Browse Legislation

SS#2/SB 863 - This act creates provisions governing organizations that facilitate interscholastic athletic activities for public secondary school students. The act defines an "activities association" as a statewide nonprofit organization that includes at least one public school, charter school, or school district as a fee-paying member and that facilitates interscholastic activities, more than 50% of which are athletic activities, for secondary school students. The term "activities association" does not include organizations that do not facilitate interscholastic athletic activities, such as career and technical student organizations and other organizations specified in the act. A "public school" is defined as including both public schools and charter schools. Under this act, appeals of decisions made by an activities association may be heard by the newly created "Interscholastic Athletic Oversight Commission", a board of directors appointed by the Governor, by and with the advice and consent of the Senate. The term of office of each member shall be four years. The oversight commission shall hear appeals after the activities association's appeals process has been exhausted or appeals that are made directly to the oversight commission. The oversight commission shall hear only appeals of decisions relating to eligibility due to transfers of students deemed to be for athletic purposes and appeals relating to contests and contest procedures. The oversight commission may recommend rule changes to the activities association to be considered through the activities association's rulemaking procedures. An activities association shall prepare an annual report and present to House and Senate committees to be chosen by the Speaker of the House of Representatives and the President Pro Tem of the Senate within the first 30 days of the legislative session. The oversight commission shall be established within the Department of Elementary and Secondary Education (DESE) for purposes of hearing appeals. DESE shall provide sufficient administrative and financial personnel to support the work of the oversight commission, and shall promulgate rules as necessary to implement a fair and timely appeals process, including timelines and procedural rules for the appeals process. If the oversight commission is named as a defendant in any action arising from or relating to a decision of the oversight commission, the Attorney General shall represent the oversight commission and the state shall be responsible for all attorney's fees, costs, and damages incurred. The oversight commission may meet in person or hold virtual meetings. All decisions of the oversight commission are final, not subject to further appeal, and shall be adhered to and implemented by the activities association. This act is similar to SB 1364 (2026) and HCS/HBs 2278 & 2403 (2026). OLIVIA SHANNON

SB 1451 - This act increases the maximum gross income for eligibility for the Fast Track Workforce Incentive Grant from $80,000 to $100,000 for taxpayers who are married filing jointly and from $40,000 to $50,000 for all other taxpayers, adjusted annually based on inflation. This act is identical to SB 416 (2025) and SB 1056 (2024); is substantially similar to HB 855 (2025), HB 2278 (2024), and a provision in SCS/HCS/HB 1569 (2024); and is similar to HCS/HB 2151 (2026), HB 2992 (2026), and to a provision in HCS/SS/SB 1196 (2026). OLIVIA SHANNON

SB 1393 - Currently, there are six circuit judges and nine associate circuit judges in the 11th Judicial District, located in St. Charles County. This act provides for an additional two circuit judges and one associate circuit judge. The new judges shall be elected in 2028 with terms beginning January 1, 2029. The new associate circuit judge position shall not be included in the automatic increases in the number of associate judge positions provided by the statutory formula based on population. This act is identical to a provision in SCS/HB 1628 (2026) and is similar to a provision in HCS/SB 945 (2026), in HCS/SB 1067 (2026), HB 1890 (2026), in HCS/HBs 2968, 2427 & 3086 (2026), in HCS/SS/SB 221 (2025), in SCS/HCS/HB 1259 (2025), HB 1390 (2025), HB 1426 (2025), HB 370 (2023), and HB 538 (2023). KATIE O'BRIEN

SB 839 - Under current law, elections for school board members are held on either the general municipal election day or such day as is specified in the county charter, with terms of office ranging from three years to six years, depending on the district. This act requires all such elections to be held at the November general election and makes all such terms four years. Additionally, a candidate for school board member shall state his or her party affiliation and certain other information on the declaration of candidacy. This act has a delayed effective date of January 1, 2028. This act is similar to HB 1722 (2026), SB 485 (2025), HB 539 (2025), HB 2536 (2024), SB 234 (2023), and to provisions in SB 1002 (2026), SB 1185 (2026), SB 740 (2022), HCS/HB 2306 (2022), HB 361 (2019), and in HCS/HB 1424 (2018). OLIVIA SHANNON

SCS/SB 909 - This act renames the "Missouri Student Religious Liberties Act" the "Missouri Safeguarding Personal Expression at K-12 Schools (SPEAKS) Act". The act adds political and ideological expression to the current protections for public school students' religious expression. The act additionally prohibits discrimination against student clubs on the basis of their religious, political, or ideological viewpoints or any requirement that the members of the club adhere to the club's sincerely held beliefs, comply with the club's conduct standards, or further the club's mission, as such mission is defined by the club. This act shall not be construed to limit school districts' ability to restrict speech that is not protected by the First Amendment to the Constitution of the United States; speech that is so offensive that a student is effectively denied equal access to educational opportunities; or conduct that intentionally, materially, and substantially disrupts school operations or the expressive activity of another individual in a campus space exclusively reserved for such activity. Any person or student organization harmed by a violation of this act shall have a private cause of action against the school, as described in the act. Any person or student organization aggrieved by a violation of this act may assert such violation as a defense or counterclaim in any disciplinary action or in any civil or administrative proceeding. The state waives immunity and consents to be sued in federal court for claims arising under this act. This act is identical to a provision in SCS/HCS/HB 2682 (2026). OLIVIA SHANNON

SB 1702 - Currently, the Seventh Judicial Circuit, located in Clay County, has four circuit judges. This act increase the number of circuit judges to five beginning in fiscal year 2028. This act is identical to a provision in HCS/HBs 2968, 2427 & 3086 (2026), HB 3363 (2026), and HB 3448 (2026) and is substantially similar to a provision in HCS/SB 945 (2026) and in HCS/SB 1067 (2026). KATIE O'BRIEN

