Browse Legislation

SB 1113 - This act requires health benefit plans to provide coverage for genetic testing and genetic counseling, as defined in the act, of individuals who are at increased risk of potentially harmful mutations to their genes due to a personal or family history of cancer. The act prohibits insurers from using these tests and counseling in underwriting decisions such as calculating premiums or determining coverage, and prohibits insurers from imposing cost-sharing with regard to the required coverage. This act is identical to HB 1879 (2026), substantially similar to SB 824 (2025) and HB 1080 (2025), and similar to SB 406 (2025), SB 1047 (2024), and HB 2394 (2024). TAYLOR MIDDLETON

Adds licensed occupational therapists to the definition of "other authorized health care practitioner" for purposes of physician's statements required for disabled license plates and placards

SB 1156 - This act prohibits health benefit plans from imposing cost-sharing, as defined in the act, on an enrollee in excess of thirty dollars per thirty-day supply of a prescription insulin drug. This act also requires health benefit plan enrollees' cost-sharing for prescription insulin drugs to be calculated at the point of sale, and based on a price that is reduced by an amount equal to at least 100% of all rebates received, or to be received, in connection with the dispensing or administration of the drug. Nothing in the act shall prohibit copayments not based on the price of a drug, provided that the copayment does not exceed the reduced price of the drug. The act shall not require a health carrier or its agents to reveal information regarding the actual amount of rebates a carrier receives on a product, manufacturer, or pharmacy-specific basis. The act also provides confidentiality protections, as specified in the act, which the carriers shall follow as well as impose on any third party that performs health care or administrative services on behalf of the carrier and may receive or have access to rebate information. This act applies to health benefit plans delivered, issued, continued, or renewed in the state on or after January 1, 2027. This act is identical to HB 3117 (2026), SB 175 (2025), similar to provisions in HCS/HB 1195 (2025) and HB 186 (2025), identical to HB 2262 (2024), substantially similar to SB 1182 (2024), identical to SB 283 (2023), similar to SB 815 (2022), and contains provisions similar to SB 814 (2022). TAYLOR MIDDLETON

Revises the par value of membership shares and allows for participation in board meetings by telephone or electronic means

SB 1161 - This act modifies provisions relating to outdoor advertising. The definition of "unzoned commercial and industrial land" is modified to include lands in the same dimensions as existing "unzoned commercial and industrial land" located on the opposite side of a nonfreeway primary highway, irrespective of zoning and use. This definition shall not extend to land adjacent to an interstate highway or a freeway primary highway. The act also provides that the one-time $200 fee for an outdoor advertising permit shall be waived for permit holders who own both the land on which an outdoor advertisement is placed and the business being advertised on the sign, so long as the business is located within 750 feet of the sign location. This act further specifies that the $100 biennial inspection fees shall be waived for such landowners. This act is identical to provisions contained in HCS/SB 1408 (2026), HB 2145 (2026), SB 291 (2025) and to provisions in SCS/HCS/HB 572 (2025), HCS/HB 272 (2025), and SB 1008 (2024), and similar to provisions in HB 2279 (2024), HB 2324 (2024), SB 379 (2023), HB 805 (2023), SB 624 (2018), HB 1459 (2018), and HB 56 (2017). TAYLOR MIDDLETON

Modifies provisions governing annexation of territory outside the boundaries of a city

SB 1340 - 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 act is identical to HCS/SB 1019, provisions in the truly agreed to and finally passed 878 (2026), SB 841 (2026), provisions in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), and SCS/HB 2146 (2026), and similar to a provision in SCS/HCS/HB 943 (2025) and HB 784 (2025). TAYLOR MIDDLETON

