Missouri Foundation for Health 2019 Health-Related Legislation Under Consideration by the Missouri General Assembly Updated 3/21/2019

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); infants & children; 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 Appropriates money for the expenses, grants, refunds, and distributions of the Department of Mental Health, Board 5 Budget & Tax HB 10 Rep. Cody Smith (R) Budget (H) 3/13/19 - HCS Reported Do Pass of Public Buildings, and the Department of Health and Senior Services

Appropriates money for the expenses, grants, and 5 Budget & Tax HB 11 Rep. Cody Smith (R) Budget (H) 3/13/19 - HCS Reported Do Pass distributions of the Department of Social Services

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 organizing with annual food sales above $5M to donate 2 Prevention & Awareness HB 47 Rep. Richard Brown (D) Agriculture Policy (H) 1/31/19 - Referred to Committee 10% of their excess food that is fit for human consumption.

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 3/21/2019

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

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

Health Care Workforce / Modifies provisions relating to fees and reciprocity for 5 HB 66 Rep. (R) Rules - Administrative Oversight (H) 3/5/19 - Action Postponed Behavioral Health psychologists

Changes the laws relating to short term medical policies 3 Private Insurance HB 83 Rep. (R) Insurance Policy (H) 3/13/19 - Public Hearing Completed sold in the state of Missouri.

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

Designates May as "Mental Health Awareness Month" in 8 Prevention & Awareness HB 109 Rep. (R) Health and Pensions (S) 3/7/19 - Referred to Committee Missouri

Allows the court to depart from minimum sentencing 7 Corrections HB 113 Rep. Cody Smith (R) 2/21/19 - Reported to the Senate and First Read provisions in certain circumstances

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 3/21/2019

Requires the use of a fetal heartbeat detection test prior Sexual & Reproductive 7 HB 126 Rep. (R) to an abortion and prohibits an abortion if a fetal 2/27/19 - Reported to the Senate and First Read Health heartbeat is detected

Sexual & Reproductive Changes the laws regarding the parental notification 5 HB 127 Rep. (R) Rules - Administrative Oversight (H) 2/14/19 - Reported Do Pass Health required for a minor to obtain an abortion

Special Committee on Student Accountability Requires certain public schools to offer breakfast after the 2 Prevention & Awareness HB 132 Rep. Chris Carter (D) 3/12/19 - Hearing Scheduled (H) bell

Establishes "Simon's Law", which changes the laws 7 Health Care Facilities HB 138 Rep. Bill Kidd (R) regarding life-sustaining or nonbeneficial treatment 2/25/19 - Reported to the Senate and First Read 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

Changes the laws regarding unlawful actions by persons 3 Prevention & Awareness HB 166 Rep. Tracy McCreery (D) Health and Mental Health Policy (H) 2/4/19 - Public Hearing Completed knowingly infected with communicable diseases

Changes the laws regarding unlawful actions by persons 3 Prevention & Awareness HB 167 Rep. (R) Health and Mental Health Policy (H) 2/4/19 - Public Hearing Completed knowingly infected with communicable diseases

Exempts health care entities registered with the Department of Health and Senior Services that distribute 5 Behavioral Health HB 168 Rep. Holly Rehder (R) Rules - Legislative Oversight 3/26/19 - Referred to Rules hypodermic needles or syringes from the crime of unlawful delivery of drug paraphernalia.

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 3/21/2019

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

Requires long-term care facilities to have on staff one Rep. Barbara Washington 1 Health Care Facilities HB 177 person trained in suicide assessment, treatment, and 1/10/19 - Read Second Time (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 3/26/19 - Public Hearing Scheduled 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/ 8 HB 188 Rep. Holly Rehder (R) Seniors, Families, and Children (S) Establishes the Narcotics Control Act 3/7/19 - Referred to Committee Prescription Drugs

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

Changes the sunset provision of the Ticket to Work Health Assurance Program, which provides health coverage or 7 Safety Net HB 219 Rep. (R) 2/28/19 - Reported to the Senate and First Read assistance paying for health insurance premiums for employed person who is disabled.

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

Private Insurance/Health Modifies provisions relating to the Health Care Cost 3 HB 232 Rep. Steve Helms (R) Health and Mental Health Policy (H) 2/11/19 - Public Hearing Completed Care Providers Reduction and Transparency Act

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.

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 3/21/2019

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 6 Behavioral Health HB 240 Rep. Nick Schroer (R) 3/13/19 - Perfected Prevention and Treatment

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

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

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

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

Modifies provisions relating to the concealed carrying of 3 Violence Prevention HB 258 Rep. (R) General Laws (H) 3/6/19 - Public Hearing Completed 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

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 3/21/2019

4 Budget & Tax HB 291 Rep. Bill Kidd (R) Ways and Means (H) Authorizes an earned income tax credit in Missouri 2/27/19 - Voted Do Pass

Changes provisions relating to advanced practice 5 Health Care Workforce HB 301 Rep. Nick Schroer (R) Rules - Administrative Oversight (H) 3/13/19 - Referred to Rules registered nurses

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

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

Rep. Cora Faith Walker Special Committee on Student Accountability Requires certain public schools to offer breakfast after the 3 Prevention & Awareness HB 309 3/12/19 - Public Hearing Completed (D) (H) bell

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

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

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 3/21/2019

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

Changes the law regarding unsecured loans of five 2 Other HB 323 Rep. Steve Helms (R) Financial Institutions (H) 3/14/19 - Referred to Committee hundred dollars or less, also known as "Payday Loans."

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

Establishes the Senior Services Growth and Development 5 Other HB 337 Rep. Kathy Swan (R) Rules - Administrative Oversight (H) 3/7/19 - Reported Do Pass Program

Rep. Barbara Washington Modifies provisions relating to prefilled epinephrine auto 2 Prevention & Awareness HB 342 Elementary and Secondary Education (H) 2/7/19 - Referred to Committee (D) syringes in schools

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 Rep. 5 Budget & Tax HB 374 Rules - Legislative Oversight political subdivision may raise the rates above twelve 3/26/19 - Public Hearing Scheduled (R) percent.

2 Safety Net HB 377 Rep. (R) Professional Registration and Licensing (H) Modifies the laws in regards to personal care assistance 3/12/19 - Referred to Committee

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 3/21/2019

Rep. Mary Elizabeth Modifies provisions regarding the protection of children 8 Infants & Children HB 397 Seniors, Families, and Children (S) 2/14/19 - Referred to Committee Coleman (R) from sex trafficking

Changes the laws regarding health care for persons with 7 Safety Net HB 399 Rep. (R) 3/11/19 - Reported to Senate and First Read disabilities

Establishes the Missouri Freedom to Choose Health Care Act requiring health insurance carriers to annually submit Rep. Jeffrey Messenger 1 Private Insurance HB 405 a 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.