SS/SB 948 - This act provides that a parent has a fundamental right to direct the upbringing, education, health care, and mental health of such parent's child free from government interference. A governmental authority shall not restrict parental rights unless such authority demonstrates that the restriction is essential to further a compelling governmental interest and is the least restrictive means of furthering that compelling interest. This provision applies to all state and local laws, resolutions, and ordinances and to the implementation of such laws, resolutions, and ordinances. (Section 1.390) The act outlines certain parental rights that are exclusively reserved to a parent without obstruction by or interference from this state, any political subdivision of the state, any governmental entity, or any other institution. Under the act, parents shall have the right to: (1) Direct the education of the child; (2) Access and review all written and electronic educational records of the child; (3) Direct the child's upbringing; (4) Direct the child's moral or religious training; (5) Consent in writing to all physical and mental health care decisions for the child; (6) Access and review all health and medical records of the child; (7) Consent in writing before a biometric scan of the child is made, shared, or stored; (8) Consent in writing before any record of the child's blood or DNA is created, stored, or shared, unless authorized pursuant to a court order; (9) Consent in writing before any governmental authority makes a video or voice recording of the child, unless, without abrogating rights secured under the Fourth Amendment to the United States Constitution, such recording is made as part of an event or circumstance described in the act; (10) Be notified promptly if a governmental authority suspects that abuse, neglect, or a criminal offense has been committed against the child, unless such notification is reasonably believed to be likely to endanger the life or physical safety of the child; (11) Opt the child out of any personal analysis, evaluation, survey, or data collection by a school district except what is necessary and essential for establishing a student's educational record for a student of the school district; (12) Excuse a child from school attendance for religious purposes; (13) Participate in parent-teacher organizations and other school organizations that are sanctioned by the board of education of a school district; (14) Receive, upon first contact with a representative of the Department of Social Services, an accurate written itemization containing all details of allegations of child abuse or neglect of the child, excluding only the name of the person who made the allegations; and (15) View a publicly available, easily accessible accounting of all financial transactions conducted with school district funds without being required to submit a formal request or otherwise make direct contact with the school district to access such information. Except for law enforcement personnel, a governmental authority shall not encourage or coerce a child to withhold information from the child's parent; nor shall a governmental authority withhold from a child's parent information that is relevant to the physical, emotional, or mental health of the child. A parent who believes his or her rights have been violated under this act may assert that violation as a claim or defense in a judicial or administrative proceeding, regardless of whether the government is a party to the proceeding, and obtain appropriate relief against the government, including declaratory relief, injunctive relief, compensatory damages, and reasonable attorney's fees and costs. (Section 1.391) Additionally, each school district shall maintain an easily accessible online record of all money the district receives and spends. Each public school within a school district shall prominently link to the district's financial ledger on the school's own website. (Section 162.192) The act additionally repeals provisions authorizing minors to consent to medical treatment or procedures involving venereal disease and drug or substance abuse. (Section 431.061) This act is similar to HB 2426 (2026). OLIVIA SHANNON

SB 1289 - This act modifies the required amount of motor vehicle liability insurance. The required amount of coverage for bodily injury or death is increased from $25,000 to $50,000 for one person, and from $50,000 to $100,000 for bodily injury or death to two or more persons in any one accident, and from $25,000 to $50,000 for injury to or destruction of property of others in any one accident. Currently, any underinsured motor vehicle coverage with less than two times the limits for bodily injury or death under current law shall be construed to provide coverage in excess of the liability coverage of any underinsured motor vehicle involved in the accident. This act provides that any underinsured motor vehicle coverage shall be construed to provide coverage in excess of the liability coverage of any motor vehicle involved in the accident. This act is identical to SB 1438 (2026) and HB 2082 (2026). TAYLOR MIDDLETON

SS/SB 895 - This act modifies provisions relating to professional licensing. INTERIOR DESIGNERS (SECTIONS 324.001, 324.028 TO 327.750. 537.033 & 621.045 & THE REPEAL OF SECTIONS 324.406 TO 324.436) This act modifies the registration of interior designers from the Division of Professional Registration with advice and recommendations by the Interior Design Council to the licensing of interior designers from the Missouri Board for Architects, Professional Engineers, Professional Land Surveyors, Professional Landscape Architects, and Licensed Interior Designers ("Board"). The Board shall increase from fifteen members to seventeen members with the two new members being licensed interior designers. The Interior Design Council and the Interior Design Council Fund shall be abolished upon the appointment by the Governor and confirmation by the Senate of the licensed interior designer members of the Board. The rules of the Interior Design Council shall be deemed adopted by the Board until revised, amended, or repealed, of which such action shall be taken on or before January 1, 2027. The funds in the Interior Design Council Fund shall be transferred to the State Board of Architects, Professional Engineers, Professional Land Surveyors, Professional Landscape Architects, and Licensed Interior Designers Fund. Additionally, this act defines the practice of licensed interior design and provides that a licensed interior designer shall undertake to perform licensed interior design services only when he or she is qualified by education, training, and experience in the specific technical areas involved. Furthermore, licensed interior designers shall be in responsible charge of interior design technical submissions that can affect the health, safety, and welfare of the public within their scope of practice. Licensed interior designers shall not take responsible charge over interior technical submissions prepared by another person unless the licensed interior designer actually exercises personal supervision and direct control over such interior technical submissions. This act modifies the educational and training requirements for licensed interior designers by repealing the qualification of at least three years of an interior design curriculum from an accredited institution with three years of experience. Additionally, an applicant shall be exempt from providing substantial evidence of certain educational and training qualifications if his or her curriculum or transcript has been approved by the Board. Nothing in this act shall be construed as precluding an architect from performing any of the services within the practice of licensed interior design. Current law provides that a renewal or reinstatement application for registration as an interior designer shall be accompanied by proof of completion of continuing education in the fields of either interior design or architecture. This act repeals such provision and provides that the Board shall establish the continuing education requirements for interior designers which shall be substantially equivalent to the continuing education requirements for architects. Finally, this act includes licensed interior designers in the definition of "design professional" for immunity from civil liability for participation in a peer review process. This act contains a delayed effective date for the repeal of the Interior Design Council and the Interior Design Fund, which shall become effective upon notification to the Revisor of the appointment of the interior designer members of the Board by the Director of the Division of Professional Regulation. These provisions are identical to SS/SCS/SB 991 (2026), provisions in HCS/SS/SB 1083 (2026), in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2026), and HB 2353 (2026), and are similar to provisions in SB 287 (2025), HB 566 (2025), SB 1325 (2024), and HB 2158 (2024). TEMPORARY LICENSES (SECTION 324.004) Under this act, any person who has at least three years of work experience in an occupation or profession in another state or the District of Columbia that does not use a license to regulate that occupation or profession may submit an application for a license in Missouri to the relevant oversight body. A person shall submit proof of experience in the occupation or profession and proof of citizenship or lawful presence in the United States, except as provided. Within 45 days of receiving the application, the oversight body shall make a determination of qualification. The oversight body shall require an applicant to take and pass a profession-specific examination and may require an examination specific to Missouri laws. A license issued under this act shall be a one-time, non-renewable, two-year temporary license. If the applicant is not residing in Missouri, the oversight body shall conditionally approve the application. If an applicant fails to provide proof of domicile in Missouri within 60 days of receipt of temporary license, the oversight body may terminate the temporary license and the applicant may reapply for the temporary license. Upon expiration of the temporary license, individuals shall be required to apply for a permanent license, consistent with the licensure and application requirements of that license as set forth in statute and rule. A license issued under this act shall not be qualified for reciprocity with another state or as part of an interstate compact. The provisions of this act shall not apply to certain specified professions. This provision is identical to a provision in HCS/SB 1092 (2026) and in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2026) and is similar to a provision in HCS/HB 2300 (2026), in SS/SB 61 (2025) and in the perfected HB 478 (2025), SB 817 (2024), in HCS/SS#2/SCS/SB 88 (2023), and HB 1900 (2022). PHYSICIAN LICENSURE REQUIREMENTS (SECTION 334.031) This act requires a candidate applying for licensure as a physician to submit to a criminal background check and furnish certain educational and experience documents. This act also allows the Board of Registration for the Healing Arts to require applicants to list all licenses to practice as a physician currently or previously held in another state, territory, or country and to disclose any past or pending investigations, discipline, or sanctions for such licenses. The Board may also obtain a report on the applicant from the National Practitioner Data Bank or the Federation of State Medical Boards. This provision is identical to a provision in SS/SB 1083 (2026), and SCS/SB 1423 (2026) and HB 2976 (2026), is substantially similar to a provision in SCS/SB 292 (2025), and is similar to a provision in SB 1030 (2024), SB 1251 (2024), HB 2349 (2024), HB 2753 (2025), HB 1279 (2023), SB 511 (2023), and SB 538 (2021). LENGTH OF SUPERVISION FOR SOCIAL WORK (SECTION 337.600) This act modifies the definitions of a "qualified advanced macro supervisor," "qualified baccalaureate supervisor," and "qualified clinical supervisor" to provide that such person is a licensed social worker who has practiced social work for which he or she is supervising the applicant for a minimum of three, instead of five, years. This provision is identical to a provision in SS/SB 1083 (2026), SB 1092 (2026), SB 1417 (2026), HB 1963 (2026), SB 479 (2025), and SB 563 (2025) and is substantially similar to HB 886 (2025). CLINICAL FELLOWSHIPS FOR SPEECH LANGUAGE PATHOLOGISTS & AUDIOLOGISTS (SECTION 345.050) This act modifies the requirements for licensure as a speech pathologist or audiologist by providing for completion of a clinical fellowship under the direct supervision of a licensed speech-language pathologist in good standing, rather than under the direct supervision of a person licensed by the state of Missouri in the profession in which the applicant seeks to be licensed. This provision is identical to a provision in SS/SB 1083 (2026), SB 1405 (2026), in HCS/HB 2372 (2026), in HCS/SS/SB 7 (2025), in the perfected SS/SB 61 (2025), in the perfected HCS/HB 268 (2025), SB 431 (2025), in the perfected HB 478 (2025), in HB 765 (2025), and in SCS/HB 834 (2025), and is substantially similar to a provision in HCS/SB 1019 (2026), in HCS/SB 1092 (2026), in HCS/SS#2/SB 1233 (2026), HCS/HB 2300 (2026) and SCS/HB 2591 (2026), KATIE O'BRIEN