SB 846 - This act enacts provisions relating to insurance coverage of pharmacy services. CLINICIAN-ADMINISTERED DRUGS (Section 376.411) This act provides that a health carrier or pharmacy benefits manager (PBM) shall not impose any penalty, impediment, differentiation, or limitation on participating providers for providing medically necessary clinician-administered drugs, regardless of whether the participating provider obtains the drugs from an in-network provider, including but not limited to refusing to approve or pay, or reimbursing less than the contracted payment amount. Carriers and PBMs shall not impose any penalty, impediment, differentiation, or limitation on a covered person who is administered medically necessary clinician-administered drugs, regardless of whether the participating provider obtains the drugs from an in-network provider, including but not limited to: limiting coverage or benefits; requiring an additional fee, higher co-payment, or higher coinsurance amount; or interfering with a patient's ability to obtain a clinician-administered drug from the patient's provider or pharmacy of choice by any means, including but not limited to inducing, steering, or offering financial or other incentives. Carriers and PBMs shall not impose any penalty, impediment, differentiation, or limitation on any pharmacy that is dispensing medically necessary clinician-administered drugs, regardless of whether the participating provider obtains the drugs from an in-network provider, including but not limited to requiring a pharmacy to dispense the drugs to a patient with the intention that the patient will transport the medication to a health care provider for administration. These provisions shall not apply if the clinician-administered drug is not otherwise covered by the carrier or PBM. These provisions are identical to provisions in SB 13 (2025), the introduced SB 751 (2024), HCS/HB 2267 (2024), SB 26 (2023), HCS/HB 198 (2023), SB 1129 (2022), and HB 2305 (2022), and similar to provisions in SB 921 (2022), SB 1129 (2022), and HB 2305 (2022). REFERENCE PRODUCTS AND BIOSIMILARS (Section 376.415) A health carrier or PBM providing coverage for a reference product or a biological product that is biosimilar to the reference product shall provide coverage for the reference product and all biological products that have been deemed biosimilar to the reference product. The scope, extent, and amount of the required coverage shall be the same, including but not limited to any payment limitations or cost-sharing obligations. These provisions are identical to provisions in SB 13 (2025), the introduced SB 751 (2024), HCS/HB 2267 (2024), SB 26 (2023), HCS/HB 198 (2023), SB 1129 (2022), and HB 2305 (2022), and similar to provisions in SB 921 (2022), SB 1129 (2022), and HB 2305 (2022). 340B DRUG PRICING PROGRAM (Section 376.416) Under this act, no health carrier or pharmacy benefits manager (PBM) shall discriminate against a covered entity or a pharmacy, as such terms are defined in the act, by: • Reimbursing a covered entity or pharmacy for a quantity of a 340B drug, as defined in the act, in an amount less than the carrier, PBM, or affiliate would pay to any other similarly situated pharmacy for such quantity of the drug on the basis that the entity or pharmacy is a covered entity or a pharmacy, or that the entity or pharmacy dispenses 340B drugs. (Section 376.416.2(1)); • Imposing any terms or conditions on covered entities or pharmacies which differ from the terms or conditions applicable to other similarly situated pharmacies or entities on the basis that the entity or pharmacy is a covered entity or dispenses 340B drugs, including but not limited to certain terms and conditions described in the act. (Section 376.416.2(2)); • Interfering with an individual's choice to receive a 340B drug from a covered entity or pharmacy. (Section 376.416.2(3)); • Discriminating in reimbursement to a covered entity or pharmacy based on the determination or indication a drug is a 340B drug. (Section 376.416.2(4)); • Requiring a covered entity or pharmacy to identify a 340B drug sooner than 45 days after the point of sale of the drug. (Section 376.416.2(5)); • Refusing to contract with a covered entity or pharmacy for reasons other than those that apply equally to entities or pharmacies that are not covered entities or similarly situated pharmacies, or on the basis that the entity or pharmacy is a covered entity as described under federal law, or on the basis that the entity or pharmacy is described as a covered entity under provisions of federal law. (Section 376.416.2(6)); • Denying the covered entity the ability to purchase drugs at 340B program pricing by substituting a rebate discount. (Section 376.416.2(7)); • Refusing to cover drugs purchased under the 340B drug pricing program. (Section 376.416.2(8)); or • Requiring a covered entity or pharmacy to reverse, resubmit, or clarify a 340B-drug pricing claim after the initial adjudication unless these actions are in the normal course of pharmacy business and not related to the 340B drug pricing, except as required by federal law. (Section 376.416.2(9)). The Director of the Department of Commerce and Insurance shall impose a civil penalty on any health carrier or PBM violating certain provisions of the act, not to exceed $5,000 per violation per day. (Section 376.416.3). These provisions are identical to provisions in SB 13 (2025), and similar to provisions in SB 372 (2025), HB 784 (2025), HB 785 (2025), HB 943 (2025), the introduced SB 751 (2024), SCS/SBs 978 & 1035 (2024), SB 1213 (2024), HCS/HB 2267 (2024), HB 1977 (2024), SB 26 (2023), HCS/HB 198 (2023), SB 426 (2023), HB 197 (2023), SB 921 (2022), HCS/HB 1677 (2022), SB 1129 (2022), and HB 2305 (2022). PRIOR AUTHORIZATION OF HEALTH CARE SERVICES (Sections 376.2100, 376.2102, 376.2104, 376.2106, and 376.2108) This act enacts provisions relating to prior authorization of health care services. Beginning January 1, 2027, health care providers shall not be required to obtain prior authorization for a health care service unless the health carrier or utilization review entity determines that in the most recent evaluation period, as defined in the act, less than 90% of the prior authorization requests submitted by that provider for that health care service were approved or would have been approved. Also beginning January 1, 2027, health care providers shall not be required to obtain prior authorization for any health care services unless the health carrier or utilization review entity has approved or would have approved less than 90% of all prior authorization requests submitted by that provider for health care services. Health carriers or utilization review entities may elect to have certain hospitals determine which of certain conditions, laid out in the act, the hospital will comply with in order to obtain a prior authorization exemption under the act. Exemptions from prior authorization under the act shall not apply to: pharmacy services, not to exceed the amount of $100,000; imaging services, not to exceed $100,000; cosmetic procedures that are not medically necessary; or investigative or experimental treatments. Maximum dollar amounts for these exceptions shall be adjusted annually for inflation as described in the act. The act further specifies certain prior authorization requests that shall not be included in making determinations under the act, specifies identification methods for the providers, includes provisions for the auditing and retraction of determinations under the act, allows for health carriers and utilization review entities to require providers to use an online portal to submit prior authorization requests, requires adverse determinations under the act to be reviewed by a clinical peer of the provider, and requires a grace period for patients who have received prior authorization for a 90-day supply of medication. Health carriers and utilization review entities shall notify providers within 25 days after a determination is made under the act, shall include in the notification certain information used in making the determination, shall establish an appeals process for the providers, and shall maintain an online prior authorization portal as described in the act. No health carrier or utilization review entity shall deny or reduce payment to a health care provider for a health care service for which the provider has prior authorization, except as described in the act. These provisions shall not apply to MO HealthNet services not provided through a managed care organization, or to providers who have not participated in a health benefit plan offered by the health carrier for at least one full evaluation period. These provisions are identical to provisions contained in SB 841 (2026), SB 13 (2025), HCS/SS#2/SB 79 (2025), HB 618 (2025), and similar to SB 897 (2026), HCS/HB 3010 (2026), HB 1675 (2026), SB 230 (2025), SB 751 (2024), SB 983 (2024), HB 1976 (2024), HB 2267 (2024), SB 576 (2023), and HB 1045 (2023). TAYLOR MIDDLETON