Allows physical therapists to treat patients without a 7 Health Care Workforce HB 410 Rep. David Gregory (R) 3/14/19 - Reported to Senate and First Read prescription.

Removes geographical practice area limitations for certain assistance physicians, registered professional nurses, and 3 Health Care Workforce HB 420 Rep. Hannah Kelly (R) Children and Families (H) 2/26/19 - Public Hearing Completed physician assistants who are working in an alternatives to abortion agency.

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 7 Safety Net HB 466 Rep. David Wood (R) under MO HealthNet, subject to the approval of federal 3/14/19 - Reported to Senate and First Read waivers

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 3/21/2019

Modifies provisions for temporary assistance to needy 5 Safety Net HB 474 Rep. J. Eggleston (R) Rules - Administrative Oversight (H) 2/26/19 - Referred to Rules 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 3 Infants & Children HB 480 Rep. Tom Hannegan (R) Crime Prevention and Public Safety (H) 3/11/19 - Action Postponed training on detecting and reporting human trafficking

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

Sexual & Reproductive Changes the laws regarding the dispensing of 7 HB 487 Rep. (R) 3/11/19 - Reported to Senate and First Read Health contraceptives

Prohibits a physician from prescribing opioids to a person 2 Behavioral Health HB 491 Rep. (R) Health and Mental Health Policy (H) under the age of eighteen, except for under certain 2/27/19 - Referred to Committee circumstances

Changes provisions relating to health carrier 5 Private Insurance HB 492 Rep. Mike Henderson (R) Rules - Legislative Oversight 3/13/19 - Referred to Rules reimbursements

Changes the law regarding emergency medical response 5 Private Insurance HB 493 Rep. Mike Henderson (R) Rules - Administrative Oversight (H) 3/6/19 - Referred to Rules agencies

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 3/21/2019

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

Prohibits persons under 18 years of age from using any 2 Prevention & Awareness HB 518 Rep. Nick Schroer (R) Children and Families (H) 2/7/19 - Referred to Committee 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

Requires each judicial circuit to establish a veterans' 7 Corrections HB 547 Rep. Dave Griffith (R) 3/14/19 - Reported to Senate and First Read 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

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 3/21/2019

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 2 Safety Net HB 569 Rep. David Wood (R) Professional Registration and Licensing (H) 3/12/19 - Referred to Committee assistance services

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

3 Infants & Children HB 594 Rep. Kathy Swan (R) Elementary and Secondary Education (H) Modifies provisions relating to early childhood education 3/26/19 - Public Hearing Scheduled

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

Modifies provisions relating to Medicaid per diem 3 Health Care Facilities HB 600 Rep. (R) Health and Mental Health Policy (H) 3/25/19 - Public Hearing Scheduled reimbursement rates

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

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 3/21/2019

Rep. Brandon Ellington Requires children under two years of age to be secured in 1 Prevention & Awareness HB 621 1/23/19 - Read Second Time (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/ Oral Rep. Mary Elizabeth Places restrictions on the authority of dentists to prescribe 5 HB 628 Rules - Administrative Oversight (H) 3/6/19 - Reported Do Pass Health Coleman (R) certain opioids

Requires the Department of Health and Senior Services to develop a voluntary nonopioid directive form to allow a 2 Behavioral Health HB 639 Rep. (R) Health and Mental Health Policy (H) 3/12/19 - Referred to Committee person to refuse the administration or prescription of opioids

Requires the Department of Health and Senior Services to Rep. LaDonna 1 Behavioral Health HB 642 promulgate regulations consistent with CDC guidelines for 1/24/19 - Read Second Time Applebaum (D) prescribing opioids for chronic pain

Changes provisions relating to mental health insurance 2 Behavioral Health HB 653 Rep. Jim Neely (R) Health and Mental Health Policy (H) 2/20/19 - Referred to Committee coverage

Requires long-term care insurers to file their premium rates with the Department of Insurance, Financial 1 Private Insurance HB 657 Rep. (D) 1/24/19 - Read Second Time Institutions and Professional Registration and annual rate increases over 20% to be approved by director

Requires the Department of Mental Health and the 2 Safety Net HB 659 Rep. (R) Health and Mental Health Policy (H) Department of Social Services to apply for a Medicaid 2/20/19 - Referred to Committee waiver program

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 3/21/2019

Requires the Department of Social Services to conduct a 3 Safety Net HB 660 Rep. (R) Health and Mental Health Policy (H) 3/11/19 - Public Hearing Completed study on generational use of public assistance

Rep. Jeffrey Messenger Modifies provisions regarding prosthetic and orthotic 1 Other HB 663 1/24/19 - Read Second Time (R) devices

Establishes the Healthy Mothers Initiative within the office Sexual & Reproductive 3 HB 664 Rep. Sarah Unsicker (D) Children and Families (H) on women's health of the department of health and senior 2/19/19 - Public Hearing Completed Health services

5 Health Care Facilities HB 667 Rep. Steve Helms (R) Rules - Administrative Oversight (H) Modifies and establishes provisions relating to pharmacies 2/27/19 - Referred to Rules

Modifies provisions for MO HealthNet coverage for 1 Safety Net HB 669 Rep. Alan Green (D) 1/28/19 - Read Second Time incarcerated individuals

Rep. Andrew McDaniel Establishes the Authorized Electronic Monitoring in Long- 4 Health Care Facilities HB 675 Special Committee on Aging (H) 3/13/19 - HCS Voted Do Pass (R) Term Care Facilities Act

Rep. Jonathon Patterson 7 Safety Net HB 678 Changes provisions relating to the Missouri ABLE program 2/28/19 - Reported to the Senate and First Read (R)

Sexual & Reproductive Rep. Mary Elizabeth Establishes the "Pain Capable Unborn Child Protection 5 HB 680 Rules - Administrative Oversight (H) 2/21/19 - Reported Do Pass Health Coleman (R) Act"

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 3/21/2019

Allows victims of domestic violence to be released from 2 Other HB 683 Rep. Raychel Proudie (D) Children and Families (H) certain lease agreements if documentation of domestic 1/31/19 - Referred to Committee violence is provided to the landlord

Changes provisions regarding continuing education 1 Health Care Providers HB 687 Rep. Lynn Morris (R) 1/28/19 - Read Second Time requirements for certain professionals

Provides for the expansion of MO HealthNet services 1 Safety Net HB 690 Rep. Gina Mitten (D) 1/28/19 - Read Second Time beginning January 1, 2020

Changes provisions relating to advanced practice 1 Health Care Providers HB 693 Rep. Hannah Kelly (R) 1/28/19 - Read Second Time registered nurses

Establishes extreme risk protection orders and gun 1 Violence Prevention HB 695 Rep. Ian Mackey (D) violence seizure warrants and prohibits certain persons 1/28/19 - Read Second Time involved in domestic violence from possessing a firearm

