Foundation for Health 2019 Health-Related Legislation Under Consideration by the Missouri General Assembly Updated 1/8/2019

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. Dan Stacy (R) 12/3/18 - Prefiled clause on every credit

1 Safety Net HB 38 Rep. (D) Expands MO HealthNet services to certain individuals 12/3/18 - Prefiled

1 Safety Net HB 39 Rep. Deb Lavender (D) Expands MO HealthNet services to certain individuals 12/3/18 - Prefiled

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 12/3/18 - Prefiled 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 12/3/18 - Prefiled

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 12/3/18 - Prefiled 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 12/3/18 - Prefiled (D) child care to employees

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1 Infants & Children HB 60 Rep. (D) Prohibits the sale of baby crib bumper pads 12/3/18 - Prefiled

Health Care Modifies provisions relating to fees and reciprocity for 1 Workforce / HB 66 Rep. (R) 12/3/18 - Prefiled psychologists Behavioral Health

Changes the laws relating to short term medical policies 1 Private Insurance HB 83 Rep. (R) 12/3/18 - Prefiled sold in the state of Missouri.

Prevention & Authorizes a tax credit for the establishment of a grocery 1 HB 86 Rep. (D) 12/3/18 - Prefiled Awareness store in a food desert

Requires the Department of Public Safety to commission a 1 Violence Prevention HB 90 Rep. Alan Green (D) 12/3/18 - Prefiled 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) 12/3/18 - Prefiled the age of 21

Prevention & Designates May as "Mental Health Awareness Month" in 1 HB 109 Rep. (R) 12/3/18 - Prefiled Awareness Missouri

Allows the court to depart from minimum sentencing 1 Corrections HB 113 Rep. Cody Smith (R) 12/3/18 - Prefiled 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 12/3/18 - Prefiled Reproductive Health detected

Sexual & Changes the laws regarding the parental notification 1 HB 127 Rep. (R) 12/3/18 - Prefiled 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) 12/3/18 - Prefiled Awareness bell

Establishes "Simon's Law", which changes the laws Health Care 1 HB 138 Rep. Bill Kidd (R) regarding life-sustaining or nonbeneficial treatment 12/3/18 - Prefiled 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 12/3/18 - Prefiled (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 12/3/18 - Prefiled stock or trigger crank

Prevention & Changes the laws regarding unlawful actions by persons 1 HB 166 Rep. Tracy McCreery (D) 12/3/18 - Prefiled Awareness knowingly infected with communicable diseases

Prevention & Changes the laws regarding unlawful actions by persons 1 HB 167 Rep. (R) 12/3/18 - Prefiled 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) 12/3/18 - Prefiled 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 12/3/18 - Prefiled (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 12/3/18 - Prefiled Facilities (D) management

Requires a MO HealthNet participant to work, participate 1 Safety Net HB 183 Rep. (R) in a work program, volunteer, or participate in a workfare 12/4/18 - Prefiled 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 12/4/18 - Prefiled purchase coverage through MO HealthNet

Behavioral Health/ 1 HB 188 Rep. Holly Rehder (R) Establishes the Narcotics Control Act 12/4/18 - Prefiled Prescription Drugs

Requires that all sales or transfers of firearms be processed 1 Violence Prevention HB 210 Rep. (D) 12/10/18 - Prefiled through a licensed firearms dealer

Changes the sunset provision of the Ticket to Work Health Assurance Program, which provides health coverage or 1 Safety Net HB 219 Rep. (R) 12/10/18 - Prefiled 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) 12/11/18 - Prefiled Workforce telehealth programs

Private Modifies provisions relating to the Health Care Cost 1 Insurance/Health HB 232 Rep. Steve Helms (R) 12/13/18 - Prefiled 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 12/13/18 - Prefiled arrangements.

