & Requires potable water in certain elementary school 1 SB 245 Sen. Gina Walsh (D) 1/14/19 - Read First Time Awareness buildings to be tested for lead

Sexual & Provides for postpartum depression screening and 1 SB 263 Sen. Jill Schupp (D) 1/16/19 - Read First Time Reproductive Health treatment for certain mothers

Enacts provisions relating to the direct payment of health 1 Private Insurance SB 267 Sen. Paul Wieland (R) 1/16/19 - Read First Time care providers

Modifies provisions relating to low-income housing tax 1 Budget & Tax SB 269 Sen. Bill Eigel (R) 1/17/19 - Read First Time credits

Allows the Board of Pharmacy to establish pharmacy pilot 1 Prescription Drugs SB 274 Sen. David Sater (R) projects relating to technology assisted verification or 1/17/19 - Read First Time remote medication dispensing

Behavioral Health / Limits prescription of long-acting or extended-release 1 SB 275 Sen. David Sater (R) 1/17/19 - Read First Time Oral Health opioids by dentists

Requires public water systems and public water supply Sen. Wayne Wallingford districts that intend to modify their water supply 1 Oral Health SB 278 1/17/19 - Read First Time (R) fluoridation to seek and receive information about the impact from the local health department

Contact [email protected] to request revisions to this resource. Missouri Foundation for Health 2019 Health-Related Legislation Under Consideration by the Missouri General Assembly Updated 1/23/2019

Sexual & 1 SB 279 Rep. (R) Establishes the Pain Capable Unborn Child Protection Act 1/22/19 - Read First Time Reproductive Health

Health Care Waives the geographic proximity requirement for certain 1 SB 280 Sen. David Sater (R) 1/22/19 - Read First Time Providers collaborative practice arrangements

Allows enrollment in a health benefit plan by a pregnant 1 Private Insurance SB 287 Sen. Paul Wieland (R) 1/23/19 - Read First Time person under certain circumstances

Contact [email protected] to request revisions to this resource.