SB 1188 - This act modifies provisions relating to tax credits. PROGRAM SUNSETS This act adds a sunset date of August 28, 2032, to the following tax credits and programs: 1. Neighborhood Assistance Act (Section 32.125) 2. MDFB loan security and contribution tax credit (Section 100.286) 3. Jobs Now Act (Section 100.293) 4. Business Use Incentives for Large-Scale Development (BUILD) (Section 100.850) 5. Investments in Missouri Small Businesses (Section 135.432) 6. Youth Opportunities and Violence Prevention (Section 135.460) 7. Rehabilitation and Construction of Residences in Distressed Communities (Section 135.487) 8. Small Business Expenditures for ADA Access (Section 135.490) 9. Community-Based Faculty Preceptor (Section 135.690) 10. Residential Treatment Agency Tax Credit (Section 135.1150) 11. Developmental Disability Care Provider (Section 135.1180) 12. Bank S Corporation Tax Credit (Section 143.471) 13. Shared Care Tax Credit (Section 192.2015) 14. Family Development Account Contribution Tax Credit (Section 208.770) 15. Family Farms Act Tax Credit (Section 348.505) 16. Abandoned Property Tax Credit (Section 447.708) This act adds a sunset date of August 28, 2029, to the following tax credits and programs: 1. Missouri Working Family Tax Credit (Section 143.177) TAX CREDIT ADMINISTERING AGENCIES This act transfers the administering agency for the following tax credits: 1. Surviving Spouses of Public Safety Officers, to the Department of Public Safety (Section 135.090) 2. Adoption Tax Credit Act, to the Department of Social Services (Sections 135.326 and 135.339) 3. Champion for Children, to the Department of Social Services (Section 135.341) 4. Small Business Expenditures for ADA Access, to the Department of Economic Development (Section 135.490) 5. Residential Renovations for Disability, to the Department of Economic Development (Section 135.562) 6. Donated Food, to the Department of Social Services (Section 135.647) 7. High Ethanol Blend Retailer Tax Credit, to the Department of Agriculture (Section 135.772) 8. Biodiesel Blend Retailer Tax Credit, to the Department of Agriculture (Section 135.775) 9. Biodiesel Producer Tax Credit, to the Department of Agriculture (Section 135.778) TAX CREDIT ANNUAL LIMITS For the following tax credits, beginning with FY 2027, the act applies an annual limit on the amount of tax credits that may be issued in a fiscal year. The limit shall be equal to the highest amount of tax credits issued for such tax credit during FY 2024-2026 period: 1. Surviving Spouses of Public Safety Officers, to the Department of Public Safety (Section 135.090) 2. New or Expanded Business Facility (Section 135.110) 3. Small Business Expenditures for ADA Access (Section 135.490) 4. Residential Treatment Agency Tax Credit (Section 135.1150) 5. Developmental Disability Care Provider (Section 135.1180) 6. Self-employed Health Insurance Tax Credit (Section 143.119) 7. Bank S Corporation Tax Credit (Section 143.471) 8. Shared Care Tax Credit (Section 192.2015) 9. Abandoned Property Tax Credit (Section 447.708) For the following tax credits, beginning January 1, 2028, the act applies an annual limit on the amount of tax credits that may be issued in a calendar year. The limit shall be equal to the highest amount of tax credits issued for such tax credit during FY 2025-2027 period: 1. Missouri Working Family Tax Credit (Section 143.177) TAX CREDIT APPROPRIATIONS (Section 135.835) For all tax years beginning on or after January 1, 2027, this act places a maximum three year carry-forward on all tax credit programs. Additionally, the act subjects all tax credits to appropriations, with the following exceptions: 1. Low-Income Housing Tax Credit (Section 135.352) 2. Show MO Act (Section 135.750) 3. Self-employed Health Insurance Tax Credit (Section 143.119) 4. Missouri Working Family Tax Credit (Section 143.177) 5. SALT Parity Tax Credit (Section 143.436) 6. Bank S Corporation Tax Credit (Section 143.471) 7. Bank Franchise Tax Credit (Section 148.030) REPEAL OF TAX CREDITS This act repeals the following tax credit programs: 1. Distressed Areas Land Assemblage Tax Credit (Section 99.1205) 2. Charcoal Producers Tax Credit (Section 135.313) 3. Missouri Certified Capital Company Law (Sections 135.500 to 135.529) 4. Distressed Community Tax Credits (Sections 135.535 to 135.546) 5. Qualified Beef Tax Credit (Section 135.679) 6. Qualified Equity Investment Tax Credit (Sections 135.680 and 135.682) 7. Wine and Grape Production Tax Credit (Section 135.700) 8. Alternative Fuel Vehicle Refueling Property Tax Credit (Section 135.710) 9. Small Business Guaranty Fee Tax Credit (Section 135.766) 10. Enhanced Enterprise Zones (Sections 135.950 to 135.973) 11. Unmet Health, Hunger, and Hygiene Needs of Children in School Tax Credit (Section 135.1125) 12. Higher Education Scholarship Donation Tax Credit (Section 173.196) 13. Dry Fire Hydrant Tax Credit (Section 320.093) 14. Innovation Center Contribution Tax Credit (Sections 348.300 to 348.318) 15. New Enterprise Creation Act (Sections 620.635 to 620.653) 16. Missouri Quality Jobs Act (Sections 620.1875 to 620.1890) 17. Innovation Campus Tax Credit (Section 620.2600) JOSH NORBERG

SB 852 - This act provides that, for all automobile insurance contracts entered into on or after August 28, 2026, no insurer shall utilize any information obtained directly or indirectly from a consumer reporting agency or any insurance credit score that relies on information obtained directly or indirectly from a consumer reporting agency for the purpose of determining the rate charged for such contract. This act is identical to HB 2632 (2026). TAYLOR MIDDLETON

SB 1477 - This act provides that motorcycles may be equipped with and use auxiliary lighting of any color, rather than only amber and white. This act is identical to HB 2994 (2026), SB 711 (2025), HB 2123 (2022), HB 996 (2021), a provision in the truly agreed to and finally passed SS#2/HB 661 (2021), a provision in HCS/SS/SCS/SB 4 (2021), a provision in HCS/SB 38 (2021), a provision in HCS/SS/SB 46 (2021), and a provision in HCS/SS/SB 89 (2021). TAYLOR MIDDLETON