1 Violence Prevention HB 235 Rep. Bruce Franks, Jr. Requires a firearm owner to report a lost or stolen firearm 12/13/18 - Prefiled

Establishes the Joint Committee on Substance Abuse 1 Behavioral Health HB 240 Rep. Nick Schroer (R) 12/13/18 - Prefiled 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 12/14/18 - Prefiled 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) 12/14/18 - Prefiled 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) 12/14/18 - Prefiled HealthNet program

Prevention & Proposes mandatory placement of first aid trauma kits in 1 HB 249 Rep. Nick Schroer (R) 12/14/18 - Prefiled 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 12/14/18 - Prefiled Workforce education on suicide prevention

Prescription Drugs/ Modifies provisions relating to the MO Rx plan by 1 HB 252 Rep. Lynn Morris (R) 12/14/18 - Prefiled 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) 12/14/18 - Prefiled 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 12/18/18 - Prefiled childhood education programs

1 Budget & Tax HB 291 Rep. Bill Kidd (R) Authorizes an earned income tax credit in Missouri 12/18/18 - Prefiled

Creates an electronic prescription program requiring 1 Prescription Drugs HB 293 Rep. Jean Evans (R) prescribers to issue an electronic prescription, with certain 12/18/18 - Prefiled exceptions.

Health Care Changes provisions relating to advanced practice 1 HB 301 Rep. Nick Schroer (R) 12/18/18 - Prefiled Workforce registered nurses

Sexual & Rep. Establishes the Maternal Care Access and Reducing 1 HB 305 12/18/18 - Prefiled 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 12/18/18 - Prefiled Workforce (D) licensure

Rep. Cora Faith Walker Establishes the MO HealthNet Buy-In for Workers with 1 Safety Net HB 308 12/18/18 - Prefiled (D) Disabilities Program

Prevention & Rep. Cora Faith Walker Requires certain public schools to offer breakfast after the 1 HB 309 12/18/18 - Prefiled 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 12/18/18 - Prefiled (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 12/18/18 - Prefiled Reproductive Health (D)

Rep. Cora Faith Walker 1 Other HB 314 Creates the "Evidence-Based Policy Making Commission" 12/18/18 - Prefiled (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 12/18/18 - Prefiled Awareness week

Changes the law regarding unsecured loans of five 1 Other HB 323 Rep. Steve Helms (R) 12/19/18 - Prefiled 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) 12/19/18 - Prefiled Workforce licensed psychiatrists for the purpose of loan repayment.

Establishes the Senior Services Growth and Development 1 Other HB 337 Rep. Kathy Swan (R) 12/19/18 - Prefiled Program

Prevention & Rep. Barbara Washington Modifies provisions relating to prefilled epinephrine auto 1 HB 342 12/19/18 - Prefiled Awareness (D) syringes in schools

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Modified provisions relating to unlawful discriminatory 1 Other HB 350 Rep. (R) 12/19/18 - Prefiled practices

Changes the laws regarding local sales taxes so that no 1 Budget & Tax HB 374 Rep. (R) political subdivision may raise the rates above twelve 12/20/18 - Prefiled percent.

1 Safety Net HB 377 Rep. (R) Modifies the laws in regards to personal care assistance 12/20/18 - Prefiled

Rep. Mary Elizabeth Modifies provisions regarding the protection of children 1 Infants & Children HB 397 12/20/18 - Prefiled Coleman (R) from sex trafficking

Changes the laws regarding health care for persons with 1 Safety Net HB 399 Rep. (R) 12/21/18 - Prefiled 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 12/21/18 - Prefiled (R) services on the Department of Insurance, Financial Institutions, and Professional Registration's website.

Health Care Allows physical therapists to treat patients without a 1 HB 410 Rep. David Gregory (R) 12/27/18 - Prefiled Workforce prescription.

Removes geographical practice area limitations for certain Health Care assistance physicians, registered professional nurses, and 1 HB 420 Rep. Hannah Kelly (R) 12/31/18 - Prefiled 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 1/3/19 - Prefiled (D) marijuana licenses and certifications.

1 Private Insurance HB 449 Rep. Justin Hill (R) Creates the Missouri Reinsurance Plan 1/4/19 - Prefiled

Allows structured family caregiving as a covered service 1 Safety Net HB 466 Rep. David Wood (R) under MO HealthNet, subject to the approval of federal 1/8/19 - Prefiled waivers

Modifies provisions for temporary assistance to needy 1 Safety Net HB 474 Rep. J. Eggleston (R) 1/8/19 - Prefiled families and supplemental nutrition assistance programs.

Modifies provisions for temporary assistance to needy 1 Safety Net HB 475 Rep. Hannah Kelly (R) 1/8/19 - Prefiled families and supplemental nutrition assistance programs.

