SCS/HCS/HB 943 - This act modifies several provisions relating to health care, including: (1) hospital investments and service areas; (2) emergency services; (3) patient medical records; (4) the "Missouri State Loan Repayment Program"; (5) sexually transmitted infections; (6) forensic examinations of victims of sexual offenses; (7) vital records; (8) limits on the sale of over-the-counter drugs; (9) administration of medications; (10) inspections of long-term care facilities; (11) referrals to long-term care facilities; (12) MO HealthNet coverage of certain clinical pathology services; (13) MO HealthNet coverage of hearing-related devices; (14) prenatal tests for certain diseases; (15) child care facility allergy policies; (16) license plates; (17) the practice of dentistry in correctional centers; (18) the Dentist and Dental Hygienist Compact; (19) the administration of certain vaccines; (20) the amount of prescriptions dispensed by pharmacists during emergency periods; (21) licensure of wholesale drug distributors; (22) the "RX Cares for Missouri Program"; (23) 340B drugs; (24) insurance coverage of self-administered hormonal contraceptives; (25) insurance coverage of anesthesia services; and (26) mammograms.HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158)
This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other obligations. This act permits investment of up to 50% of funds not required for operations or other obligations in a manner described in the act, with the remaining portion to be invested into any investment in which the Treasurer is allowed to invest. These provisions shall only apply if the hospital receives less than three percent of its annual revenues from municipal, county, hospital district, or state taxes or appropriated funds from the municipality in which such hospital is located.
Under this act, municipal hospitals in third class cities may operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals may operate in areas where municipal hospitals in third class cities and county hospitals operate.
These provisions are identical to provisions in SCS/SB 317 (2025) and substantially similar to SB 244 (2025).
EMERGENCY SERVICES (Sections 190.053, 190.076, 190.098, 190.101, 190.109, 190.112, 190.166, and 190.800)
This act modifies training requirements for members of an ambulance district board of directors. Under this act, board members shall complete three hours of continuing education for each term of office. Failure to do so shall result in immediate disqualification and the office shall be vacant until filled.
This provision is identical to a provision in SCS/SB 317 (2025) and substantially similar to a provision in SB 548 (2025), SB 7 (2025), SB 206 (2025), SCS/SB 1382 (2024), and SB 1340 (2024).
Under this act, each ambulance district shall arrange for an audit of the district's records and accounts every three years by a certified public accountant. The audit shall be made available to the public on the district's website or otherwise freely available by other electronic means.
This provision is identical to a provision in SCS/SB 317 (2025), SB 548 (2025), SB 7 (2025), SB 206 (2025), SCS/SB 1382 (2024), and SB 1340 (2024).
This act modifies provisions relating to certification of community paramedics and the provision of community paramedic services. Community paramedic services shall mean those services provided by an entity that employs licensed paramedics certified by the Department of Health and Senior Services as community paramedics for services that are provided in a nonemergent setting, consistent with the education and training of a community paramedic and the supervisory standard approved by the medical director, and documented in the entity's patient care plans or protocols.
Any ambulance service that seeks to provide community paramedic services outside of its service area shall have a memorandum of understanding (MOU) with the ambulance service of that area if that ambulance service is already providing those services or shall notify the ambulance services of that area if that ambulance service is not providing community paramedic services. Emergency medical response agencies (EMRAs) may provide community paramedic services in a ground ambulance service's service area. If the ground ambulance service is already providing those services or provides them after the EMRA offers them, then the EMRA and ground ambulance service shall enter into a MOU for the coordination of services.
The Department shall promulgate rules and regulations for the purpose of certifying community paramedic services entities and the standards necessary to provide such services. Certified entities shall be eligible to provide community paramedic services for 5 years.
This provisions is identical to a provision in SCS/SB 317 (2025) and similar to a provision in SB 548 (2025), SB 206 (2025), and SCS/SB 1382 (2024).
This act modifies the State Advisory Council on Emergency Medical Services by changing the number of council members from 16 to no more than 23 and specifying the members who shall serve on the Council. Currently, members are appointed by the Governor with the advice and consent of the Senate. Under this act, the Director of the Department of Health and Senior Services, the regional EMS advisory committees, and the Time-Critical Diagnosis Advisory Committee shall appoint members.