SB 1327 - This act provides that when calculating an enrollee's overall contribution to an out-of-pocket max or any cost-sharing requirement under a health benefit plan, a health carrier or pharmacy benefits manager shall include any amounts paid by the enrollee or paid on behalf of the enrollee for any medication for which a generic substitute is not available. Additionally, no health carrier or pharmacy benefits manager shall design benefits in a manner that takes into account the availability of any cost-sharing assistance program for any medication for which a generic drug substitute is not available. The provisions of this act shall apply to health benefit plans entered into, amended, extended, or renewed on or after August 28, 2026. This act is identical to SB, 1448 (2026), SB 970 (2026), SB 840 (2026), HB 2279 (2026), HB 1941 (2026), HB 1681 (2026), HB 79 (2025) and substantially similar to provisions in SCS/SB 970 (2026), HCS/HB 1941, 2279, & 1681 (2026), SB 45 (2025), and similar to provisions in SB 187 (2025), SB 512 (2025), SB 1106 (2024), SB 844 (2024), SB 1190 (2024), HCS/HB 442 (2023), HB 1628 (2024), SB 269 (2023), and SB 1031 (2022). TAYLOR MIDDLETON

SB 1089 - This act provides that health benefit plans providing for maternity benefits shall provide coverage for a home blood pressure monitoring device and home blood pressure monitoring device services, as defined in the act, for pregnant and postpartum women. This act contains provisions identical to provisions in SB 539 (2025), substantially similar to provisions in HCS/HB 2371 (2026), HB 842 (2025), and similar to provisions in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), the truly agreed to and finally passed HCS/SS/SCS/SB 878 (2026), and SB 498 (2025). TAYLOR MIDDLETON

Proposes a constitutional amendment relating to taxation

SB 929 - Under this act, current law requiring certain health benefit plans to provide coverage for contraceptives lasting up to 90 days, or 180 days for generic self-administered hormonal contraceptives, shall no longer be in effect after December 31, 2026. Instead, certain health benefit plans issued or renewed on or after January 1, 2027, shall be required to cover a supply of self-administered hormonal contraceptives, including brand-name and generic contraceptives, intended to last up to one year. This act is substantially similar to provisions in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), the truly agreed to and finally passed CCS/SS/HCS/HB 2596 (2026), and HB 2370 (2026), and similar to a provision in SCS/SB 178 (2025), HCS/SS/SB 7 (2025), HCS/SB 94 (2025), the perfected HCS/HB 2413 (2024), SB 821 (2024), and SB 1321 (2024). TAYLOR MIDDLETON

HCS/SS/SCS/SB 1087 - This act modifies provisions relating to driver's licenses. LIMITED DRIVING PRIVILEGES (Section 302.309) All circuit courts, the Director of Revenue, or a commissioner operating pursuant to current law shall have jurisdiction to hear applications and make eligibility determinations granting limited driving privileges, with exceptions described in this act. Any application for limited driving privileges may be made to the Director with specific and necessary reasons for the limited driving privilege. The burden shall be on the operator to demonstrate to the court or the department that the limited driving privilege is essential. In addition, this act adds attending a place of worship, and traveling to and from essential businesses listed in the act. (Section 302.309) These provisions are identical to provisions in HCS/SB 1408 (2026), SB 533 (2025), HB 206 (2025), HB 1794 (2024), and HB 252 (2023), and substantially similar to provisions in HB 1988 (2026), and HB 1996 (2026), SB 517 (2025). LICENSE SUSPENSIONS FOR TRAFFIC OFFENSES (Section 302.341) The act repeals an obsolete reference to a former bureau within the Department of Revenue. Minor traffic violations shall not include nonmoving violations such as, but not limited to, parking, standing, or stopping violations, including meter violations. If a Missouri resident fails to appear on two return dates, or fails to pay any fine or court costs assessed, any court having jurisdiction over the charges shall, within ten days of the failure to comply, inform the defendant by mail that the court may order the director of revenue to suspend the defendant's driving privileges if the charges are not disposed of and fully paid within thirty days from the date of mailing. Thereafter, if the defendant continues to fail to timely act to dispose of the charges and fully pay the costs assessed, the court may notify the Director of such failure. Upon receipt of this notification, the director shall mail notice to the defendant. Thirty-three days after mailing such notice, the director shall suspend the driving privileges of the defendant. The suspension shall remain in effect until the court furnishes requests setting aside the noncompliance suspension pending final disposition, or satisfactory evidence of disposition of pending charges and payment of fine and court costs, if applicable. These provisions are similar to provisions in HCS/SB 1408 (2026), HB 1988 (2026), HB 1996 (2026), SB 533 (2025), SB 517 (2025), HB 206 (2025), HB 1794 (2024), and HB 252 (2023). This act has a delayed effective date of January 1, 2027. TAYLOR MIDDLETON