Rep. Andrew McDaniel Changes provisions relating to freestanding emergency 1 Health Care Facilities HB 702 1/29/19 - Read Second Time (R) departments

Behavioral Rep. Cora Faith Walker 1 HB 707 Establishes the Narcotics Control Act 1/29/19 - Read Second Time Health/Prescription Drugs (D)

1 Health Care Providers HB 710 Rep. Lynn Morris (R) Modifies provisions relating to assistant physicians 1/29/19 - Read Second Time

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 3/21/2019

Prohibits discrimination against children who are not 1 Prevention & Awareness HB 711 Rep. Lynn Morris (R) 1/29/19 - Read Second Time immunized

Establishes the Authorized Electronic Monitoring in Long- 1 Health Care Facilities HB 719 Rep. Gina Mitten (D) 1/30/19 - Read Second Time Term Care Facilities Act

Budget & Tax/ Infants & Enacts the Streamlined Sales and Use Tax Agreement and 1 HB 724 Rep. (D) 1/30/19 - Read Second Time Children establishes a dedicated fund for early childhood education

Changes provisions relating to the prescribing and 3 Prevention & Awareness HB 725 Rep. Don Rone (R) Health and Mental Health Policy (H) 3/4/19 - Public Hearing Completed dispensing of tobacco cessation products

Allows certain medications in multi-dose containers used 1 Prescription Drugs HB 727 Rep. Doug Clemens (D) by a patient during a hospital stay to be sent with the 1/30/19 - Read Second Time patient at discharge

Establishes the "21st Century Missouri Patient Education 2 Safety Net HB 735 Rep. (R) Health and Mental Health Policy (H) 2/13/19 - Referred to Committee Task Force"

Prevention & Awareness / Rep. Tommie Pierson, Jr. Authorizes a tax credit for reestablishing a grocery store in 1 HB 737 1/30/19 - Read Second Time Budget & Tax (D a food desert

Sexual & Reproductive Changes the laws regarding the taxation of feminine 1 HB 741 Rep. Gina Mitten (D) 1/31/19 - Read Second Time Health hygiene products and diapers

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 3/21/2019

Sexual & Reproductive Changes the laws regarding the taxation of feminine 5 HB 747 Rep. Jim Neely (R) Rules - Administrative Oversight (H) 3/14/19 - Referred to Rules Health hygiene products, diapers, and incontinence products

Enacts provisions relating to payments for health care 3 Private Insurance HB 751 Rep. Derek Grier (R) General Laws (H) 3/11/19 - Public Hearing Continued services

Prevention & Awareness/ Adds WIC recipients to those eligible for vouchers for fresh 1 HB 752 Rep. Martha Stevens (D) 2/4/19 - Read Second Time Safety Net produce

Sexual & Reproductive 1 HB 755 Rep. Ann Kelley (R) Adds new provisions relating to contraceptive coverage 2/4/19 - Read Second Time Health

Enacts provisions relating to unanticipated out-of-network 3 Private Insurance HB 756 Rep. (R) Insurance Policy (H) 3/13/19 - Public Hearing Completed health care services

5 Health Care Facilities HB 758 Rep. Jack Bondon (R) Rules - Administrative Oversight (H) Adds provisions relating to hospital inspections 3/13/19 - Referred to Rules

Requires an insurance carrier to post a current provider 2 Private Insurance HB 764 Rep. (R) Health and Mental Health Policy (H) 2/13/19 - Referred to Committee directory on its website

Sexual & Reproductive Prohibits pharmacies in the state from providing 1 HB 787 Rep. Jeff Pogue (R) 2/4/19 - Read Second Time Health emergency contraceptives over the counter

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 3/21/2019

Sexual & Reproductive 1 HB 789 Rep. Jeff Pogue (R) Changes the laws regarding abortion 2/4/19 - Read Second Time Health

Sexual & Reproductive Establishes the Compassionate Assistance for Rape 1 HB 800 Rep. Ian Mackey (D) 2/5/19 - Read Second Time Health Emergencies (CARE) Act

Modifies provisions relating to certain MO HealthNet 1 Safety Net HB 802 Rep. Kip Kendrick (D) provider reimbursement allowance taxes and the MO Rx 2/5/19 - Read Second Time Plan

Requires any person reviewing, adjusting, approving, or otherwise handling claims for health care on behalf of or 1 Safety Net HB 804 Rep. Jim Neely (R) 2/5/19 - Read Second Time in connection with a medical assistance program to make payments with 120 of submission

Revokes contracts of any person reviewing, adjusting, approving, or otherwise handling claims for health care on 1 Safety Net HB 805 Rep. Jim Neely (R) 2/5/19 - Read Second Time behalf of or in connection with a medical assistance program when the person or entity commits fraud

Modifies education and experience qualifications for the 1 Prevention & Awareness HB 807 Rep. Jim Neely (R) Director of the Department of Health and Senior Services 2/5/19 - Read Second Time and local public health centers administrators

Requires insurance companies, including MO HealthNet, to Private Insurance / Safety 1 HB 808 Rep. Jim Neely (R) cover medically necessary dental procedures that are a 2/5/19 - Read Second Time Net result of cancer treatments

1 Health Care Providers HB 817 Rep. Kathy Swan (R) Changes provisions relating to certified nursing assistants 2/6/19 - Read Second Time

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 3/21/2019

Rep. Barbara Washington Authorizes a tax credit for providers of services to 1 Budget & Tax HB 819 2/6/19 - Read Second Time (D) homeless individuals

Allows the Department of Health and Senior Services to deny an application for a child-care facility license if the 2 Infants & Children HB 826 Rep. (R) Crime Prevention and Public Safety (H) 3/25/19 - Public Hearing Scheduled facility will be located within 1,000 feet of a place where a registered sexual offender resides or receives treatment

Creates provisions stating any litigation that Missouri is involved in due to medical marijuana shall be paid out of 7 Other HB 829 Rep. David Wood (R) 3/14/19 - Reported to Senate and First Read the Department of Health and Senior Services’ portion of the Missouri Veterans’ Health and Care Fund

Changes the laws regarding domestic violence orders of 2 Violence Prevention HB 839 Rep. Dottie Bailey (R) Crime Prevention and Public Safety (H) 3/25/19 - Public Hearing Scheduled protection

Changes provisions in relation to collaborative practice 2 Health Care Providers HB 840 Rep. Steve Helms (R) Professional Registration & Licensing (H) 2/27/19 - Referred to Committee agreements

2 Budget & Tax HB 846 Rep. Jon Carpenter (D) Ways and Means (H) Authorizes an earned income tax credit in Missouri 2/13/19 - Referred to Committee