This provision is substantially similar to a provision in SCS/SB 317 (2025), SB 548 (2025), SB 206 (2025), SB 270 (2025), SB 1277 (2024), and a provision in SCS/SB 1382 (2024).
The Department of Health and Seniors Services, as a part of regulating ground ambulance service licenses, shall promulgate rules regarding participation with regional emergency medical services advisory committees and ambulance service administrator qualifications.
This act requires ambulance services to report to the Department individuals serving as ambulance service administrators. These administrators shall be required to complete training as described in the act.
Finally, the Department may refuse to issue, deny renewal of, or suspend a license required for ground ambulance services or take other corrective actions for reasons specified in the act. If the Department makes a determination of insolvency or insufficiency of services, then the Department may require the license holder to submit and complete a corrective plan, as described in the act.
The Department shall be required to provide notice of any determination of insolvency or insufficiency of services to persons and entities specified in the act. The Department shall immediately engage with other license holders in the area to determine how ground ambulance services may be provided to the affected area during the service disruption. Assisting license holders may be compensated for such assistance as described in the act.
These provisions are identical to provisions in SCS/SB 317 943 (2025) and substantially similar to provisions in SB 548 (2025), SB 7 (2025), SB 206 (2025), SB 1340 (2024), and provisions in SCS/SB 1382 (2024).
Current law establishing the Ground Ambulance Service Reimbursement Allowance excludes any ambulance service owned or operated by an entity owned and operated by Missouri, including any hospital owned or operated by the University of Missouri Board of Curators. This act removes this exception.
This provision is identical to SB 629 (2025).
PATIENT MEDICAL RECORDS (Section 191.227)
Under this act, records containing a patient's health history and treatment created by an emergency care provider or telecommunicator first responder, in the course of their official duties while responding to a formal request for assistance, shall be made available to the patient or patient's representative, upon written request.
This provision is identical to HB 457 (2025).
"MISSOURI STATE LOAN REPAYMENT PROGRAM" (Sections 191.600-615)
This act modifies the "Health Professional Student Loan Repayment Program" to be the "Missouri State Loan Repayment Program" or "MOSLRP". MOSLRP shall be for persons who practice in areas of defined need after graduating from an accredited graduate training program in disciplines defined in rule by the Department of Health and Senior Services. MOSLRP shall not include areas of need for chiropractic services, unlike the current "Health Professional Student Loan Repayment Program". At least 35% of appropriated funds each year shall be designated for awards to primary care physicians and general dentists.
The standards the Department may establish shall not include enrollment as a full-time student in certain courses of study as in the current program, but shall include authorization to practice certain types of health professions and in areas of defined need.
This provision is identical to provisions in HCS/SS/SB 7 (2025) and HCS/HB 720 (2025) and similar to SB 635 (2025).
SEXUALLY TRANSMITTED INFECTIONS (Section 191.648)
Currently, a physician may utilize expedited partner therapy, meaning the practice of treating the sex partners of persons with chlamydia or gonorrhea without an intervening medical evaluation or professional prevention counseling, to prescribe and dispense medications for the treatment of chlamydia or gonorrhea even without an established physician/patient relationship.
Under this act, certain health care professionals may use expedited partner therapy and such therapy may be used for designated sexually transmitted infections beyond chlamydia and gonorrhea. This act repeals the requirement that antibiotic medications prescribed and dispensed through expedited partner therapy for the treatment of chlamydia or gonorrhea be in pill form.
This provision is identical to a provision in SCS/SB 317 (2025), substantially similar to a provision in SB 548 (2025), SB 178 (2025), the perfected HCS/HB 2413 (2024), and SB 1445 (2024), and similar to HB 1879 (2024).
FORENSIC EXAMINATIONS OF VICTIMS OF SEXUAL OFFENSES (Section 192.2521)
Under this act, a specialty hospital, meaning a hospital other than a general acute care hospital, shall not be required to comply with certain statutory provisions relating to forensic examinations of victims of sexual assault if such hospital has in place a policy for the transfer of such victims to an appropriate hospital with an emergency department.