SCS/SB 1468 - This act modifies provisions relating to civil jurisprudence, including nuisance actions, income and principal of endowed care trust funds, spousal maintenance, child custody, no-contest clauses in trust instruments, the Missouri Uniform Fiduciary Income and Principal Act, court filing surcharges in civil cases, property exempt from attachment and execution in bankruptcy, awards of attorney's fees in agency proceedings, and the Uniform Public Expression Protection Act. NUISANCE ACTIONS (SECTION 82.1025) This act applies certain provisions of current law regarding nuisance actions to the City of Independence. Furthermore, this act provides that, in addition to any other penalties or costs associated with the abatement of a nuisance, any person or entity that is not a resident of this state and who is an owner of property found to have a code or ordinance violation shall be subject to a civil fine of $2,000 per violation. Any property found to have a code or ordinance violation and that is structurally unsafe or poses a threat to persons or other property shall have such nuisance abated within one year of the code or ordinance violation. Any such property that is not abated within one year, and any property with unpaid civil fines within two years of the imposition of the fine shall be subject to sale by the taxing jurisdiction in which the property is located. The property shall be sold in an amount that will satisfy the costs incurred for abating the property as well as any outstanding civil fines. Such sale shall coincide with the sale of delinquent properties as provided in current law. This provision is identical to SCS/SB 943 (2026), a provision in the perfected SS/SCS/SB 1001 (2026), and in SCS/HB 3000 (2026). ENDOWED CARE TRUST FUND (SECTION 214.330) This act provides that the income and principal of an endowed care trust fund shall be determined under the laws applicable to trusts, except the trustee shall not have: • The power of adjustment; • The power of conversion of an income trust to a unitrust or from a unitrust to an income trust; • the power of discretion to determine or modify the unitrust rate, as established in the terms of the endowed care trust agreement; and • Discretion to determine the applicable value for computing the unitrust amount beyond that which is granted under the law and exercised solely for reasons of administrative convenience and not to affect the distribution size. Additionally, no principal shall be distributed from an endowed care trust fund, except to the extent that a unitrust amount is required by the terms of the endowed care trust fund agreement. Income for a unitrust shall be established by the cemetery operator in the terms of an endowed care trust fund agreement and shall not provide for a unitrust rate in excess of five percent per annum. The unitrust rate may only be changed by amendment to the agreement. Furthermore, this act provides that the cemetery operator may instruct the trustee to distribute less than all of the yearly income distributable if the cemetery operator determines that the money is not needed. This provision is identical to a provision in HB 3246 (2026), in HCS/SS/SB 221 (2025), in HB 608 (2025), in HCS#2/SS/SCS/SB 835 (2024), HCS/HB 1725 (2024), in HB 1987 (2024), and in HCS/HB 968 (2023). SPOUSAL MAINTENANCE ORDERS (SECTION 452.335) Under this act, spousal maintenance shall terminated upon the payor reaching full retirement age, as defined in the act, unless otherwise agreed to by both parties. The payor shall provide the payee reasonable notice in advance of retirement and six months notice shall be presumed to be reasonable. This provision is identical to SB 1250 (2026) and is substantially similar to HB 2084 (2026). CHILD CUSTODY (SECTIONS 452.375 TO 452.423) Currently, courts shall consider eight factors when determining child custody. This act adds to that list considerations of the child's need for stability, continuity of care, and a consistent routine, as well as the capacity of each parent to provide a safe, stable, and developmentally appropriate environment. This act permits a party to request the court to issue a temporary custody or visitation order during the pendency of a motion to modify any judgment pertaining to child custody or visitation. Such orders shall remain in effect until the disposition of the motion to modify or further order of the court. The order may be granted with notice to opposing parties and after a hearing, although notice may be waived in emergency situations, as described in the act; provided that orders issued where notice is waived shall be limited to 15 days in duration or until further court orders are issued and written notice shall be given to opposing parties. Dismissal of the underlying motion to modify shall automatically vacate any temporary order issued under this act. No temporary order issued under this act shall deny parenting time to a parent or any other party granted custody or visitation, unless the court finds that parenting time is likely to cause physical or emotional harm to the child. If temporary parenting time is ordered, the court may order or otherwise modify existing child support orders if requested by any party. Additionally, if parties to a custody or visitation order agree to a modification of such order, they may submit a motion and a proposed parenting plan to the court, signed by all parties having custody or visitation rights. There shall be no requirement for a statement of changed circumstances for such motion. If the court determines that the proposed parenting plan is in the child's best interests, then the court shall enter an order granting custody or visitation as soon as possible. In the case of a child with disabilities or special needs, a change in circumstances that may provide grounds for a modification of a custody order shall include one parent's neglect or harm of the best interests of the child. Finally, this act modifies provisions of law relating to the appointment of a guardian ad litem in child custody cases. A guardian ad litem shall review relevant medical, educational, and therapeutic records and consult treating professionals when appropriate, assess special medical or developmental needs, and evaluate household stability and continuity of care for the child when investigating a case. The guardian ad litem shall submit a written report to the judge, as described in the act. Guardians ad litem appointed in child custody matters shall have received certain training specified in the act. These provisions are substantially similar to provisions in SS/SCS/HCS/HBs 2505 & 2044 (2026) and SCS/SB 1531 (2026). NO-CONTEST CLAUSES IN TRUST INSTRUMENTS (SECTION 456.4-420) This act modifies provisions relating to no-contest clauses contained in trust instruments. Currently, when a no-contest clause is irrevocable, an interested person may file a petition for an interlocutory determination whether a particular motion, petition, or other claim for relief would trigger application of the no-contest clause or an enforceable forfeiture. This act instead provides that an interested person may file a petition for a determination whether a particular claim would trigger application of the no-contest clause when a no-contest clause is irrevocable. Additionally, this act provides that the petition shall be filed as a separate judicial proceeding. Furthermore, an order or judgment on a petition shall relate to all actions taken by all parties. An interested person that does not seek a determination is not prohibited from challenging the validity or application of a no-contest clause in a proceeding without the protections afforded by this act. In addition to exceptions provided in current law, this act provides that a no-contest clause is not enforceable in the following circumstances: • In the filing of petitions in accordance with this act; • In the participation in a suit by any interested person where the person has not asserted any affirmative claim for relief; • As to the interested persons who are a party to an action, to the extent the court determines that the application of the no-contest clause is void or unenforceable as against public policy; • When a no-contest clause does not include the factual allegations of the petition as they apply to the specific terms of the trust; • When a no-contest clause seeks to cause a forfeiture against a beneficiary challenging a term of a trust that would otherwise be prohibited under current law. This provision is substantially similar to HB 2863 (2026). MISSOURI UNIFORM FIDUCIARY INCOME AND PRINCIPAL ACT (SECTIONS 469.399 TO 469.487 & THE REPEAL OF SECTIONS 469.409, 469.411 & 469.461) This act establishes the "Missouri Uniform Fiduciary Income and Principal Act" which applies to trusts and estates where Missouri is the principal place of administration and to property in Missouri that is subject to a life estate or other term interest and in which the interest of one or more persons will be succeeded by the interest of another. This