SB 1186 - Under current law, if a jury is unable to agree upon the punishment for the offense of murder in the first degree, the court is to instruct the jury that the judge may decide upon a punishment of life imprisonment without eligibility for parole or a sentence of death. This act repeals the provision that a judge may decide upon a punishment of death if the jury is unable to agree. This act is identical to HB 2141 (2026), HB 2186 (2026), HB 2348 (2026), SB 225 (2025), HB 452 (2025), SB 1169 (2024), SB 687 (2023), SB 825 (2022), HB 1746 (2022), HB 2700 (2022), SB 341 (2021), SB 920 (2020), SB 288 (2019), and SB 996 (2018). TRISTAN BENSON, JR.

SB 1176 - This act creates and modifies provisions relating to firearms. ASSAULT WEAPONS (Section 571.023) This act provides that no person, corporation, or other entity in Missouri shall manufacture, import, possess, purchase, sell, or transfer any assault weapon or large capacity magazine as defined in the act. Any person in violation of this act shall be guilty of a class C felony. This act shall not apply to government entities or agents, law enforcement officers, manufacturers selling to government entities, properly licensed firearms dealers, and any person legally in possession of an assault weapon or large capacity magazine prior to the effective date of this act. This provision is identical to SB 1337 (2026), and to a provision in SB 346 (2025), SB 405 (2025), SB 1100 (2024), SB 971 (2024), SB 330 (2023), SB 441 (2023), and HB 1533 (2020). UNLAWFUL POSSESSION OR TRANSFER OF A FIREARM (Section 571.070 & 571.080) This act provides that any person committed to a mental institution at 16 years of age or older is prohibited from possessing a firearm unless he or she petitions the court to remove the disqualification pursuant to current law. Additionally, this act provides that for firearm purchasers under the age of 21, a background check is required to determine whether the individual has a juvenile record that would disqualify him or her from purchasing firearms, pursuant to federal law. This provision is identical to a provision in SB 346 (2025), SB 971 (2024) and SB 330 (2023). TRISTAN BENSON, JR.