This provision is identical to a provision in SB 178 (2025), SCS/SB 317 (2025), and the perfected HCS/HB 2413 (2024) and substantially similar to SB 1326 (2024).
VITAL RECORDS (Section 193.245)
This act repeals a provision of law permitting the Department of Health and Senior Services to disclose a listing of persons who are born or who die on a particular date upon a person's request.
This provision is identical to SB 598 (2025).
LIMITS ON SALE OF OVER-THE-COUNTER DRUGS (Sections 195.417 and 579.060)
Current law prohibits the sale, purchase, or dispensation of ephedrine, phenylpropanolamine, or pseudoephedrine to the same individual in a twelve-month period in any total amount greater than 43.2 grams without a valid prescription. This act changes the total amount to 61.2 grams.
Beginning October 1, 2025, any manufacturer of a meth precursor drug that is sold in or into this state shall pay a monthly fee to the administrator of the real-time electronic pseudoephedrine tracking system. The fee is set by the administrator.
A manufacturer commits the offense of unlawful, sale, distribution, or purchase of over-the-counter methamphetamine precursor drugs if the manufacturer knowingly fails to pay the fees required by this act.
These provisions are identical to provisions in SB 548 (2025), SB 143 (2025), SCS/SB 317 (2025), SS/SCS/HCS/HB 1659 (2024), and SCS/SB 1485 (2024) and similar to HB 2824 (2024).
ADMINISTRATION OF MEDICATIONS (Sections 196.990 and 335.081)
This act adds licensed long-term care facilities and child care facilities to the definition of "authorized entity" in current law permitting such entities to stock a supply of epinephrine auto-injectors for use in an emergency. Additionally, the administration by technicians, nurses' aides, or their equivalent in long-term care facilities of epinephrine auto-injectors and subcutaneous injectable medications to treat diabetes shall not be prohibited by nurse licensing laws.
These provisions are identical to provisions in SB 548 (2025), SB 783 (2025), SCS/SB 317 (2025), and HCS/HB 2824 (2024).
INSPECTIONS OF LONG-TERM CARE FACILITIES (Section 198.022)
Under this act, the Department of Health and Senior Services may accept, in lieu of an inspection conducted by the Department, a written report of a survey or inspection conducted by any state or federal agency, provided the survey or inspection is comparable in scope or method to the Department's inspections and conducted in accordance with Title XVIII of the Social Security Act. A residential care or assisted living facility shall be subject to an inspection by the Department if the facility fails to maintain an accredited status by a recognized accreditation entity. Finally, if a facility exempt from an annual inspection under this act has one or more violations of any class I standards, then the facility shall be subject to a full inspection by the Department.
This provision is similar to SB 689 (2025).
REFERRALS TO LONG-TERM CARE FACILITIES (Section 198.700)
Under this act, referral agencies shall provide prospective residents documentation of the existence of any relationship between the agency and an independent living facility or a long-term care facility, if a fee has been received for the referral, and written or electronic documentation between the agency and the prospective resident. The documentation shall contain specified information described in the act. The decision of a prospective resident to stop using a referral agency shall not affect any contractual agreement between the referral agency and a facility.
An agency that violates this provision shall be subject to a civil penalty of $500 per violation. The Attorney General or a circuit or prosecuting attorney may bring a civil action on behalf of the state to seek the civil penalty or to enjoin continued violations by the agency.
This provision is similar to HB 390 (2025).
MO HEALTHNET COVERAGE OF CERTAIN CLINICAL PATHOLOGY SERVICES (Section 208.149)
This act requires that the fee for the professional component of clinical pathology services shall be paid by MO HealthNet for professional services provided by a hospital-based pathologist for inpatient clinical pathology services rendered to MO HealthNet patients. The reimbursement shall be set at thirty percent of the approved outpatient simplified fee schedule based on Medicare's clinical laboratory fee schedule, as described in the act.
This provision is identical to a provision in HCS/SB 94 (2025).