act provides requirements for fiduciaries when making an allocation or determination or exercising discretion pursuant to this act, including acting in good faith and administering the trust or estate impartially and in accordance with the terms of the trust and this act. Specifically, the fiduciary shall add a receipt and charge disbursement to principal. Additionally, the fiduciary may exercise the power to adjust, convert an income trust to a unitrust, change the percentage or method used to calculate a unitrust amount, or convert a unitrust to an income trust, if the fiduciary determines that such actions will assist the fiduciary to administer the trust or estate impartially. The court shall not order a fiduciary to change a decision unless there was an abuse of discretion, upon which the court may order a remedy to place the beneficiaries in the positions as if there was not an abuse of discretion. A fiduciary may petition the court for instruction on whether a proposed fiduciary decision will result in an abuse of discretion. If the petition meets the requirements of this act, the beneficiaries have the burden to establish that a fiduciary decision will result in an abuse of discretion. Additionally, this act modifies provisions relating to fiduciary determinations of net income upon the death of an individual resulting in the creation of an estate or trust or in the termination of an income interest in a trust, relating to rights of beneficiaries to receive a share of net income, relating to dates on which income interests begin, assets become subject to a trust, and fiduciary allocation of an income receipt or disbursement to principal, and relating to mandatory income interests and undistributed income. As provided by this act, a fiduciary shall allocate as income any money received in an entity distribution, as defined in the act, and any tangible personal property of nominal value received from the entity. A fiduciary shall also allocate as principal certain moneys and other property received in an entity distribution. The act further provides factors for a fiduciary to determine or estimate that money received in an entity distribution is a capital distribution. The fiduciary, instead of the trustee, shall also allocate to income amounts received as a distribution of income, including a unitrust distribution, from a trust or estate in which the fiduciary, instead of the trust, has an interest, other than an interest the fiduciary purchased in a trust that is an investment entity, and shall allocate to principal amounts received as a distribution of principal from the trust or estate. Furthermore, this act makes changes to the provisions relating to businesses or other activity conducted by a fiduciary if the fiduciary determines that it is in the interests of the beneficiaries to account separately. Additionally, this act modifies provisions relating to allocations to principal by the fiduciary instead of the trustee, allocations of rental property income, allocations of amounts received as interest or from the sale, redemption, or other disposition on an obligation to pay money, and allocations of proceeds of a life insurance policy or other contract received by the fiduciary as beneficiary. If a fiduciary, instead of a trustee, determines that an allocation between income and principal is insubstantial, the fiduciary may allocate the entire amount to principal. The act further modifies the factors for a fiduciary to presume an allocation is insubstantial. Such power may be exercised by a co-fiduciary or may be released or delegated as provided by law. This act repeals provisions relating to the income allocation of payments characterized as distributions to the trustee and instead provides rules for separate funds, as defined in the act, and requirements of fiduciaries of marital trusts. Furthermore, this act modifies provisions relating to liquidating assets and the failure of a fiduciary to account for receipts from the interests in minerals, water, or other natural resources, from the sale of timber and related products, or for transactions in derivatives. This act also contains modifications to the provisions relating to marital deductions, including qualifications for such deductions, and allocations of receipts related to an asset-backed security to income. Specifically, a fiduciary shall allocate receipts related to a financial instrument or arrangement not addressed by this act. This act modifies provisions relating to required income and principal disbursements by fiduciaries, rather than trustees, and transfers to principal of net cash receipts from a principal asset that is subject to depreciation. A fiduciary may transfer an appropriate amount from principal to income in an accounting period to reimburse income if the fiduciary makes or expects to make an income disbursement, as described in the act. The provision regarding transfer of an amount from income in an accounting period to reimburse principal or to provide a reserve for future principal disbursements is also modified. Additionally, this act repeals the existing provision relating to adjustments between principal and income and provides that a fiduciary may make an adjustment between income and principal to offset the shifting of economic interests or tax benefits between current income beneficiaries and successor beneficiaries that arises from: (1) An election or decision the fiduciary makes regarding a tax matter, other than a decision to claim an income tax deduction; (2) An income tax or other tax imposed on the fiduciary or a beneficiary as a result of a transaction involving the fiduciary or a distribution by the fiduciary; or (3) Ownership by the fiduciary of an interest in an entity, a part of whose taxable income, whether or not distributed, is includable in the taxable income of the fiduciary or a beneficiary. A fiduciary may offset a charge to each beneficiary that benefits from a decrease in an income tax to reimburse the principal from which the increase in estate tax is paid by obtaining payment from the beneficiary, withholding an amount from future distributions to the beneficiary, or adopting another method. This act modifies, limits, and supersedes the federal Electronic Signatures in Global and National Commerce Act, except for certain provisions relating to consumer disclosures, and does not authorize electronic delivery of certain notices. Additionally, this act repeals existing provisions relating to unitrust amounts and establishes new provisions relating to unitrusts, which is defined as a trust for which net income is an amount computed by multiplying a determined value of a trust by a determined percentage. The conversion of an income trust to a unitrust and for the determination of the rate used to compute the unitrust amount is provided in this act. Furthermore, this act provides for certain requirements for a unitrust policy. Specifically, the policy: (1) Shall provide the unitrust rate or method for determining such rate, the method for determining the applicable value of assets, and rules for the unitrust administration; (2) Shall provide the period used for the determination of the rate and value; (3) May provide standards for using fewer preceding periods if certain circumstances exist and prorating the unitrust amount on a daily basis for a part of a period in which the trust or the administration of the trust as a unitrust or the interest of any beneficiary commences or terminates; and (4) May provide methods and standards for determining the timing of distributions, making distributions in cash or in kind, or correcting an underpayment or overpayment to a beneficiary based on the unitrust amount if there is an error in calculating the unitrust amount, or may provide other standards and rules to serve the interest of the beneficiaries. This act also provides that if a trust qualifies for a special tax benefit or if a fiduciary is not an independent person, the unitrust rate shall not be less than three percent and no more than five percent and that only certain provisions of this act apply. Finally, certain provisions relating to the statute of limitations on claims of a breach of trustee's duty to impartially administer a trust are repealed. The provisions of this act apply to trusts and estates existing or created on or after August 28, 2026, except if expressly provided in the terms of the trust or by this act. These provisions are substantially similar to provisions in HB 3246 (2026), in HCS/HB 83 (2025), in SCS/HCS/HB 176 (2025), in HCS/SS/SB 221 (2025), in SB 246 (2025), in HB 608 (2025), in SCS/SB 1007 (2024), and in SCS/HCS/HB 2064 & HCS#2/HB 1886 (2024) and are similar to provisions in HCS#2/SS/SCS/SB 835 (2024), HB 1725 (2024), HB 1987 (2024), HCS/HB 968 (2023), and HB 2839 (2022). ST. LOUIS CITY CIVIL CASE FILING FEE (SECTION 488.426) Currently, any circuit court may collect a civil case filing surcharge of an amount not to exceed $15 for the maintenance of a law library, the county's or circuit's family services