Requires certain service-industry employees to receive 1 Infants & Children HB 480 Rep. Tom Hannegan (R) 1/8/19 - Prefiled 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 1/8/19 - Prefiled Reproductive Health unconscious woman

Sexual & Changes the laws regarding the dispensing of 1 HB 487 Rep. (R) 1/8/19 - Prefiled 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 1/8/19 - Prefiled circumstances

Changes provisions relating to health carrier 1 Private Insurance HB 492 Rep. Mike Henderson (R) 1/8/19 - Prefiled reimbursements

Changes the law regarding emergency medical response 1 Private Insurance HB 493 Rep. Mike Henderson (R) 1/8/19 - Prefiled agencies

Requires the Department of Health and Senior Services to 1 Other SB 2 Sen. Kiki Curls (D) make certain considerations when granting medical 12/1/18 - Prefiled marijuana licenses and certifications.

Modifies the law relating to work requirements for 1 Safety Net SB 4 Sen. David Sater (R) participants in the Supplemental Nutrition Assistance 12/1/18 - Prefiled Program

Behavioral Modifies provisions relating to controlled substances, 1 Health/Prescription SB 6 Sen. David Sater (R) including the Schedules and criminal provisions involving 12/1/18 - Prefiled Drugs controlled substances.

Health Care Sen. Mike Cunningham Modifies provisions relating to Medicaid per diem 1 SB 11 12/1/18 - Prefiled Facilities/Safety Net (R) reimbursement rates

Creates new provisions relating to firearm restraining 1 Violence Prevention SB 23 Sen. Jamilah Nasheed (D) 12/1/18 - Prefiled orders

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Provides for the expansion of MO HealthNet services 1 Safety Net SB 27 Sen. Scott Sifton (D) 12/1/18 - Prefiled beginning on January 1, 2021

1 Budget & Tax SB 28 Sen. Dan Hegeman (R) Places a cap on the Low-Income Housing Tax Credit 12/1/18 - Prefiled

Extends the sunset on certain healthcare provider 1 Budget & Tax SB 29 Sen. Dan Hegeman (R) reimbursement allowances and modifies the managed care 12/1/18 - Prefiled organization reimbursement allowance

Creates the offense of unlawfully storing and securing a 1 Violence Prevention SB 40 Sen. Jill Schupp (D) 12/1/18 - Prefiled firearm in the presence of a child

Modifies provisions relating to domestic violence offenders 1 Violence Prevention SB 41 Sen. Jill Schupp (D) 12/1/18 - Prefiled by requiring the offender to surrender any firearms

Creates extreme risk orders of protection to be granted when a person is found to pose an extreme risk to him or 1 Violence Prevention SB 42 Sen. Jill Schupp (D) 12/1/18 - Prefiled herself or others by possessing, controlling, or owning a firearm.

Enacts provisions relating to health care for persons with 1 Safety Net SB 45 Sen. Denny Hoskins (R) 12/1/18 - Prefiled disabilities

Modifies several provisions relating to taxation, including 1 Budget & Tax SB 46 Sen. Andrew Koenig (R) the requirement that the Department of Revenue enter 12/1/18 - Prefiled into the Streamlined Sales and Use Tax Agreement.

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Modifies provisions relating to short-term major medical 1 Private Insurance SB 48 Sen. Andrew Koenig (R) 12/1/18 - Prefiled insurance policies

Modifies sales tax collection requirement for certain sellers 1 Budget & Tax SB 50 Sen. Bill Eigel (R) 12/1/18 - Prefiled and reduces the top income tax rates

1 Budget & Tax SB 52 Sen. Bill Eigel (R) Modifies several provisions relating to taxation 12/1/18 - Prefiled

1 Safety Net SB 70 Sen. Lincoln Hough (R) Modifies provisions relating to personal care assistance 12/1/18 - Prefiled

Modifies provisions relating to mandatory prison terms, 1 Corrections SB 74 Sen. Karla May (D) 12/1/18 - Prefiled and eligibility for parole.