MO HEALTHNET COVERAGE OF HEARING-RELATED DEVICES (Section 208.152)
Currently, reimbursable MO HealthNet services include hearing aids for eligible needy children, pregnant women, and blind persons. This act mandates MO HealthNet coverage of medically necessary cochlear implants and hearing instruments for all eligible participants.
This provision is identical to provisions in SCS/SB 317 (2025) and SB 1443 (2024) and substantially similar to provisions in HCS/HBs 2626 & 1918 (2024).
PRENATAL TESTS FOR CERTAIN DISEASES (Section 210.030)
Currently, a physician or other health care provider shall draw and test a pregnant woman's blood at or soon after her first prenatal examination, with her consent, for syphilis, hepatitis B, or other similar diseases. Under this act, the testing of the pregnant woman's blood shall also occur at the twenty-eighth week of her pregnancy and immediately after birth. Additionally, the test shall include hepatitis C and HIV. If a mother tests positive for syphilis, hepatitis B, hepatitis C, or HIV, the physician or other health care provider shall treat the mother in accordance with the most recent accepted medical practice.
Current law requires the Department of Health and Senior Services to work in consultation with the Missouri Genetic Disease Advisory Committee to make rules pertaining to these blood tests. This act repeals the requirement to work with the Committee and requires that the tests be approved or accepted by the U.S. Food and Drug Administration.
Finally, this act prohibits any treatment administered under the act from being provided without the patient's consent.
This provision is identical to a provision in SCS/SB 317 (2025), substantially similar to provisions in SB 548 (2025), SB 178 (2025), and the perfected HCS/HB 2413 (2024) and similar to SB 1260 (2024).
CHILD CARE FACILITY ALLERGY POLICIES (Section 210.225)
Before July 1, 2027, each licensed child care provider shall adopt a policy on allergy prevention and response with a focus on potentially deadly food-borne allergies, as specified in the act.
This provision is substantially similar to SB 783 (2025) and HB 580 (2025).
LICENSE PLATES (Section 301.142)
This act adds licensed occupational therapists to the definition of "other authorized health care practitioner" for purposes of the physician's statement required for issuance of a disabled license plate or placard.
This provision is similar to SB 616 (2025) and HB 620 (2025).
PRACTICE OF DENTISTRY IN CORRECTIONAL CENTERS (Section 332.081)
Current law provides that no corporation shall practice dentistry unless that corporation is a nonprofit corporation or a professional corporation under Missouri law. This act provides that such provision shall not apply to entities contracted with the state to provide care in correctional centers.
This provision is identical to a provision in SB 143 (2025), SB 548 (2025), SCS/SB 317 (2025), SS/SCS/HCS/HB 1659 (2024), SB 1287 (2024), and HB 2280 (2024).
THE DENTIST AND DENTAL HYGIENIST COMPACT (Section 332.700)
This act establishes the Dental and Dental Hygienist Compact ("Compact"), which facilitates the interstate practice of dentistry and dental hygiene and provides for dentists and dental hygienists licensed in a participating state the ability to practice in other participating states. The Compact sets forth the requirements to be met in order for a state to join and the requirements for a dentist or dental hygienist to obtain and exercise the ability to practice in other participating states.
The Compact further provides that a dentist or dental hygienist with compact privilege shall function within the scope of practice authorized by the participating state in which they seek to practice and shall be subject to that state's regulatory authority. A dentist or dental hygienist whose privilege in a participating state is encumbered or removed is not eligible for compact privilege in other participating states until the encumbrance or removal has passed and all requirements are met.
Additionally, the Compact creates a joint government agency ("Commission") and provides for its powers and duties, including the development and maintenance of a coordinated database and reporting system containing licensure, adverse actions, and investigative information on all licensees and applicants.
Furthermore, the Compact shall come into effect on the date in which the seventh state enacts the Compact into law. Any participating state may withdraw from the Compact by repealing the Compact, but such withdrawal shall not take effect until 180 days after the enactment of the repeal. Finally, the Compact shall be binding upon participating states and shall supersede any conflict with state law.
This act is identical to a provision in SB 327 (2025) and SS/SB 778 (2024) and is substantially similar to provisions in HCS/SS/SB 7 (2025), HCS/HB 56 (2025), and HB 2075 (2024).