Provides for the expansion of MO HealthNet services 1 Safety Net HB 847 Rep. Jon Carpenter (D) 2/7/19 - Read Second Time beginning January 1, 2020

Sexual & Reproductive 1 HB 850 Rep. Kathy Swan (R) Establishes the Pain Capable Unborn Child Protection Act 2/11/19 - Read Second Time Health

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 3/21/2019

Health Care Providers / Allows the Board of Pharmacy to establish a pilot program 1 HB 851 Rep. Mike Stephens (R) 2/11/19 - Read Second Time Prescription Drugs for remote medication dispensing

Modifies provisions relating to school district policies on 2 Behavioral Health HB 852 Rep. Donna Pfautsch (R) Elementary and Secondary Education (H) 3/12/19 - Referred to Committee youth suicide awareness and prevention

Sexual & Reproductive Rep. Cora Faith Walker Adds provisions relating to insurance coverage for fertility 1 HB 855 2/11/19 - Read Second Time Health (D) treatments

1 Health Care Providers HB 860 Rep. Jim Neely (R) Modifies provisions relating to assistant physicians 2/11/19- Read Second Time

Sexual & Reproductive Adds provisions relating to public funding for family 1 HB 861 Rep. (R) 2/11/19- Read Second Time Health planning

Safety Net/ Prescription Modifies provisions for access to antipsychotic drugs by 2 HB 867 Rep. David Gregory (R) Health and Mental Health Policy (H) 3/12/19 - Referred to Committee Drugs MO HealthNet users

Sexual & Reproductive Prohibits abortions when there is a detectable fetal 1 HB 870 Rep. David Gregory (R) Children and Families (H) 2/13/19 - Referred to Committee Health heartbeat, except under certain circumstances

Requires prescriptions to be issued electronically, with 2 Prescription Drugs HB 872 Rep. (R) Health and Mental Health Policy (H) 3/12/19 - Referred to Committee some exceptions

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 3/21/2019

3 Infants & Children HB 877 Rep. Hannah Kelly (R) Children and Families (H) Modifies provisions relating to child fatality review panels 3/26/19 - Public Hearing Scheduled

3 Private Insurance HB 879 Rep. Nick Schroer (R) Health and Mental Health Policy (H) Establishes the "Primary Care Transparency Act" 3/11/19 - Public Hearing Completed

Modifies provisions relating to emergency communication 1 Prevention & Awareness HB 883 Rep. Kathy Swan (R) 2/12/19 - Read Second Time services

Adds provisions relating to radiographic imaging or 2 Health Care Provider HB 884 Rep. Kathy Swan (R) Professional Registration and Licensing (H) 2/27/19 - Referred to Committee radiation therapy personnel

Requires a physician, clinic or hospital to post notice of 1 Behavioral Health HB 887 Rep. (D) 2/12/19 - Read Second Time compensation received from an opioid manufacturer

Rep. Cora Faith Walker Adds provisions relating to hospital workplace violence 1 Health Care Facilities HB 901 2/13/19 - Read Second Time (D) prevention plans

Rep. Jonathon Patterson Establishes the "Ensuring Access to High Quality Care for 2 Behavioral Health HB 904 Health and Mental Health Policy (H) 3/25/19- Public Hearing Scheduled (R) the Treatment of Substance Use Disorders Act"

Establishes a licensing procedure for paramedic 3 Health Care Providers HB 907 Rep. (R) Health and Mental Health Policy (H) 3/25/19 - Public Hearing Scheduled practitioners

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 3/21/2019

Rep. Cora Faith Walker Adds services provided by community health workers to 1 Safety Net HB 918 2/13/19 - Read Second Time (D) covered MO HealthNet services

Rep. Mary Elizabeth Specifies that certain healthcare products shall be 5 Corrections HB 920 Rules - Administrative Oversight (H) 3/14/19 - Reported Do Pass Coleman (R) available to prisoners at no cost while held in custody

3 Prevention & Awareness HB 941 Rep. Jim Hansen (R) Insurance Policy (H) Changes provisions relating to ambulance services 3/13/19 - Public Hearing Completed

Modifies provisions relating to leave from employment for 1 Violence Prevention HB 944 Rep. Gina Mitten (D) 2/18/19 - Read Second Time victims of domestic violence

1 Behavioral Health HB 945 Rep. Jason Chipman (R) Adds provisions relating to the Narcotics Control Act 2/18/19 - Read Second Time

Rep. Cora Faith Walker Reestablishes the Trauma-Informed Care for Children and 1 Behavioral Health HB 947 2/18/19 - Read Second Time (D) Families Task Force

Modifies licensing requirements for nursing home 1 Health Care Facilities HB 958 Rep. Steve Helms (R) 2/18/19 - Read Second Time administrators

Prohibits certain individuals from possessing a firearm due 1 Violence Prevention HB 960 Rep. Tracy McCreery (D) to domestic violence and requires police officers to 2/18/19 - Read Second Time remove firearms at the scene of a domestic violence call

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 3/21/2019

Requires the use of a fetal heartbeat detection test prior Sexual & Reproductive Rep. Mary Elizabeth 1 HB 964 to an abortion and prohibits an abortion if a fetal 2/19/19 - Read Second Time Health Coleman (R) heartbeat is detected

Requires public water systems and public water supply districts that intend to modify their water supply 1 Oral Health HB 975 Rep. Kathy Swan (R) 2/19/19 - Read Second Time fluoridation to seek and receive information about the impact from the local health department

Adds provisions relating to social model end of life care 1 Other HB 977 Rep. Lane Roberts (R) 2/19/19 - Read Second Time homes

1 Prevention & Awareness HB 985 Rep. Matt Sain (D) Establishes the "911 Good Samaritan Act" 2/20/19 - Read Second Time

Modifies provisions relating to exceptions to prescription 1 Prescription Drugs HB 986 Rep. Shamed Dogan (R) 2/20/19 - Read Second Time limitations

Prohibits law enforcement officers from releasing persons from custody during or immediately preceding the delivery 1 Corrections HB 987 Rep. (R) of medical care or psychiatric care in a hospital where the 2/20/19 - Read Second Time person is receiving treatment unless certain conditions are met

Establishes the offense of unlawfully storing a firearm in 1 Violence Prevention HB 995 Rep. Wiley Price (D) 2/20/19 - Read Second Time the presence of a child

Reauthorizes provisions relating to the Disability 1 Budget & Tax HB 1013 Rep. Steven Roberts (D) 2/21/19 - Read Second Time Modification Tax Credit

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 3/21/2019

Sexual & Reproductive Adds provisions relating to insurance coverage of 1 HB 1015 Rep. Tracy McCreery (D) 2/21/19 - Read Second Time Health prescription contraceptives