Modifies provisions relating to the concealed carrying of 1 Violence Prevention SB 75 Sen. Kiki Curls (D) 12/1/18 - Prefiled firearms

Requires certain MO HealthNet participants to comply with 1 Safety Net SB 76 Sen. David Sater (R) 12/1/18 - Prefiled work and community engagement requirements

Requires the Department of Social Services to apply for a 1 Safety Net SB 77 Sen. David Sater (R) 12/1/18 - Prefiled global waiver for MO HealthNet with several reforms.

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Modifies provisions relating to the Missouri Rx plan buy 1 Prescription Drugs SB 78 Sen. David Sater (R) 12/1/18 - Prefiled removing the dual eligibility requirement.

Health Care Sen. Mike Cunningham Modifies provisions of law relating to health care facilities 1 SB 82 12/1/18 - Prefiled Facilities (R) and certificates of need.

Sen. Establishes the Senior Services Growth and Development 1 Other SB 86 12/1/18 - Prefiled (R) Program

Sen. Wayne Wallingford Reauthorizes a tax refund donation check-off for pediatric 1 Budget & Tax SB 87 12/1/18 - Prefiled (R) cancer research

1 Private Insurance SB 99 Sen. (R) Enacts the Missouri Reinsurance Plan 12/1/18 - Prefiled

Enacts provisions relating to unanticipated out-of-network 1 Private Insurance SB 103 Sen. Jill Schupp (D) 12/1/18 - Prefiled health care services

Provides for the expansion of MO HealthNet services 1 Safety Net SB 104 Sen. Jill Schupp (D) 12/1/18 - Prefiled beginning on January 1, 2021

Sexual & Changes the laws regarding consent for a minor to obtain 1 SB 106 Sen. Denny Hoskins (R) 12/1/18 - Prefiled Reproductive Health an abortion

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Sexual & 1 SB 110 Sen. Andrew Koenig (R) Modifies provisions relating to abortion 12/1/18 - Prefiled Reproductive Health

Modifies provisions relating to the concealed carrying of 1 Violence Prevention SB 121 Sen. Burlison (R) 12/1/18 - Prefiled firearms

Requires the Department of Health and Senior Services to 1 Prescription Drugs SB 127 Sen. David Sater (R) conduct a study regarding the importation of certain 12/1/18 - Prefiled prescription drugs by the state

Modifies provisions relating to consumer-directed services 1 Safety Net SB 128 Sen. David Sater (R) 12/1/18 - Prefiled in the MO HealthNet Program

Sexual & 1 SB 139 Sen. Andrew Koenig (R) Modifies provisions of law relating to abortion 12/1/18 - Prefiled Reproductive Health

Behavioral Health/ 1 SB 155 Sen. Luetkemeyer (R) Establishes the Narcotics Control Act 12/3/18 - Prefiled Prescription Drugs

Provides that all sales of firearms be processed through a 1 Violence Prevention SB 163 Sen. Jill Schupp (D) 12/7/18 - Prefiled 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 12/7/18 - Prefiled Workforce licensure

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Health Care 1 SB 165 Sen. Bill Eigel (R) Repeals the certificate of need law 12/10/18 - Prefiled Facilities

Sexual & 1 SB 170 Sen. Jill Schupp (D) Repeals the 72-hour waiting period prior to an abortion 12/12/18 - Prefiled Reproductive Health

Bars discrimination based on sexual orientation or gender 1 Other SB 172 Sen. Jill Schupp (D) 12/12/18 - Prefiled 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 12/13/18- Prefiled Awareness and local public health centers administrators

1 Budget & Tax SB 183 Sen. Lauren Arthur (D) Creates the Missouri Earned Income Tax Credit 12/17/18 - Prefiled

1 Budget & Tax SB 189 Sen. Sandy Crawford (R) Modifies several provisions relating to use taxes 12/19/18 - Prefiled

1 Other SB 192 Sen. Jill Schupp (D) Modifies the law relating to small loans 12/20/18 - Prefiled

Health Care 1 SB 204 Sen. Jeanie Riddle (R) Modifies provisions relating to psychologist licenses 1/3/19 - Prefiled Workforce

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Requires organizations that provide pregnancy-related Sexual & services to provide medically accurate information 1 SB 216 Sen. Jill Schupp (D) 1/7/19 - Prefiled Reproductive Health regarding reproductive health options in order to receive state funding

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