and justice fund, or courtroom renovation and technology enhancement. If the circuit court reimburses the state for salaries of family court commissioners or is the circuit court in Jackson County, the surcharge may be up to $20. This act provides that the circuit court in the City of St. Louis may charge a filing surcharge up to $20. This provision is identical to a provision in the truly agreed to and finally passed CCS/HCS/SS/SCS/SBs 835 & 1111 (2026), in HCS/SB 945 (2026), in the perfected SS#2/SCS/SB 1023 (2026), in HCS/SB 1067 (2026), in SCS/HB 3000 (2026), SB 18 (2025), HCS/HB 83 (2025), in SCS/HCS/HB 176 (2025), in SB 352 (2025), in SCS/HCS/HB 615 (2025), SB 800 (2025), in HB 1512 (2024), and in SCS/HCS/HB 2064 & HCS#2/HB 1886 (2024), and is substantially similar to a provision in SCS/SB 897 (2024), SB 1023 (2024), CCS/HCS/SS/SCS/SB 72 (2023), SB 252 (2023), HB 787 (2023), in HCS/HB 986 (2023), in the perfected HCS/HBs 994, 52 & 984 (2023), SB 1209 (2022), HB 1963 (2022), HB 143 (2021), HB 1554 (2020), HB 1224 (2019), in the perfected HCS/HB 1083 (2019), HB 1891 (2018), SB 288 (2017), HB 391 (2017), and SB 812 (2016). PROPERTY EXEMPT FROM ATTACHMENT AND EXECUTION (SECTION 513.430) Current law provides bankruptcy exemptions for a person's right to receive any money or assets, payable to a participant or beneficiary from, or any interest of any participant or beneficiary in, a retirement plan, profit-sharing plan, health savings plan, or similar plan, including an inherited account or plan, that is qualified under certain provisions of the Internal Revenue Code. This act provides that any plan or arrangement shall not be exempt from the claim of an assignee pursuant to a final judgment of dissolution of marriage or legal separation, in addition to the claim of an alternate payee under a qualified domestic relations order. The interest of alternate payees under a qualified domestic relations order or assignees pursuant to a final judgment of dissolution of marriage or legal separation shall be exempt as of the time the interest is awarded or received, and continues to be exempt thereafter. This provision is identical to HB 2864 (2026). ATTORNEY'S FEES IN AGENCY PROCEEDINGS (SECTION 536.085) This act repeals the exclusion of attorney's fees in excess of $75 per hour unless certain determinations are made by the court from the definition of the term "reasonable fees and expenses" for the purposes of awards to the prevailing party in an agency proceeding or a civil action arising from an agency proceeding. This provision is identical to HB 2865 (2026), a provision in HCS/HB 179 (2025), and SB 290 (2025). UNIFORM PUBLIC EXPRESSION PROTECTION ACT (SECTION 537.529 & THE REPEAL OF SECTION 537.528) This act establishes the "Uniform Public Expression Protection Act". Currently, any action against a person for conduct or speech undertaken or made in connection with a public hearing or meeting in a quasi-judicial proceeding before a tribunal or decision-making body of the state or a political subdivision thereof is subject to a special motion to dismiss, a motion for judgment on the pleadings, or motion for summary judgment and any such motion shall be considered by the court on a priority or expedited basis. This act repeals this provision and creates procedures for dismissal of causes of action asserted in a civil action based on a person's: (1) Communication in a legislative, executive, judicial, administrative, or other governmental proceeding; (2) Communication on an issue under consideration or review in a legislative, executive, judicial, administrative, or other governmental proceeding; or (3) Exercise of the right of freedom of speech or of the press, the right to assemble or petition, or the right of association, guaranteed by the United States Constitution or the Missouri Constitution, on a matter of public concern. However, this act shall not apply to a cause of action asserted: (1) Against a governmental unit, as described in the act, or an employee or agent of a governmental unit acting in an official capacity; (2) By a governmental unit or an employee or agent of a governmental unit acting in an official capacity to enforce a law to protect against an imminent threat to public health or safety; or (3) Against a person primarily engaged in the business of selling or leasing goods or services if the cause of action arises out of a communication related to the sale or lease of such goods or services. No later than 60 days after a party is served with a complaint, cross-claim, counterclaim, third-party claim, or other pleading that asserts a cause of action covered by this act, or at a later time upon a showing of good cause, a party may file a special motion to dismiss. The court shall hear and rule on such motion no later than 60 days after the filing of the motion, unless the court orders a later hearing to allow for limited discovery or upon good cause. However, this act provides that the court shall hear and rule on the motion for dismissal no later than 60 days after the order allowing for discovery. This act provides that all other proceedings between the moving party and the responding party in the action, including discovery and any pending hearings or motions, shall be stayed upon the filing of the special motion to dismiss. Additionally, this act provides that the court may stay, upon motion by the moving party, a hearing or motion involving another party or discovery by another party if a ruling on such hearing or motion or discovery relates to a legal or factual issue. Any stay pursuant to this act shall remain in effect until the entry of an order ruling on the special motion to dismiss and the expiration of the time to appeal the order. A moving party may appeal an order denying the special motion to dismiss in whole or in part within 21 days of such order. If a party appeals an order ruling on a special motion to dismiss, this act provides that all proceedings between all parties shall be stayed until the conclusion of the appeal. The court may allow discovery if a party shows that specific information is necessary to establish whether a party has satisfied or failed to satisfy the requirements of this act and such information is not reasonably available without discovery. Additionally, a motion for costs and expenses, voluntary dismissal, or a motion to sever shall not be stayed. During a stay, the court upon good cause may hear and rule on any motions unrelated to the special motion to dismiss and any motions seeking a special or preliminary injunction to protect against an imminent threat to public health or safety. In ruling on a special motion to dismiss, this act provides that the court shall consider the parties' pleadings, the motion, any replies and responses to the motion, and any evidence that could be considered in a ruling on a motion for summary judgment. The court shall dismiss the cause of action with prejudice if: (1) The moving party has established that the cause of action is covered by this act; (2) The responding party has failed to establish that this act does not apply to the cause of action; and (3) Either the responding party failed to establish a prima facie case as to each essential element of the cause of action, or the moving party has established that the responding party failed to state a cause of action upon which relief can be granted or that there is no genuine issue as to any material fact and that the party is entitled to judgment as a matter of law. A voluntary dismissal without prejudice of a cause of action that is subject to a special motion to dismiss pursuant to this act shall not affect the moving party's right to obtain a ruling on the motion and seek costs, reasonable attorneys' fees, and reasonable litigation expenses. Additionally, if the moving party prevails on the motion, this act provides that such costs, fees, and expenses shall be awarded to the moving party. A voluntary dismissal with prejudice of a cause of action that is subject to a special motion to dismiss establishes that the moving party prevailed on the motion. The responding party shall be entitled to such costs, fees, and expenses if the responding party prevails on the motion and the court finds that the motion was frivolous or filed solely with the intent to delay the proceeding. Finally, this act applies to causes of action filed or asserted on or after August 28, 2026. These provisions are identical to provisions in the truly agreed to and finally passed CCS/HCS/SS/SCS/SBs 835 & 1111 (2026), the truly agreed to and finally passed SB 1067 (2026), SB 503 (2025), in SCS/HCS/HB 615 (2025), in SCS/HCS/HB 1259 (2025), and SB 1293 (2024) and are substantially similar to HB 2666 (2026), provisions in HCS/HB 83 (2025), in SCS/HCS/HB 176 (2025), in SB 352 (2025), HB 1092 (2025), in SCS/SB 897 (2024), HB 1785 (2024), in SCS/HCS/HB 2064 & HCS#2/HB 1886 (2024), in CCS/HCS/SS/SCS/SB 72 (2023), SB 432 (2023), HB 750 (2023), SB 1219 (2022), in HCS/SS#2/SCS/SB 968 (2022), HB 2624 (2022), and HB 1151 (2021). KATIE O'BRIEN