Sexual & Reproductive Makes the performance or inducement of an abortion, 1 HB 1017 Rep. (R) 2/21/19 - Read Second Time Health except in a medical emergency, a criminal offense

Changes provisions relating to short term limited duration 1 Private Insurance HB 1020 Rep. Steve Helms (R) 2/25/19 - Read Second Time insurance

Establishes the "Missouri Health Insurance Innovation Task 2 Private Insurance HB 1030 Rep. Justin Hill (R) Health and Mental Health Policy (H) 2/27/29 - Referred to Committee Force"

Adds provisions relating to pharmaceutical cost 1 Prescription Drugs HB 1031 Rep. Matt Sain (D) 2/25/19 - Read Second Time transparency

Safety Net / Infants and Modifies provisions for children in foster care receiving 1 HB 1036 Rep. Crystal Quade (D) 2/25/19 - Read Second Time Children MO HealthNet benefits

Modifies provisions relating to authorized uses of 2 Prevention & Awareness HB 1038 Rep. Dan Shaul (R) Crime Prevention and Public Safety (H) 3/25/19 - Public Hearing Scheduled automated external defibrillators

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 3/21/2019

Rep. LaDonna Requires teachers and principals to complete two hours of 1 Behavioral Health HB 1043 2/25/19 - Read Second Time Applebaum (D) suicide prevention education each school year

Changes the laws regarding the reimbursement of medical 1 Corrections HB 1051 Rep. Jim Murphy (R) 2/26/19 - Read Second Time costs for prisoners held in jail

Changes provisions relating to infection control data 2 Health Care Facilities HB 1057 Rep. Jeff Shawan (R) Health and Mental Health Policy (H) 3/25/19 - Public Hearing Scheduled reporting

Safety Net / Infants and Modifies provisions for children in foster care receiving 2 HB 1067 Rep. David Wood (R) Health and Mental Health Policy (H) 3/6/19 - Referred to Committee Children MO HealthNet benefits

Prohibits the suspension of students in kindergarten or in 1 Infants & Children HB 1069 Rep. Ian Mackey (D) 2/27/19 - Read Second Time any grade not higher than the third grade

Modifies provisions relating to parental consent for 1 Prevention & Awareness HB 1075 Rep. (D) 2/27/19 - Read Second Time vaccinations

2 Behavioral Health HB 1089 Rep. (R) Health and Mental Health Policy (H) Establishes a behavioral health crisis hotline 3/12/19 - Referred to Committee

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 3/21/2019

Requires the MO HealthNet benefits of offenders in 1 Corrections HB 1102 Rep. Lane Roberts (R) correctional facilities and jails to be suspended rather than 2/28/19 - Read Second Time terminated

Rep. Mary Elizabeth Changes the law regarding restraining prisoners by making 3 Corrections HB 1122 Special Committee on Criminal Justice 3/14/19 - Public Hearing Completed Coleman (R) state regulations apply to local jails

Sexual & Reproductive Requires employers to allow for break time for nursing 1 HB 1129 Rep. Peter Merideth (D) 2/28/19 - Read Second Time Health mothers

Extends the sunset provision of the Ticket to Work Health 1 Safety Net HB 1132 Rep. Deb Lavender (D) 3/1/19 - Read Second Time Assurance Program

1 Behavioral Health HB 1153 Rep. Jeff Shawan (R) Adds provisions relating to preventing drug overdoses 3/1/19 - Read Second Time

Designates the month of November as Diabetes and 1 Prevention & Awareness HB 1161 Rep. Brenda Shields (R) 3/1/19 - Read Second Time Cardiovascular Disease Awareness Month

Adds provisions relating to informed consent for 1 Prevention & Awareness HB 1164 Rep. Dottie Bailey (R) 3/1/19 - Read Second Time vaccinations

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 3/21/2019

1 Prescription Drugs HB 1165 Rep. Lynn Morris (R) Modifies provisions relating to pharmacy benefits 3/1/19 - Read Second Time

Health Care Providers / Authorizes tax credits for health care professionals and 1 HB 1167 Rep. Peter Merideth (D) 3/1/19 - Read Second Time Budget & Tax EMTs serving in rural areas

Requires certain MO HealthNet participants to comply 1 Safety Net HB 1172 Rep. Curtis Trent (R) 3/1/19 - Read Second Time with work and community engagement requirements

Establishes the Authorized Electronic Monitoring in Long- 2 Health Care Facilities HB 1176 Rep. Jim Murphy (R) Health and Mental Health Policy (H) 3/12/19 - Referred to Committee Term Care Facilities Act

1 Prescription Drugs HB 1186 Rep. Doug Clemens (D) Adds provisions relating to prescription drug costs 3/1/19 - Read Second Time

1 Private Insurance HB 1187 Rep. Doug Clemens (D) Establishes the "Health Care Cooperative Law" 3/1/19 - Read Second Time

1 Budget & Tax HB 1194 Rep. Jon Carpenter (D) Authorizes an earned income tax credit in Missouri 3/1/19 - Read Second Time

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 3/21/2019

Rep. Tommie Pierson, Jr. 1 Prevention & Awareness HB 1201 Establishes the Missouri Food Security Task Force 3/1/19 - Read Second Time (D

1 Prescription Drugs HB 1217 Rep. Jim Neely (R) Adds provisions relating to pharmaceutical manufacturers 3/1/19 - Read Second Time

1 Private Insurance HB 1231 Rep. Steve Helms (R) Modifies provisions relating to group benefit health plans 3/4/19 - Read Second Time

Adds provisions relating to the payments to ambulance 1 Prevention & Awareness HB 1233 Rep. Jason Chipman (R) 3/4/19 - Read Second Time districts

1 Health Care Providers HB 1234 Rep. Mike Stephens (R) Modifies provisions relating to the practice of pharmacy 3/4/19 - Read Second Time

Modifies provisions for MO HealthNet reimbursement 1 Safety Net HB 1235 Rep. Mike Stephens (R) 3/4/19 - Read Second Time rates

Rep. LaDonna Modifies provisions for the MO HealthNet Fraud 1 Safety Net HB 1241 3/4/19 - Read Second Time Applebaum (D) Reimbursement Fund

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 3/21/2019

Rep. Cora Faith Walker 1 Infants & Children HB 1251 Establishes voluntary universal pre-kindergarten 3/4/19 - Read Second Time (D)

Requires the Department of Health and Senior Services to 2 Other SB 2 Sen. Kiki Curls (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 5 Safety Net SB 4 Sen. David Sater (R) participants in the Supplemental Nutrition Assistance 3/20/19 - Informal Calendar for Perfection Program

Modifies provisions relating to controlled substances, Behavioral 7 SB 6 Sen. David Sater (R) including the Schedules and criminal provisions involving 2/19/19- Read Second Time (H) Health/Prescription Drugs controlled substances.

