Senator Karla May's May Report for the Week of Feb. 9, 2026
Friday, February 13, 2026

The Week of Feb. 9, 2026 |
On the Floor The Senate discussed several bills on the floor this week, including:
This week, the Senate gave first round approval to Senate Bill 974, which would modify provisions relating to compensation for services rendered in veteran benefits matters.
The following bills were passed by the Senate this week:
Bills and Committees Senator May’s Legislation: I was proud to present Senate Bill 1025 to the Senate Families, Seniors and Health Committee this week, which would require the elder abuse and neglect hotline operated by the Missouri Department of Health and Senior Services to be operated continuously 24 hours a day, 7 days a week.
Judiciary Committee:
Commerce Committee:
Rules, Joint Rules, Resolutions and Ethics Committee:
Appropriations Committee: The following departments and offices shared their funding requests for the fiscal year 2027 state operating budget in this week’s hearing:
Other News House Majority Party attempts do-over on ballot language do-over law Members of the House Majority Party are trying again to enact a law the Missouri Supreme Court struck down last month giving the secretary of state three chances to rewrite ballot language before a court can step in to craft a fair ballot question.
House Bill 3146 seeks to restore most of the provisions of Senate Bill 22 (2025), which the General Assembly passed last year to limit judicial tinkering with false or misleading ballot language crafted by the Legislature or secretary of state. On Jan. 23, the Supreme Court struck down SB 22 for violating a constitutional prohibition against multi-subject bills since it contained an unrelated provision granting the attorney general special authority to immediately appeal injunctions blocking the enforcement of state laws.
House Bill 3146, which the House Elections Committee heard Feb. 10, excludes the injunction provision and is limited to the portions of SB 22 related to ballot language. The key provision of both bills requires judges who find challenged ballot language deficient to give the secretary of state up to three more tries to craft a version that passes legal muster. If the secretary of state fails to do so after the third attempt, only then would the trial judge be allowed to write the ballot question.
Supporters of the bill point to a proposed constitutional amendment to repeal protections for reproductive rights that will appear on the Nov. 3 ballot as proof that the do-over process worked during the brief time SB 22 was in effect. In that case, a trial judge invalidated the ballot language as unfair. After rejecting the secretary of state’s first rewrite, the judge signed off on the secretary’s second version.
However, the back-and-forth between the trial judge and secretary of state ultimately accomplished nothing but wasting time, since on appeal, the Missouri Court of Appeals-Western District ruled both got it wrong and finally crafted a fair ballot question for the measure.
Opponents of HB 3146 said wasting time to prevent cases from being fully adjudicated before an election is the bill’s main purpose. It failed with the anti-abortion measure because the Legislature passed it about 18 months before the general election, leaving plenty of time for the extended challenge to play out. However, when lawmakers approve placing a measure before voters just a few months ahead of an election, as commonly happens in election years, the new process could be used to thwart ballot language challenges.
The committee took no immediate action on the bill, which is expected to be a Majority Party priority. However, even if it passes both legislative chambers this year and the governor signs it into law, it would be too late for it to have an impact on the 2026 election cycle.
Push to gut key Medicaid expansion protection On Feb. 11, the Missouri House of Representatives granted first-round approval to a proposed constitutional amendment to repeal a key portion of the Medicaid expansion measure Missouri voters ratified in 2020, and essentially grant the Legislature the authority to make funding for the expanded population optional – something lawmakers attempted in 2021 before being rebuffed by the state Supreme Court.
During debate on House Joint Resolution 154, its sponsor mischaracterized it as merely codifying in the state constitution a new federal law championed by the president to impose work requirements on able-bodied Medicaid recipients. Until pressed by representatives in the Minority Party, the sponsor did not mention that it would also repeal an existing constitutional protection prohibiting lawmakers from discriminating against the expanded population of Medicaid beneficiaries.
The federal Affordable Care Act authorized states to expand Medicaid eligibility to 138% of the federal poverty level, with the federal government paying 90% of that cost. After nearly a decade of Missouri refusing to implement expansion, voters forced the issue in 2020 by ratifying an amendment constitutionally mandating it.
During the following legislative session, members of the Majority Party nonetheless tried to thwart expansion by refusing to appropriate the mostly federal funds needed to provide benefits for the expanded population. The obstruction quickly collapsed after the Supreme Court ruled the newly amended state constitution prohibited them from doing so.
House Joint Resolution 154 would remove that constitutional impediment, allowing future lawmakers to effectively eliminate Medicaid expansion by defunding it. If approved by both legislative chambers, HJR 154 automatically go on the Nov. 3 statewide ballot for voter approval.
House approves bill clarifying that pregnant women can divorce On Feb. 12, the Missouri House of Representatives voted 147-0 to make it clear in state law that judges cannot deny granting a divorce or legal separation merely because one spouse is pregnant. The bill now advances to the Senate, where a similar House bill died last year for lack of action.
Although state law doesn’t require delaying divorce proceedings due to pregnancy, some judges do so anyway because of the implications a pregnancy has on child support and custody issues. However, those seeking to end such delays note it can keep a pregnant woman legally tethered to a physically abusive spouse, potentially putting her life and safety at risk.
House Bills 1908 & 2337 both state that “pregnancy status shall not prevent the court from entering a judgment of dissolution of marriage or legal separation.”
House votes to extend law banning gender transition care A state law set to expire next year making it illegal to provide gender transition care to minors would become permanent under legislation the Missouri House of Representatives approved Feb. 12 on a vote of 102-40. The measure, House Bill 2033, now advances to the Senate.
The General Assembly enacted the prohibition on gender-affirming care in 2023, but added a provision sunsetting the law in 2027 as part a compromise to overcome Minority Party resistance in the Senate. Legislation to eliminate the sunset failed to win final passage last year, prompting supporters of the ban to try again this year.
The Missouri Supreme Court upheld the constitutionality of the original law last month. Since the ban took effect and those services became unavailable in Missouri, many families with transgender children subsequently relocated to other states where such care remains accessible.
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