HCS/SS/SCS/SB 878 - This act modifies provisions relating to pharmaceutical drugs and devices. LIMITS ON SALE OF OVER-THE-COUNTER DRUGS (SECTIONS 195.417 & 579.060) Currently, no person shall sell, dispense, or purchase, over a 12 month period, more than a total amount of 43.2 grams of certain meth precursors. This act increases the amount to 61.2 grams. Beginning October 1, 2026, 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, as described in the act. 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 SS/SCS/SB 841 (2026), in the truly agreed to and finally passed CCS/SS/SB 1421 (2026), HCS/HB 1962 (2026), in SCS/HB 2146 (2026), in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026) and are substantially similar to provisions in SB 1069 (2026), SB 726 (2025), HB 1036 (2025), provisions of HCS/SS/SB 7 (2025), SCS/SB 317 (2025), SCS/HCS/HB 943 (2025), SB 548 (2025), and SB 143 (2025). PRACTICE OF PHARMACY - VACCINES (SECTION 338.010) Currently, the practice of pharmacy includes the ordering and administration of vaccines approved or authorized by the FDA, but excludes certain vaccines and those vaccines approved after January 1, 2023. This act instead provides that the practice of pharmacy includes the ordering and administration of certain vaccines approved or authorized by the FDA as of January 1, 2026, but excludes certain vaccines and those vaccines approved by the FDA after January 1, 2026, that are not included by joint rules promulgated by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This provision is identical to a provision in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), is substantially similar to a provision in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2026), and is similar to a provision in SS/SCS/SB 841 (2026), HB 1976 (2026), and in SCS/HCS/HB 3009 (2026). MEDICATION THERAPEUTIC PLAN AUTHORITY (SECTION 338.012) Currently, a pharmacist with a certificate of medication therapeutic plan authority can provide certain medication therapy services if there is a statewide order issued by the Director or the Chief Medical Officer of the Department of Health and Senior Services if such person is a licensed physician or by a licensed physician designated by the Department. This act repeals this language and authorizes the provision of such medication therapy services pursuant to rules established by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This provision is identical to a provision in the perfected HCS/HB 3009 (2026). MEDICAL DEVICE PRESCRIPTIONS (SECTION 338.206) This act authorizes pharmacists to prescribe medical devices, as defined in the act. The Board of Pharmacy and the State Board of Registration for the Healing Arts shall jointly promulgate rules to implement this provision within six months of the effective date of this act. This provision is substantially similar to a provision in the perfected HCS/HB 3009 (2026). DISPENSING OF IVERMECTIN & HYDROXYCHLOROQUINE (SECTION 338.208) Under this act, a pharmacist may dispense ivermectin and hydroxychloroquine to a person, without a prescription order, upon the approval of a warning label for the use and indication in accordance with any written, standardized procedures or protocols issued by the Board of Pharmacy. Any ivermectin or hydroxychloroquine that is dispensed by a pharmacist or by a pharmacy technician under a pharmacist's supervision without a prescription shall be kept behind the counter or otherwise not available in a self-service area and be stored in a secure area accessible only to pharmacy personnel. This provision is similar to a provision in the perfected HCS/HB 3009 (2026). PHARMACY EMERGENCY WAIVERS (SECTION 338.312) The Board of Pharmacy shall have the authority to waive compliance with any Missouri rule or regulation for pharmacies dispensing, shipping, or delivering prescription drugs into another state or United States territory that is experiencing a declared state disaster or emergency, provided that: (1) The pharmacy is a licensed pharmacy in good standing and is authorized to ship prescription drugs into such state or territory; (2) The pharmacy is responding to a declared state disaster or emergency; (3) The pharmacy complies with all emergency rules and regulations for pharmacies established by the state or territory for the duration of the disaster period; (4) The pharmacy complies with all applicable federal laws and regulations; and (5) The waiver applies only to prescription drugs dispensed, shipped, or delivered to residents or health care facilities located within the geographic area specified in the declared state disaster or emergency. This provision is identical to a provision in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2026), in HCS/HB 2300 (2026), in the perfected HCS/HB 2372 (2026), and in SCS/HB 3009 (2026), and is similar to provision in SB 1640 (2026). 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 a provision in SS/SCS/SB 841 (2026), in HCS/SB 1019 (2026), SB 1340 (2026), in SCS/HB 2146 (2026), in SCS/HCS/HB 2372 (2026), SCS/HCS/HB 943 (2025) and HB 784 (2025). COVERAGE OF NONOPIOID PRESCRIPTION DRUGS (SECTION 376.1280) This provides that health benefit plans shall not deny coverage of a nonopioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the nonopioid drug, or require a higher level of cost-sharing for a nonopioid prescription drug than for an opioid drug. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This provision is identical to a provision in SS/SCS/SB 841 (2026) and is similar to SB 902 (2026), provisions in HCS/SB 1019 (2026) SB 1350 (2026), SB 1449 (2026), HB 1680 (2026), HB 1966 (2026), in SCS/HCS/HB 2372 (2026), HCS/SB 2642 (2026), SB 158 (2025), HB 804 (2025), and provisions in HCS/SS/SB 7 (2025). COVERAGE OF HOME BLOOD PRESSURE MONITORING DEVICES (SECTION 376.1960) 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 when determined to be medically appropriate in accordance with American College of Obstetricians and Gynecologists guidelines. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This provision is similar to SB 1089 (2026), provisions in HCS/HB 2371 (2026), in SB 539 (2025), and in HB 842 (2025). KATIE O'BRIEN

SB 1226 - This act provides that an offender shall be eligible to receive a parole hearing after serving 30 years or more of his or her sentence if such offender: • Is incarcerated in a correctional facility after being sentenced by a court; • Is serving a sentence of life without parole for the offense of first or second degree murder prior to October 1, 1984; • Is 60 years of age or older; • Has no felony convictions prior to the conviction for which he or she is currently incarcerated; and • Is not a convicted sex offender. During the parole hearing, the Parole Board ("Board") shall determine if there is a reasonable probability the offender will not violate the law upon release. If the Board determines a reasonable probability exists, the offender shall be eligible for release upon a finding that the offender has a record of good conduct while incarcerated, demonstrated self-rehabilitation, developed a workable parole plane, and has a risk factor and mental health score determined appropriate by the Board. Any offender released under this act shall be subject to a minimum of five years of supervision by the Board. This act is identical to SB 1681 (2026), SB 234 (2025), SB 341 (2025), SB 914 (2024), SB 1147 (2024), SB 147 (2023), and SB 714 (2022) and is similar to SB 1335 (2026), SB 438 (2025), SB 1218 (2024), SB 581 (2023), SB 995 (2022), HB 2134 (2022), HB 277 (2021), and HB 1078 (2019). TRISTAN BENSON, JR.