SB 840 - This act provides that when calculating an enrollee's overall contribution to an out-of-pocket max or any cost-sharing requirement under a health benefit plan, a health carrier or pharmacy benefits manager shall include any amounts paid by the enrollee or paid on behalf of the enrollee for any medication for which a generic substitute is not available. Additionally, no health carrier or pharmacy benefits manager shall design benefits in a manner that takes into account the availability of any cost-sharing assistance program for any medication for which a generic drug substitute is not available. The provisions of this act shall apply to health benefit plans entered into, amended, extended, or renewed on or after August 28, 2026. This act is identical to SB 1448 (2026), SB 1327 (2026), HB 2279 (2026), HB 1941 (2026), HB 1681 (2026), HB 79 (2025) and substantially similar to provisions in HCS/HB 1941, 2279, & 1681 (2026), SB 45 (2025), and similar to provisions in SB 187 (2025), SB 512 (2025), SB 1106 (2024), SB 844 (2024), SB 1190 (2024), HCS/HB 442 (2023), HB 1628 (2024), SB 269 (2023), and SB 1031 (2022). TAYLOR MIDDLETON

SB 1448 - This act provides that when calculating an enrollee's overall contribution to an out-of-pocket max or any cost-sharing requirement under a health benefit plan, a health carrier or pharmacy benefits manager shall include any amounts paid by the enrollee or paid on behalf of the enrollee for any medication for which a generic substitute is not available. Additionally, no health carrier or pharmacy benefits manager shall design benefits in a manner that takes into account the availability of any cost-sharing assistance program for any medication for which a generic drug substitute is not available. The provisions of this act shall apply to health benefit plans entered into, amended, extended, or renewed on or after August 28, 2026. This act is identical to SB 1327 (2026), SB 970 (2026), SB 840 (2026), HB 1941 (2026), HB 1681 (2026), and HB 79 (2025) and substantially similar to provisions in SCS/SB 970 (2026), HCS/HBs 1941, 2279, & 1681 (2026), SB 45 (2025), and similar to provisions in SB 187 (2025), SB 512 (2025), SB 1106 (2024), SB 844 (2024), SB 1190 (2024), HCS/HB 442 (2023), HB 1628 (2024), SB 269 (2023), and SB 1031 (2022). TAYLOR MIDDLETON

Modifies provisions relating to the establishment of certain entertainment districts