Health Care Facilities/Safety Sen. Mike Cunningham Modifies provisions relating to Medicaid per diem 4 SB 11 3/20/19 - Formal Calendar for Perfection Net (R) reimbursement rates

Transportation, Infrastructure, and Public Creates new provisions relating to firearm restraining 2 Violence Prevention SB 23 Sen. Jamilah Nasheed (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

7 Budget & Tax SB 28 Sen. Dan Hegeman (R) Places a cap on the Low-Income Housing Tax Credit 2/26/19 - Read Second Time (H)

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 3/21/2019

Extends the sunset on certain healthcare provider 4 Budget & Tax SB 29 Sen. Dan Hegeman (R) reimbursement allowances and modifies the managed 3/20/19 - Formal Calendar for Perfection care organization reimbursement allowance

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

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

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 7 Safety Net SB 45 Sen. Denny Hoskins (R) 3/11/19 - Read Second Time disabilities

Modifies several provisions relating to taxation, including 5 Budget & Tax SB 46 Sen. Andrew Koenig (R) the requirement that the Department of Revenue enter 3/20/19 - Informal Calendar for Perfection into the Streamlined Sales and Use Tax Agreement.

Modifies provisions relating to short-term major medical 4 Private Insurance SB 48 Sen. Andrew Koenig (R) Insurance and Banking (S) 2/6/19 - SCS Voted Do Pass insurance policies

Modifies sales tax collection requirement for certain 3 Budget & Tax SB 50 Sen. Bill Eigel (R) Ways and Means (S) 2/12/2019 - Bill Combined (w/SCS SBs 46 & 50) sellers and reduces the top income tax rates

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 3/21/2019

5 Budget & Tax SB 52 Sen. Bill Eigel (R) Modifies several provisions relating to taxation 3/20/19 - Formal Calendar for Perfection

5 Safety Net SB 70 Sen. Lincoln Hough (R) Modifies provisions relating to personal care assistance 3/20/19 - Formal Calendar for Perfection

Modifies provisions relating to mandatory prison terms, 3 Corrections SB 74 Sen. Karla May (D) Judiciary and Civil and Criminal Jurisprudence 3/11/19 - Public Hearing Completed and eligibility for parole.

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 5 Safety Net SB 76 Sen. David Sater (R) 3/20/19 - Informal Calendar for Perfection with work and community engagement requirements

Requires the Department of Social Services to apply for a 3 Safety Net SB 77 Sen. David Sater (R) Seniors, Families, and Children (S) 3/13/19 - Public Hearing Completed global waiver for MO HealthNet with several reforms.

Modifies provisions relating to the Missouri Rx plan buy 5 Prescription Drugs SB 78 Sen. David Sater (R) 3/20/19 - Formal Calendar for Perfection removing the dual eligibility requirement.

Sen. Mike Cunningham Modifies provisions of law relating to health care facilities 3 Health Care Facilities SB 82 Health and Pensions (S) 2/13/19 - Public Hearing Completed (R) and certificates of need.

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 3/21/2019

Sen. Establishes the Senior Services Growth and Development 4 Other SB 86 Seniors, Families, and Children (S) 2/27/19 - Voted Do Pass (R) Program

Sen. Wayne Wallingford Reauthorizes a tax refund donation check-off for pediatric 5 Budget & Tax SB 87 3/20/19 - Formal Calendar for Perfection (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

Enacts provisions relating to unanticipated out-of-network 5 Private Insurance SB 103 Sen. Jill Schupp (D) 3/20/19 - Senate Consent Calendar 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 & Reproductive Changes the laws regarding consent for a minor to obtain 4 SB 106 Sen. Denny Hoskins (R) Seniors, Families, and Children (S) 2/13/19 - Voted Do Pass Health an abortion

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

Transportation, Infrastructure, and Public Modifies provisions relating to the concealed carrying of 3 Violence Prevention SB 121 Sen. Eric Burlison (R) 2/28/19 - Public Hearing Completed Safety (S) firearms

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 3/21/2019

Requires the Department of Health and Senior Services to 3 Prescription Drugs SB 127 Sen. David Sater (R) Seniors, Families, and Children (S) conduct a study regarding the importation of certain 3/6/19 - Public Hearing Completed prescription drugs by the state

Modifies provisions relating to consumer-directed services 3 Safety Net SB 128 Sen. David Sater (R) Appropriations (S) 3/7/19 - Bill Combined with SCS SB 70 in the MO HealthNet Program

Sexual & Reproductive 3 SB 139 Sen. Andrew Koenig (R) Health and Pensions (S) Modifies provisions of law relating to abortion 3/13/19 - Bill Combined with SCS SB 279 & 345 Health

Behavioral Health/ 5 SB 155 Sen. Luetkemeyer (R) Establishes the Narcotics Control Act 3/20/19 - Formal Calendar for Perfection Prescription Drugs

Transportation, Infrastructure, and Public Provides that all sales of firearms be processed through a 2 Violence Prevention SB 163 Sen. Jill Schupp (D) 1/31/19 - Referred to Committee Safety (S) licensed firearm dealer

Requires marital and family therapists to complete two Behavioral Health/ Health 5 SB 164 Sen. Jill Schupp (D) hours of suicide management training as a condition of 3/20/19 - Senate Consent Calendar Care Workforce licensure

3 Health Care Facilities SB 165 Sen. Bill Eigel (R) Health and Pensions (S) Repeals the certificate of need law 2/13/19 - Public Hearing Completed

Sexual & Reproductive 2 SB 170 Sen. Jill Schupp (D) Health and Pensions (S) Repeals the 72-hour waiting period prior to an abortion 1/31/19 - Referred to Committee Health

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 3/21/2019

Bars discrimination based on sexual orientation or gender 2 Other SB 172 Sen. Jill Schupp (D) Small Business and Industry (S) 1/31/19 - Referred to Committee identify

Modifies education and experience qualifications for the 2 Prevention & Awareness SB 177 Sen. Lincoln Hough (R) Health and Pensions (S) Director of the Department of Health and Senior Services 1/31/19 - Referred to Committee and local public health centers administrators

3 Budget & Tax SB 183 Sen. Lauren Arthur (D) Ways and Means (S) Creates the Missouri Earned Income Tax Credit 3/12/19 - Public Hearing Completed

4 Budget & Tax SB 189 Sen. Sandy Crawford (R) Local Government and Elections (S) Modifies several provisions relating to use taxes 3/12/19 - SCS Voted Do Pass

2 Other SB 192 Sen. Jill Schupp (D) Insurance and Banking (S) Modifies the law relating to small loans 1/31/19 - Referred to Committee

5 Health Care Workforce SB 204 Sen. Jeanie Riddle (R) Modifies provisions relating to psychologist licenses 3/20/19 - Senate Consent Calendar