HCS/SS/SB 1083 - This act modifies provisions relating to professional licensing. 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 identical to a provision in SS/SCS/SB 841 (2026) and the perfected HCS/HB 2372 (2026), is substantially similar to a provision in SCS/HCS/HB 943 (2025), and is similar to SB 689 (2025). INTERIOR DESIGNERS (SECTIONS 324.001, 324.028 TO 327.750. 537.033 & 621.045 & THE REPEAL OF SECTIONS 324.406 TO 324.436) This act modifies the registration of interior designers from the Division of Professional Registration with advice and recommendations by the Interior Design Council to the licensing of interior designers from the Missouri Board for Architects, Professional Engineers, Professional Land Surveyors, Professional Landscape Architects, and Licensed Interior Designers ("Board"). The Board shall increase from fifteen members to seventeen members with the two new members being licensed interior designers. The Interior Design Council and the Interior Design Council Fund shall be abolished upon the appointment by the Governor and confirmation by the Senate of the licensed interior designer members of the Board. The rules of the Interior Design Council shall be deemed adopted by the Board until revised, amended, or repealed, of which such action shall be taken on or before January 1, 2027. The funds in the Interior Design Council Fund shall be transferred to the State Board of Architects, Professional Engineers, Professional Land Surveyors, Professional Landscape Architects, and Licensed Interior Designers Fund. Additionally, this act defines the practice of licensed interior design and provides that a licensed interior designer shall undertake to perform licensed interior design services only when he or she is qualified by education, training, and experience in the specific technical areas involved. Furthermore, licensed interior designers shall be in responsible charge of interior design technical submissions that can affect the health, safety, and welfare of the public within their scope of practice. Licensed interior designers shall not take responsible charge over interior technical submissions prepared by another person unless the licensed interior designer actually exercises personal supervision and direct control over such interior technical submissions. This act modifies the educational and training requirements for licensed interior designers by repealing the qualification of at least three years of an interior design curriculum from an accredited institution with three years of experience. Additionally, an applicant shall be exempt from providing substantial evidence of certain educational and training qualifications if his or her curriculum or transcript has been approved by the Board. Nothing in this act shall be construed as precluding an architect from performing any of the services within the practice of licensed interior design. Current law provides that a renewal or reinstatement application for registration as an interior designer shall be accompanied by proof of completion of continuing education in the fields of either interior design or architecture. This act repeals such provision and provides that the Board shall establish the continuing education requirements for interior designers which shall be substantially equivalent to the continuing education requirements for architects. Finally, this act includes licensed interior designers in the definition of "design professional" for immunity from civil liability for participation in a peer review process. This act contains a delayed effective date for the repeal of the Interior Design Council and the Interior Design Fund, which shall become effective upon notification to the Revisor of the appointment of the interior designer members of the Board by the Director of the Division of Professional Regulation. These provisions are identical to provisions in the perfected SS/SB 895 (2026), SS/SCS/SB 991 (2026), in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2025), and in HCS/HB 2353 (2026), and are similar to SB 287 (2025), HB 566 (2025), SB 1325 (2024), and HB 2158 (2024). NON-RENEWABLE TEMPORARY LICENSES (SECTION 324.004) Under this act, any person who has at least three years of work experience in an occupation or profession in another state or the District of Columbia that does not use a license to regulate that occupation or profession may submit an application for a license in Missouri to the relevant oversight body. A person shall submit proof of experience in the occupation or profession and proof of citizenship or lawful presence in the United States, except as provided. Within 45 days of receiving the application, the oversight body shall make a determination of qualification. The oversight body shall require an applicant to take and pass a profession-specific examination and may require an examination specific to Missouri laws. A license issued under this act shall be a one-time, non-renewable, two-year temporary license. If the applicant is not residing in Missouri, the oversight body shall conditionally approve the application. If an applicant fails to provide proof of domicile in Missouri within 60 days of receipt of temporary license, the oversight body may terminate the temporary license and the applicant may reapply for the temporary license. Upon expiration of the temporary license, individuals shall be required to apply for a permanent license, consistent with the licensure and application requirements of that license as set forth in statute and rule. A license issued under this act shall not be qualified for reciprocity with another state or as part of an interstate compact. The provisions of this act shall not apply to certain specified professions. This provision is identical to a provision in SS/SB 895 (202) and in HCS/SB 1092 (2026) and is similar to a provision in HCS/HB 2300 (2026), in SS/SB 61 (2025) and in the perfected HB 478 (2025), SB 817 (2024), in HCS/SS#2/SCS/SB 88 (2023), and HB 1900 (2022). PHYSICIAN LICENSURE REQUIREMENTS (SECTION 334.031) This act requires a candidate applying for licensure as a physician to submit to a criminal background check and furnish certain educational and experience documents. This act also allows the Board of Registration for the Healing Arts to require applicants to list all licenses to practice as a physician currently or previously held in another state, territory, or country and to disclose any past or pending investigations, discipline, or sanctions for such licenses. The Board may also obtain a report on the applicant from the National Practitioner Data Bank or the Federation of State Medical Boards. This provision is identical to provisions in the perfected SS/SB 895 (2026) and SCS/SB 1423 (2026) and HB 2976 (2026), is substantially similar to provisions in SCS/SB 292 (2025), and is similar to provisions in SB 1030 (2024), SB 1251 (2024), HB 2349 (2024), HB 2753 (2025), HB 1279 (2023), SB 511 (2023), and SB 538 (2021). RESPIRATORY CARE LICENSES (SECTIONS 334.870 & 334.880) Currently, an applicant for a respiratory care license is required to submit written evidence of credentials from the cognitive competency testing organization authorized by the Missouri Board for Respiratory Care or current licensure or registration as a respiratory care practitioner in another jurisdiction that meets or exceeds Missouri licensure standards. This act instead provides that the applicant shall submit: (1) An active credential as a registered respiratory therapist through the National Board for Respiratory Care (NBRC); (2) Current licensure or registration with an active credential as a respiratory care practitioner in another jurisdiction that meets or exceeds Missouri licensure standards; or (3) An active credential as a certified respiratory therapist earned prior to January 1, 2027, through the NBRC. Additionally, this act provides that license renewals shall be subject to random audits to ensure the licensee has an active credential through the NBRC. These provisions are identical to provisions in the truly agree to and finally passed HCS/SS#2/SB 1233 (2026) and in SCS/HB 2591 (2026) and are similar to provisions in HCS/HB 2957 (2026). LENGTH OF SUPERVISION FOR SOCIAL WORK (SECTION 337.600) This act modifies the definitions of a "qualified advanced macro supervisor," "qualified baccalaureate supervisor," and "qualified clinical supervisor" to provide that such person is a licensed social worker who has practiced social work for which he or she is supervising the applicant for a minimum of three, instead of five, years. This provision is identical to a provision in the perfected SS/SB 895 (2026), SB 1092 (2026), SB 1417 (2026), HB 1963 (2026), SB 479 (2025), and SB 563 (2025) and is substantially similar to HB 886 (2025). CLINICAL FELLOWSHIPS FOR SPEECH LANGUAGE PATHOLOGISTS & AUDIOLOGISTS (SECTION 345.050) This act modifies the requirements for licensure as a speech pathologist or audiologist by providing for completion of a clinical fellowship under the direct supervision of a licensed speech-language pathologist in good standing, rather than under the direct supervision of a person licensed by the state of Missouri in the profession in which the applicant seeks to be licensed. This provision is identical to a provision in the perfected SS/SB 895 (2026), SB 1405 (2026), in HCS/HB 2372 (2026), in HCS/SS/SB 7 (2025), in the perfected SS/SB 61 (2025), in the perfected HCS/HB 268 (2025), SB 431 (2025), in the perfected HB 478 (2025), in HB 765 (2025), and in SCS/HB 834 (2025), and is substantially similar to a provision in HCS/SB 1019 (2026), in HCS/SB 1092 (2026), in HCS/SS#2/SB 1233 (2026), HCS/HB 2300 (2026) and SCS/HB 2591 (2026). SEVERABILITY (SECTION B) In the event that any section, provision, clause, phrase, or word of this act or the application of the act is declared invalid under the Constitution of the United States or the Constitution of the State of Missouri, the General Assembly intends for the severability of this act. KATIE O'BRIEN

SB 1061 - This act provides that when a public entity enters into a contract with a company, as defined in the act, the company must have a written verification that it does not have a practice or policy that discriminates against a firearm entity or firearm trade association. This act shall not apply to a public entity that contracts with a sole source provider, or if the public entity does not receive a bid from a company that is able to provide such written verification. This act is similar to HB 2920 (2026), SB 1397 (2024), SB 200 (2023), SB 1048 (2022), and SB 492 (2021). TRISTAN BENSON, JR.