ADMINISTRATION OF CERTAIN VACCINES (Section 338.010)
This act provides that the practice of pharmacy shall include the ordering and administering of vaccines, except for the vaccine for chikungunya and those vaccines approved by the U.S. Food and Drug Administration after January 1, 2025, instead those after January 1, 2023.
This provision is identical to a provision in SB 548 (2025), SCS/SB 317 (2025), SB 1455 (2024), SCS/HB 2280 (2024), and HB 2879 (2024).
AMOUNT OF PRESCRIPTIONS DISPENSED BY PHARMACISTS DURING EMERGENCY PERIODS (Section 338.200)
If a pharmacist is unable to obtain refill authorization from a prescriber, the amount of the prescription dispensed shall be limited to the amount determined by the pharmacist within his or her professional judgment as needed for the emergency period, except the amount dispensed shall not exceed a ninety-day, instead of a seven-day, supply. This act additionally provides that in the event of the death or incapacity of a prescriber or inability of a prescriber to provide medical services, the amount dispensed shall not exceed a ninety-day, instead of a thirty-day, supply.
This provision is identical to SB 519 (2025).
LICENSURE OF WHOLESALE DRUG DISTRIBUTORS (Section 338.333)
Under this act, the Board of Pharmacy may permit an out-of-state wholesale drug distributor or third-party logistics provider to be licensed in this state despite not having a license issued by the distributor's or provider's resident state if the distributor or provider has a current and valid drug distributor accreditation from the National Association of Boards of Pharmacy.
This provision is identical to a provision in HCS/SB 94 (2025) and HB 1465 (2025).
RX CARES FOR MISSOURI PROGRAM (Section 338.710)
This act removes the expiration date of August 28, 2026, from the "RX Cares for Missouri Program".
This provision is identical to HB 1445 (2025).
340B DRUGS (Section 376.417)
Under this act, a health carrier, a pharmacy benefits manager, or an agent or affiliate of such, shall not discriminate against a covered entity, as defined in the act, including by reimbursing the covered entity for a quantity of a 340B drug in an amount less than it would pay similarly situated non-covered entities for such drugs, imposing different terms and conditions as compared to similarly situated entities, refusing to cover 340B drugs or discriminating in reimbursement for 340B drugs, and other situations described under this act. The Director of the Department of Commerce and Insurance shall impose a civil penalty on any health carrier, pharmacy benefits manager, or agent or affiliate of such, that violates this provision, not to exceed $5,000 per violation per day.
This provision is identical to HB 784 (2025).
INSURANCE COVERAGE OF SELF-ADMINISTERED HORMONAL CONTRACEPTIVES (Section 376.1240)
This act requires health benefit plans issued or renewed on or after January 1, 2026, that provide coverage for self-administered hormonal contraceptives, as defined in the act, to cover a supply of the contraceptives which is intended to last up to one year.
This provision is identical to a provision in HCS/SB 94 (2025), HCS/SS/SB 7 (2025), SCS/SB 178 (2025), and the perfected HCS/HB 2413 (2024) and substantially similar to SB 821 (2024) and SB 1321 (2024) and similar to SB 512 (2023), HB 287 (2023), SB 641 (2022), SB 472 (2021), HB 1373 (2021), and SB 346 (2019).
INSURANCE COVERAGE OF ANESTHESIA SERVICES (Section 376.1245)
Under this act, no health carrier or health benefit plan shall establish, implement, or enforce any policy that imposes a time limit for the payment of anesthesia services provided during a medical or surgical procedure, as described in the act
This provision is identical to a provision in HCS/SB 94 (2025) and HCS/HBs 1126 & 932 (2025).
MAMMOGRAMS (repeal of Section 192.769)
This act repeals a provision of current law requiring the provision of a specific notice to patients upon the completion of a mammogram.
This provision is identical to a provision in HCS/SB 94 (2025), HCS/SS/SB 7 (2025), SCS/SB 178 (2025), SCS/SB 317 (2025), the perfected HCS/HB 2413 (2024), and SB 1328 (2024).
SARAH HASKINS