Requires organizations that provide pregnancy-related Sexual & Reproductive services to provide medically accurate information 2 SB 216 Sen. Jill Schupp (D) Health and Pensions (S) 1/31/19 - Referred to Committee Health regarding reproductive health options in order to receive state funding

Repeals restrictions regarding which associations may be 4 Private Insurance SB 226 Sen. David Sater (R) Health and Pensions (S) issued health benefit plans for the benefit of their 3/6/19 - Consent Vote Adopted members

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 3/21/2019

Prohibits health carriers from denying reimbursement for 2 Private Insurance SB 229 Sen. Sandy Crawford (R) Insurance and Banking (S) 2/7/19 - Referred to Committee health care services provided by licensed athletic trainers

Extends the expiration date of the Ticket to Work Health 4 Safety Net SB 232 Sen. David Sater (R) Seniors, Families, and Children (S) 2/27/19 - Voted Do Pass Assurance Program

Requires health insurance policies to provide coverage for 2 Private Insurance SB 235 Sen. Bill White (R) Health and Pensions (S) hearing instruments and related services for enrollees 2/7/19 - Referred to Committee under the age of 18

This act modifies that structured cognitive behavioral Corrections / Behavioral 2 SB 237 Sen. Bill White (R) Judiciary and Civil and Criminal Jurisprudence intervention program into which a court can order a 2/7/19 - Referred to Committee Health person on probation to be placed

Requires potable water in certain elementary school 2 Prevention & Awareness SB 245 Sen. Gina Walsh (D) Education (S) 2/7/19 - Referred to Committee buildings to be tested for lead

Sexual & Reproductive Provides for postpartum depression screening and 2 SB 263 Sen. Jill Schupp (D) Health and Pensions (S) 3/27/19 - Public Hearing Scheduled Health treatment for certain mothers

Enacts provisions relating to the direct payment of health 5 Private Insurance SB 267 Sen. Paul Wieland (R) 3/20/19 - Senate Consent Calendar care providers

Modifies provisions relating to low-income housing tax 2 Budget & Tax SB 269 Sen. Bill Eigel (R) General Laws (S) 2/7/19 - Referred to Committee credits

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 3/21/2019

Allows the Board of Pharmacy to establish pharmacy pilot 4 Prescription Drugs SB 274 Sen. David Sater (R) Seniors, Families, and Children (S) projects relating to technology assisted verification or 3/6/19 - SCS Voted Do Pass remote medication dispensing

Behavioral Health / Oral Limits prescription of long-acting or extended-release 5 SB 275 Sen. David Sater (R) 3/20/19 - Senate Consent Calendar Health opioids by dentists

Requires public water systems and public water supply Sen. Wayne Wallingford districts that intend to modify their water supply 5 Oral Health SB 278 3/20/19 - Formal Calendar for Perfection (R) fluoridation to seek and receive information about the impact from the local health department

Sexual & Reproductive 5 SB 279 Rep. Bob Onder (R) Establishes the Pain Capable Unborn Child Protection Act 3/20/19 - Formal Calendar for Perfection Health

Waives the geographic proximity requirement for certain 2 Health Care Providers SB 280 Sen. David Sater (R) Health and Pensions (S) 2/7/19 - Referred to Committee collaborative practice arrangements

Allows enrollment in a health benefit plan by a pregnant 2 Private Insurance SB 287 Sen. Paul Wieland (R) Insurance and Banking (S) 2/7/19 - Referred to Committee person under certain circumstances

Enacts provisions relating to payments for health care 5 Private Insurance SB 298 Sen. Bill White (R) 3/20/19 - Formal Calendar for Perfection services

Prohibits health carriers from requiring health care Sen. Wayne Wallingford 5 Private Insurance SB 302 providers to use methods of reimbursement that require 3/20/19 - Senate Consent Calendar (R) providers to pay a fee

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 3/21/2019

Licenses persons performing radiologic imaging or administering radiation therapy and establishes the 3 Health Care Providers SB 303 Sen. Jeanie Riddle (R) Professional Registration (S) 3/11/19 - Public Hearing Completed Missouri Radiologic Imaging and Radiation Therapy Board of Examiners

4 Infants & Children SB 305 Sen. Jeanie Riddle (R) Seniors, Families, and Children (S) Modifies provisions relating to child fatality review panels 3/6/19 - Voted Do Pass

Authorizes pharmacists to prescribe and dispense tobacco 2 Prevention & Awareness SB 309 Sen. David Sater (R) Seniors, Families, and Children (S) 2/14/19 - Referred to Committee cessation products

2 Prescription Drugs SB 310 Sen. Lauren Arthur (D) Seniors, Families, and Children (S) Enacts provisions relating to prescription drug costs 2/14/19 - Referred to Committee

Sexual & Reproductive Establishes the mission of the Department of Health and 5 SB 312 Sen. Bill Eigel (R) 3/20/19 - Formal Calendar for Perfection Health Senior Services

Prohibits the sale and marketing of certain medical 3 Other SB 335 Sen. Bob Onder (R) Health and Pensions (S) 3/13/19 - Public Hearing Completed marijuana products

4 Health Care Facilities SB 336 Sen. Jill Schupp (D) Professional Registration (S) Modifies provisions relating to child care facilities 3/11/19 - Voted Do Pass

Safety Net/ Sexual & Excludes emergency contraception from MO HealthNet 2 SB 338 Sen. Paul Wieland (R) Health and Pensions (S) 2/21/19 - Referred to Committee Reproductive Health family planning coverage

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 3/21/2019

Sexual & Reproductive Makes the performance or inducement of an abortion, 4 SB 345 Sen. Andrew Koenig (R) Health and Pensions (S) 3/13/19 - Bill Combined with SCS SB 279 & 139 Health except in a medical emergency, a criminal offense

Requires health benefit plans providing coverage for Sexual & Reproductive 2 SB 346 Sen. Jill Schupp (D) Insurance and Banking (S) prescription contraceptives to cover a 13-month supply of 2/21/19 - Referred to Committee Health / Private Insurance the contraceptives

Requires that all state-funded teacher-training institutions 2 Behavioral Health SB 351 Sen. Brian Williams (D) Education (S) provide courses on the concepts of trauma-informed 2/21/19 - Referred to Committee approach and trauma-specific intervention

Requires certain health care professionals to complete up 2 Health Care Providers SB 352 Sen. Brian Williams (D) Professional Registration (S) 2/21/19 - Referred to Committee to two hours of cultural competency training

Behavioral Health / Modifies provisions relating to practitioner-patient 2 SB 353 Sen. Ed Emery (R) Health and Pensions (S) 2/21/19 - Referred to Committee Prescription Drugs consultations for prescribed opioid controlled substances