SB 1215 - This act authorizes the sentencing court to reduce a sentence of life without eligibility for probation or parole or reduce a sentence of 30 years or greater to a sentence of life with eligibility for probation or parole if the convicted person has served at least 30 years, was under 20 years of age at the time of the offense, made reasonable efforts towards rehabilitation, and has exhibited model citizen behavior. Any offender receiving such reduction shall be granted a hearing before the Parole Board. Furthermore, an offender receiving a reduction shall provide the Parole Board the following in order to be eligible for supervised release: (1) At least 5 statements from current or former Department of Corrections employees attesting to the offender demonstration of institutional adaptability and conduct in the correctional center; (2) At least 20 signed statements from residents of the community where the offender will reside upon release that commit to providing assistance with the offender's reentry; and (3) A safe and secure home plan. This act is identical to HB 2663 (2026), SB 582 (2025), HB 1151 (2025) and is similar to HB 2127 (2024), HB 907 (2023), and contains a provision similar to HB 1799 (2022), HB 2232 (2022), HB 2254 (2020), HB 195 (2019), and HB 2072 (2018). TRISTAN BENSON, JR.

SS/SB 1002 - This act requires all elections for school board members of any school district in which a majority of the district is located in St. Charles County to be held at the November general election and makes all such terms four years. At the time of filing a declaration of candidacy, a candidate may optionally designate his or her party affiliation and consent to have such affiliation appear beside the candidate's name on the ballot. (Sections 162.082, 162.301, 162.341, 162.459, and 162.481) The act further requires all proposals submitted to the voters of any school district in which a majority of the district is located in St. Charles County for the purpose of levying a new tax or renewing or increasing the levy of an existing tax, including for the issuance of bonded indebtedness, to be submitted at the November general election. (Section 164.320) This act is similar to provisions in SB 839 (2026), SB 1185 (2026), SB 485 (2025), HB 1722 (2026), HB 539 (2025), HB 2536 (2024), SB 234 (2023), SB 740 (2022), HCS/HB 2306 (2022), HB 361 (2019), and HCS/HB 1424 (2018). OLIVIA SHANNON

SB 1068 - This act modifies the offense of possession of unlawful items in a prison or jail to include when a person knowingly delivers, attempts to deliver, possesses, deposits, or conceals in or about the premises of any correctional center or of any city, county, or private jail any unauthorized portable electronic communication device. Such a violation of the offense of possession of unlawful items in a prison or jail shall be a class D felony. This act is substantially similar to HB 2414 (2026). TRISTAN BENSON, JR.

