Browse Legislation

Establishes a dementia services coordinator as a full-time position within the department of health and senior services

Modifies and establishes provisions relating to the protection of children

Modifies the offense of unlawful possession of a firearm

Establishes the "Missouri Teachers Matter Grant Program"

Increases the Public School Retirement System (PSRS) one-time death benefit payment to $10,000 for retiree member deaths arising on or after August 28, 2026

Authorizes the adoption of term limits for mayor and council member in cities of the third classification upon voter approval

Modifies provisions governing city-county library boards of trustees in St. Charles County

Modifies provisions relating to elections

Repeals the election offense of allowing a ballot to be seen

Modifies provisions relating to incentives for interstate business relocation and authorizes DED to determine clawback provisions for the state and political subdivisions

SB 1310 - Current law authorizes the establishment of a medical malpractice joint underwriting association upon a determination that medical malpractice liability insurance is not reasonably available in the voluntary market. This act authorizes the directors of the board of the association to suspend the operations of the association if such directors determine that medical malpractice insurance is reasonably available. The suspension shall be in accordance with the plan of operations, and shall include provisions for the administration of association funds. During any suspension of operations, the association shall not collect dues or fees from its members, unless authorized by the Director of the Department of Commerce and Insurance. This act is identical to provisions in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), and similar to HB 2071, and provisions in HCS/HB 3314 (2026). TAYLOR MIDDLETON

SB 873 - Current law allows a taxpayer to claim a tax credit for contributions made to shelters for victims of domestic violence or to rape crisis centers. For all tax years beginning on or after January 1, 2027, this act modifies such tax credit to also allow a taxpayer to claim a $1,000 tax credit if the taxpayer has converted abandoned property into an operational shelter for victims of domestic violence, and a $500 tax credit if the taxpayer has rented residential real estate to a victim of domestic violence. This act is identical to HB 2345 (2026), SB 205 (2025), SB 437 (2023), and HB 2523 (2020), and is substantially similar to HB 279 (2025) and SB 795 (2024) and to a provision in SB 382 (2023). JOSH NORBERG

Creates provisions relating to reporting requirements for entities that participate in the 340B drug pricing program

Requires the department of transportation to prioritize federal priority corridors in the statewide transportation improvement program (STIP) and requires any changes to the STIP to be approved by the joint committee on administrative rules

Requires the Air Conservation Commission to terminate by January 1, 2028, the operation of any motor vehicle emissions inspection program established under the Air Quality Attainment Act

SB 897 - This act provides that 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. Additionally, 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 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. This act 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. This act is identical to HB 1675 (2026), substantially similar to HB 618 (2025) and to provisions in HCS/SB 94 (2025), and is similar to SB 846 (2026), SB 841 (2026), HCS/HB 3010 (2026), SB 230 (2025), SB 983 (2024), HB 1976 (2024), SB 576 (2023), and HB 1045 (2023). TAYLOR MIDDLETON

Establishes procedures authorizing certain school districts to detach from a community college district upon voter approval

Requires municipalities and the department of transportation to reimburse non-rate regulated utilities for site relocation labor costs incurred due to road maintenance

SB 1614 - This act creates the Missouri Earned Family and Medical Leave Act. GENERALLY Under this act, all employees who are not independent contractors are eligible to receive up to six weeks each year of wage replacement benefits for any of the following reasons: • To bond with a minor child within the first year of birth or placement in connection with foster care or adoption; • To care for a family member with a serious health condition; • To tend to one's own serious health condition; or • To assume any familial responsibility because a spouse, child, or parent of an employee is on, or has been notified of an impending call to, active duty in the armed forces. The Department of Labor and Industrial Relations is responsible for administering the program. An employee is eligible for benefits equal to 100% of his or her average weekly pay for each full week taken for family or medical leave. However, an employee's average weekly wage may not be higher than the average state weekly wage. An employee may take partial weeks of leave but will only receive benefits equal to the fraction of the number of days of leave taken divided by the number of the days that the employee would have otherwise worked. An employee may additionally only take leave in full day increments. APPLYING FOR BENEFITS An employee has 41 days following the first day on which he or she begins to take family or medical leave to file a claim for benefits with the Department. Furthermore, an employee may not receive benefits until they have contributed to the Missouri Earned Family and Medical Leave Fund for at least 52 weeks. An employee may not receive benefits on any day for which they are eligible to receive unemployment or workers' compensation benefits. Leave taken under this act must be taken concurrently with leave taken under the federal Family Medical Leave Act. Each employee applying for benefits shall show, on a certificate provided by the Department, that he or she is entitled to family or medical leave. An employee seeking to take leave under this act shall provide at least 30 days notice to their employer if the reason for leave is foreseeable. If it is not practicable, notice shall be given as soon as practicable. APPEALING DETERMINATION OF ELIGIBILITY Employees are entitled to appeal a determination of eligibility by the Department to the Administrative Hearing Commission. A notice of appeal shall be sent to the Commission within 30 days of the receipt of the determination by the employee. A decision by the Commission may be appealed to a court of competent jurisdiction. An employee is not entitled to appeal a determination of the amount of benefits received but may request a redetermination by the Department within one year of the initial determination. UNLAWFUL DISCRIMINATORY ACTIONS It is unlawful for an employer to discriminate against an employee because he or she filed a claim for, indicated an intent to file a claim for, or has received Missouri earned family and medical leave benefits. Courts hearing such complaints may grant injunctive, equitable, or compensatory relief to employees. Complaints may be filed by either the employee or the Department. In the event that the Department files a complaint, the employee is thereafter barred from bringing his or her own action. In any event, a discrimination claim shall be brought within three years. OUTREACH AND REPORTS The Department is required to develop and implement an outreach program to make employees aware of their rights, duties, and responsibilities under this act. The State Auditor is required to complete an audit of the program by January 1, 2033. MISSOURI EARNED FAMILY AND MEDICAL LEAVE FUND The Missouri Earned Family and Medical Leave Fund is created. An employee is required to contribute .025% of his or her average weekly pay to the fund, provided that the total wages used to compute the contribution rate shall not exceed the contribution and benefit base used to calculate Social Security taxes. If, at the discretion of the Director of the Department of Labor and Industrial Relations, there is not a sufficient amount of funds in the fund to satisfy all claims, the director is permitted to reduce the benefit amount each employee will receive. Contributions to the program may begin January 1, 2028, but no employee may receive benefits until January 1, 2030. All employee contributions are pre-tax and not considered part of the adjusted gross income. REFERENDUM CLAUSE The act contains a referendum clause to be presented to the voters at the 2026 general election. This act is identical to SB 1069 (2024) and substantially similar to HB 3226 (2026), SB 751 (2025), HB 2597 (2024), SB 548 (2023), HB 1126 (2023), SB 729 (2022), HB 2222 (2022), HB 2822 (2022), SB 416 (2021), HB 1372 (2021), SB 565 (2020), HB 2542 (2020), SB 162 (2019), SB 607 (2018), HB 1956 (2018), SB 69 (2017), HB 659 (2017), SCS/SB 291 (2017), HB 1059 (2017), and SB 1049 (2016), and similar in concept to SB 945 (2024), HB 2505 (2024), SB 193 (2023), HB 1255 (2023), SB 54 (2017), SB 983 (2016), and HB 1161 (2015). SCOTT SVAGERA

SB 1252 - This act provides for motor vehicles and equipment operated by canine search and rescue teams to be treated as emergency vehicles. This act is identical to HB 3334 (2026) and HB 1228 (2023). TAYLOR MIDDLETON