Allows pharmacists to prescribe drugs and controlled 2 Health Care Providers SB 357 Sen. David Sater (R) Health and Pensions (S) substances according to a written medication therapy 2/21/19 - Referred to Committee services protocol from a physician

Modifies provisions relating to the Health Professional 5 Health Care Providers SB 358 Sen. David Sater (R) 3/20/19 - Senate Consent Calendar Student Loan Repayment Program

Modifies provisions regarding the protection of children 4 Infants & Children SB 361 Sen. Jeanie Riddle (R) Seniors, Families, and Children (S) 3/13/19 - Voted Do Pass from sex trafficking

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 3/21/2019

Adds structured family caregiving for certain MO 2 Safety Net SB 362 Sen. Jeanie Riddle (R) Health and Pensions (S) HealthNet participants and modifies provisions relating to 2/21/19 - Referred to Committee personal care assistance services

Modifies provisions relating to MO HealthNet managed 2 Safety Net SB 370 Sen. Justin Brown (R) Insurance and Banking (S) 2/28/19 - Referred to Committee care

Modifies licensing requirements for nursing home 2 Health Care Facilities SB 375 Sen. Jeanie Riddle (R) Professional Registration (S) 3/25/19 - Public Hearing Scheduled administrators

Sen. Wayne Wallingford Requires hospitals to adopt workplace violence prevention 2 Health Care Facilities SB 390 Health and Pensions (S) 2/28/19 - Referred to Committee (R) plans

Sen. Mike Bernskoetter 5 Prevention & Awareness SB 391 Modifies provisions relating to county health ordinances 3/20/19 - Formal Calendar for Perfection (R)

Requires the MO HealthNet benefits of offenders in 3 Safety Net / Corrections SB 393 Sen. Lincoln Hough (R) Seniors, Families, and Children (S) correctional facilities and jails to be suspended rather than 3/13/19 - Public Hearing Completed terminated

Modifies credentialing procedures for health care 2 Health Care Providers SB 396 Sen. Bob Onder (R) Insurance and Banking (S) 2/28/19 - Referred to Committee practitioners

Modifies provisions relating to advanced practice 3 Health Care Providers SB 400 Sen. Eric Burlison (R) Professional Registration (S) 3/4/19 - Public Hearing Completed registered nurses

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 3/21/2019

Allows tenants to terminate their lease in certain 2 Violence Prevention SB 404 Sen. Jamilah Nasheed (D) Small Business and Industry (S) 2/28/19 - Referred to Committee situations of domestic violence, stalking, or sexual assault

Sen. Wayne Wallingford Establishes "Simon's Law" regarding life-sustaining 2 Other SB 406 Health and Pensions (S) 3/27/19 - Public Hearing Scheduled (R) treatment policies

Sen. Wayne Wallingford 3 Infants & Children SB 407 Education (S) Modifies provisions relating to early childhood education 3/12/19 - Public Hearing Completed (R)

2 Prescription Drugs SB 413 Sen. David Sater (R) Insurance and Banking (S) Enacts provisions relating to pharmacy benefits 3/7/19 - Referred to Committee

Enacts provisions relating to innovation in health 3 Private Insurance SB 414 Sen. Paul Wieland (R) Insurance and Banking (S) 3/13/19 - Public Hearing Completed insurance

Sen. Mike Bernskoetter 2 Health Care Facilities SB 415 Health and Pensions (S) Modifies provisions relating to hospital inspections 3/7/19 - Referred to Committee (R)

Requires the reporting of information relating to certain 2 Private Insurance SB 417 Sen. Bill White (R) Insurance and Banking (S) 3/7/19 - Referred to Committee health care expenditures

Prohibits any person under the age of 18 from using any 2 Prevention & Awareness SB 419 Sen. Jeanie Riddle (R) Health and Pensions (S) 3/7/19 - Referred to Committee tanning device of any tanning facility within the state

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 3/21/2019

Sexual & Reproductive 2 SB 420 Sen. Jeanie Riddle (R) Health and Pensions (S) Relating to out-of-state abortion referrals 3/7/19 - Referred to Committee Health

Prohibits a law enforcement officer from releasing a Transportation, Infrastructure, and Public person from custody during or immediately preceding 2 Corrections SB 428 Sen. Lincoln Hough (R) 3/7/19 - Referred to Committee Safety (S) medical or psychiatric care in a hospital unless certain conditions are met

2 Safety Net SB 432 Sen. Scott Sifton (D) Health and Pensions (S) Modifies the Ticket to Work Health Assurance Program 3/7/19 - Referred to Committee

Modifies provisions relating to hospital infection control 2 Health Care Facilities SB 435 Sen. Bill White (R) Health and Pensions (S) 3/7/19 - Referred to Committee data reporting

Modifies provisions relating to consumer-directed services 2 Other SB 438 Sen. Justin Brown (R) Appropriations (S) 3/7/19 - Referred to Committee vendors

Modifies provisions relating to certain MO HealthNet 3 Safety Net SB 441 Sen. Lincoln Hough (R) Appropriations (S) 3/12/19 - Public Hearing Completed home and community-based services

Requires physicians to complete two hours of suicide 2 Behavioral Health SB 444 Sen. Jill Schupp (D) Professional Registration (S) 3/7/19 - Referred to Committee prevention training as a condition of licensure

Requires health carriers to offer a certain proportion of Private Insurance/ 2 SB 449 Sen. David Sater (R) Insurance and Banking (S) their health benefit plans with flat-fee copayments for 3/7/19 - Referred to Committee Prescription Drugs prescription drug benefits

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 3/21/2019

Excludes patients receiving treatment for sickle cell disease 2 Prescription Drugs SB 450 Sen. Brian Williams (D) Health and Pensions (S) 3/7/19 - Referred to Committee from initial opioid prescription limitations

Modifies provisions relating to Advanced Practice 2 Health Care Providers SB 460 Sen. Cindy O'Laughlin Professional Registration (S) 3/11/19 - Referred to Committee Registered Nurses' collaborative practice agreements

Creates the "Pregnancy-Associated Mortality Review Sexual & Reproductive 2 SB 480 Sen. Jill Schupp (D) Health and Pensions (S) Board" within the Department of Health and Senior 3/14/19 - Referred to Committee Health Services

Modifies training requirements for certified nursing 2 Health Care Providers SB 490 Sen. John Rizzo (D) Professional Registration (S) 3/14/19 - Referred to Committee assistants

Establishes provisions relating to health coverage for 2 Behavioral Health SB 507 Sen. Lincoln Hough (R) Seniors, Families, and Children (S) 3/14/19 - Referred to Committee substance abuse and mental health treatment

Modifies provisions relating to MO HealthNet benefits for 2 Safety Net SB 514 Sen. David Sater (R) Seniors, Families, and Children (S) 3/14/19 - Referred to Committee persons in foster care

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