HCS/SS#2/SB 1233 - This act modifies provisions relating to the licensing of certain professionals. INTERIOR DESIGNERS (SECTIONS 324.001, 324.028, 327.011, 327.031, 327.041, 327.081, 327.381, 327.411, 327.442, 327.451, 327.700, 327.705, 327.710, 327.720, 327.725, 327.730, 327.735, 327.740, 327.745, 327.750, 537.033 & 621.045 AND THE REPEAL OF SECTIONS 324.406, 324.412, 324.421, 324.424 & 324.436) This act modifies the registration of interior designers from the Division of Professional Registration with advice and recommendations by the Interior Design Council to the licensing of interior designers from the Missouri Board for Architects, Professional Engineers, Professional Land Surveyors, Professional Landscape Architects, and Licensed Interior Designers ("Board"). The Board shall increase from fifteen members to seventeen members with the two new members being licensed interior designers. The Interior Design Council and the Interior Design Council Fund shall be abolished upon the appointment by the Governor and confirmation by the Senate of the licensed interior designer members of the Board. The rules of the Interior Design Council shall be deemed adopted by the Board until revised, amended, or repealed, of which such action shall be taken on or before January 1, 2027. The funds in the Interior Design Council Fund shall be transferred to the State Board of Architects, Professional Engineers, Professional Land Surveyors, Professional Landscape Architects, and Licensed Interior Designers Fund. Additionally, this act defines the practice of licensed interior design and provides that a licensed interior designer shall undertake to perform licensed interior design services only when he or she is qualified by education, training, and experience in the specific technical areas involved. Furthermore, licensed interior designers shall be in responsible charge of interior design technical submissions that can affect the health, safety, and welfare of the public within their scope of practice. Licensed interior designers shall not take responsible charge over interior technical submissions prepared by another person unless the licensed interior designer actually exercises personal supervision and direct control over such interior technical submissions. This act modifies the educational and training requirements for licensed interior designers by repealing the qualification of at least three years of an interior design curriculum from an accredited institution with three years of experience. Additionally, an applicant shall be exempt from providing substantial evidence of certain educational and training qualifications if his or her curriculum or transcript has been approved by the Board. Nothing in this act shall be construed as precluding an architect from performing any of the services within the practice of licensed interior design. Current law provides that a renewal or reinstatement application for registration as an interior designer shall be accompanied by proof of completion of continuing education in the fields of either interior design or architecture. This act repeals such provision and provides that the Board shall establish the continuing education requirements for interior designers which shall be substantially equivalent to the continuing education requirements for architects. Finally, this act includes licensed interior designers in the definition of "design professional" for immunity from civil liability for participation in a peer review process. This act contains a delayed effective date for the repeal of the Interior Design Council and the Interior Design Fund, which shall become effective upon notification to the Revisor of the appointment of the interior designer members of the Board by the Director of the Division of Professional Regulation. These provisions are identical to provisions in the perfected SS/SB 895 (2026), SS/SCS/SB 991 (2026), in HCS/SS/SB 1083 (2026), HCS/HB 2353 (2026), and are similar to provisions in SB 287 (2025), HB 566 (2025), SB 1325 (2024), and HB 2158 (2024). TEMPORARY LICENSES (SECTION 324.004) Under this act, any person who has at least three years of work experience in an occupation or profession in another state or the District of Columbia that does not use a license to regulate that occupation or profession may submit an application for a license in Missouri to the relevant oversight body. A person shall submit proof of experience in the occupation or profession and proof of citizenship or lawful presence in the United States, except as provided. Within 45 days of receiving the application, the oversight body shall make a determination of qualification. The oversight body shall require an applicant to take and pass a profession-specific examination and may require an examination specific to Missouri laws. A license issued under this act shall be a one-time, non-renewable, two-year temporary license. If the applicant is not residing in Missouri, the oversight body shall conditionally approve the application. If an applicant fails to provide proof of domicile in Missouri within 60 days of receipt of temporary license, the oversight body may terminate the temporary license and the applicant may reapply for the temporary license. Upon expiration of the temporary license, individuals shall be required to apply for a permanent license, consistent with the licensure and application requirements of that license as set forth in statute and rule. A license issued under this act shall not be qualified for reciprocity with another state or as part of an interstate compact. The provisions of this act shall not apply to certain specified professions. This provision is identical to a provision in SS/SB 895 (2026) and HCS/SB 1092 (2026) and is similar to a provision in HCS/HB 2300 (2026), in SS/SB 61 (2025) and in the perfected HB 478 (2025), SB 817 (2024), in HCS/SS#2/SCS/SB 88 (2023), and HB 1900 (2022). NONRENEWABLE TEMPORARY LICENSES FOR DIETITIANS (SECTION 324.218) This act establishes a temporary license for dietitians. Under the act, an applicant who has not previously taken or passed an examination recognized by the State Committee of Dietitians ("Committee") and who meets the qualifications for licensure as a dietitian may obtain without examination a nonrenewable temporary license by paying a temporary license fee and submitting to the Committee an agreement-to-supervise form that is signed by a licensed dietitian who has agreed to supervise the applicant and has active dietetics practice in this state for a minimum of one year. The temporary license shall expire the date the Committee is notified by the supervising dietitian that the temporary licensee's employment has ceased or within one hundred eighty days of its issuance, whichever occurs first. This act further provides that the supervising dietitian shall not be an immediate family member of the temporary licensee. Additionally, the act requires the supervising dietitian to submit a signed and notarized form attesting that the applicant shall begin employment at a location in this state within seven days of issuance of the temporary license. If the temporary licensee's employment ceases, the supervising dietitian shall notify the Committee within three days. Finally, this act provides that a supervising dietitian shall not supervise more than one temporary licensee at a time. This provision is identical to a provision in HCS/SB 1092 (2026), in HB 1961 (2026), in the perfected HCS/HB 268 (2025), and in HB 397 (2025), and is substantially similar to a provision in SB 1339 (2026) SB 412 (2025), in SB 1053 (2024), HB 1666 (2024), in SCS/HB 2280 (2024), HB 845 (2023), and HB 873 (2023). EMERGENCY SUSPENSIONS - MASSAGE THERAPY & CHIROPRACTIC (SECTIONS 324.263 & 331.084) This act provides that the Board of Therapeutic Massage and the Board of Chiropractic Examiners can apply to the Administrative Hearing Commission ("AHC") for an emergency suspension or restriction of a license if the licensee is the subject of a pending criminal indictment, information, or other charge related to the duties and responsibilities of the licensed occupation, and there is reasonable cause to believe that the public health, safety, or welfare is at imminent risk of harm. Within one business day of receiving the complaint, the AHC shall return a service packet, as described in the act, to the board, which shall then serve the licensee within twenty-four hours. Within five days of receipt of the complaint, the AHC shall conduct a review and, if the AHC determines there is reasonable cause for the board's complaint, the AHC shall enter an order of suspension or restriction. The order will be effective upon personal service or delivery of a copy at all of the licensee's addresses on file. The AHC shall then hold an evidentiary hearing on the record within forty-five days of the board's filing, or upon final adjudication of the criminal charges, to determine if the initial order entered by the AHC will continue in effect and whether a cause for discipline exists. If no cause for discipline is found, the AHC shall issue findings and terminate the order for suspension or restriction. If the AHC finds cause for discipline, the AHC shall issue findings and order the suspension or restriction to remain in effect until a disciplinary hearing before the board, which may impose discipline otherwise authorized by state law. Furthermore, this act provides that if the AHC does not grant an initial order, the board shall remove all reference to such emergency suspension or restriction from public records. These provisions are identical to HB 1623 (2026), SB 1647 (2026), provisions in HCS/HB 2300 (2026), HB 58 (2025), in the perfected HCS/HB 268 (2025), in the perfected HB 478 (2025), and in SCS/HB 834 (2025) and contains a provision similar to HB 1549 (2024), a provision in SCS/HCS/HB 2280 (2024), HCS/HB 175 (2023), and HB 1610 (2022). ACCOUNTANTS (SECTIONS 326.256 TO 326.292) This act modifies the requirements for licensing of accountants. This act provides that an applicant for examination shall provide proof that the applicant has obtained a baccalaureate degree or a post-baccalaureate degree, instead of proof of completion of at least 120 semester hours of college education. Additionally, for licensure, the applicant shall either hold a baccalaureate degree, a baccalaureate degree and 30 additional semester hours of college education, or a post-baccalaureate degree from an accredited college or university recognized by the Missouri State Board of Accountancy ("Board") with the total educational program including a Board-appropriate accounting concentration or equivalent. If the applicant has a baccalaureate degree, the applicant shall have two years of experience. If the applicant has a baccalaureate degree and 30 additional semester hours of college education or a post-baccalaureate degree, the applicant shall have at least one year of experience. This act also repeals the eligibility for examination if the applicant expects to meet the educational requirements within 60 days. This act changes the educational and examination requirements for reciprocity of those individuals whose principal place of business, domicile, or residency is not in this state and who hold a valid and unrestricted public accounting license in another state. Current law provides that such non-Missouri individuals shall have all the privileges of licensees without the need to obtain a license, notify or register with the Board, or pay a fee if the license has been determined by the Board to be in substantial equivalence with the Missouri licensure requirements or if the individual's qualifications are substantially equivalent to Missouri licensure requirements. This act provides that a non-Missouri individual, whose license is in good standing, shall have all the privileges of a licensee without the need to obtain a license, notify or register with the Board, or pay a fee if the individual was required to show proof of passage of the Uniform Certified Public Accountant Examination and the educational and experience requirements of Missouri licensees. Additionally, non-Missouri individuals, whose licenses are in good standing to practice public accountancy from any state as of December 31, 2024, and who has practice privileges in this state as of December 31, 2024, shall continue to have such privileges. Rather than receiving verification on substantial equivalence of an individual's qualifications from the NASBA National Qualification Appraisal Service, the Board may license a person whose qualifications the Board verifies to be comparable to the Missouri licensure requirements. Sole practitioners or single member LLCs that use "certified public accountant," "CPA," or other abbreviations, but that do not offer nor perform attest services or other services subject to peer review may request exemption from the Board for the firm permit requirements. This act provides that the rules regarding peer review shall include reasonable provision for compliance by a firm showing that it has undergone a peer review that is comparable, rather than satisfactory equivalent, to peer review generally required under current law within three years. Lastly, the Board may charge a fee for oversight of peer reviews, provided that the fee charged shall be comparable, rather than substantially equivalent, to the cost of oversight. These provisions are identical to provisions in the perfected HCS/HB 1797 (2026). 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 SCS/SB 841 (2026), in HCS/SB 1092 (2026), in SCS/HB 2591 (2026), HB 1710 (2026), HB 1847 (2026), in HCS/HB 2372 (2026), in HCS/SS/SB 7 (2025), in the perfected HB 56 (2025), HB 122 (2025), SB 143 (2025), in the perfected HCS/HB 268 (2025), in SCS/SB 317 (2025), SB 548 (2025), in SCS/HCS/HB 943 (2025), in HCS/HB 1505 (2025), in SS/SCS/HCS/HB 1659 (2024), SB 1287 (2024), and HB 2280 (2024). RESPIRATORY CARE LICENSES (SECTIONS 334.870 & 334.880) Currently, an applicant for a respiratory care license is required to submit written evidence of credentials from the cognitive competency testing organization authorized by the Missouri Board for Respiratory Care or current licensure or registration as a respiratory care practitioner in another jurisdiction that meets or exceeds Missouri licensure standards. This act instead provides that the applicant shall submit: (1) An active credential as a registered respiratory therapist through the National Board for Respiratory Care (NBRC); (2) Current licensure or registration with an active credential as a respiratory care practitioner in another jurisdiction that meets or exceeds Missouri licensure standards; or (3) An active credential as a certified respiratory therapist earned prior to January 1, 2027, through the NBRC. Additionally, this act provides that license renewals shall be subject to random audits to ensure the licensee has an active credential through the NBRC. These provisions are identical to SB 1083 (2026) and to provisions in SCS/HB 2591 (2026) and are similar to provisions in HCS/HB 2957 (2026). ADMINISTRATION OF CERTAIN INJECTIONS BY NURSE TECHNICIANS OR AIDES (SECTION 335.081) This act provides that licensing laws relating to nursing shall not prohibit the administration of subcutaneous injectable medications by a technician, nurses' aide, or their equivalent, provided the medications are prescribed by a physician for a long-term care resident. This provision is identical to a provision in SB 1528 (2026) and in HB 2413 (2026). SOCIAL WORK SUPERVISORS (SECTION 337.600) This act modifies the definitions of a "qualified advanced macro supervisor," "qualified baccalaureate supervisor," and "qualified clinical supervisor" to provide that such person is a licensed social worker who has practiced social work for which he or she is supervising the applicant for a minimum of three, instead of five, years. This provision is identical to a provision in HCS/SB 1092 (2026), SB 1417 (2026), HB 1963 (2026), in HCS/HB 2300 (2026), SB 479 (2025), and SB 563 (2025) and is substantially similar to HB 886 (2025). PRACTICE OF PHARMACY - VACCINES (SECTION 338.010) Currently, the practice of pharmacy includes the ordering and administration of vaccines approved or authorized by the FDA, but excludes certain vaccines and those vaccines approved after January 1, 2023. This act instead provides that the practice of pharmacy includes the ordering and administration of certain vaccines approved or authorized by the FDA as of January 1, 2026, but excludes certain vaccines and those vaccines approved by the FDA after January 1, 2026, that are not included by joint rules promulgated by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This provision is substantially similar to a provision in the truly agreed to and finally passed HCS/SS/SCS/SB 878 (2026) and in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026) and is similar to a provision in SS/SCS/SB 841 (2026), HB 1976 (2026), and in SCS/HCS/HB 3009 (2026). PHARMACY EMERGENCY RULE WAIVERS (SECTION 338.312) The Board of Pharmacy shall have the authority to waive compliance with any Missouri rule or regulation for pharmacies dispensing, shipping, or delivering prescription drugs into another state or United States territory that is experiencing a declared state disaster or emergency, provided that: (1) The pharmacy is a licensed pharmacy in good standing and is authorized to ship prescription drugs into such state or territory; (2) The pharmacy is responding to a declared state disaster or emergency; (3) The pharmacy complies with all emergency rules and regulations for pharmacies by the state or territory for the duration of the disaster period; (4) The pharmacy complies with all applicable federal laws and regulations; and (5) The waiver applies only to prescription drugs dispensed, shipped, or delivered to residents or health care facilities located within the geographic area specified in the declared state disaster or emergency. This provision is identical to a provision in HCS/HB 2300 (2026), in the perfected HCS/HB 2372 (2026), and in HCS/HB 3009 (2026), and is similar to provision in SS/SCS/SB 878 (2026) and SB 1640 (2026). 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 SCS/SB 841 (2026), in HCS/HBs 1945 & 2570 (2026), in HCS/HB 2372 (2026), in the perfected HCS/HB 3009 (2026), in SCS/HCS/HB 943 (2025), 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 a provision in SCS/SB 841 (2026), HB 1978 (2026), in HCS/HB 2372 (2026), and HB 1445 (2025). SPEECH PATHOLOGISTS AND AUDIOLOGISTS (SECTION 345.050) This act modifies the requirements for licensure as a speech pathologist or audiologist by providing for completion of a clinical fellowship under the direct supervision of a licensed speech-language pathologist in good standing in any state, rather than under the direct supervision of a person licensed by the state of Missouri in the profession in which the applicant seeks to be licensed. This provision is identical to a provision in HCS/HB 2300 (2026) and HB 2591 (2026), and is substantially similar to a provision in SB 1405 (2026), in HCS/HB 2372 (2026), in HCS/SS/SB 7 (2025), in the perfected SS/SB 61 (2025), in the perfected HCS/HB 268 (2025), SB 431 (2025), in the perfected HB 478 (2025), in HB 765 (2025), and in SCS/HB 834 (2025). SEVERABILITY (SECTION 1) In the event that any section, provision, clause, phrase, or word of this act or the application of the act is declared invalid under the Constitution of the United States or the Constitution of the State of Missouri, the General Assembly intends for the severability of this act. KATIE O'BRIEN

SB 1235 - This act makes the following persons ineligible for parole, probation, or conditional release: • Any person convicted of the offense of tampering with a judicial officer who threatened or caused harm to the judicial officer or members of the officer's family, or who used force, threats, or deception against or toward the officer or members of the officer's family; • Any person convicted of the offense of tampering with a judicial officer who caused a death or bodily injury in the course of committing the offense; and • Any person convicted of the offense of tampering with a judicial proceeding who threatened or caused harm to any person or property. This act is similar to HCS/HB 2699 (2026) and SB 453 (2025), and to a provision contained in HCS/HB 1457 (2025) TRISTAN BENSON, JR.