Missouri Senate Bills

SCS/SB 1635 - This act modifies provisions relating to state health plans. The board of the Missouri consolidated health care plan (MCHCP) shall implement any new health care benefit mandate enacted by the General Assembly, including but not limited to, requirements for the provision of specific health care services, specific diseases, or for certain health care providers. No later than July first of the year following the first full calendar year of coverage for a new health care benefit mandate and quarterly thereafter, the board of the MCHCP shall submit to the director of the Department of Commerce and Insurance a report as described in the act. No later than March first of the year following the second full calendar year of the coverage for a new health benefit mandate, the director of the Department of Commerce and Insurance shall submit to the President Pro Tem of the Senate and the Speaker of the House of Representatives a final report outlining the impact of the new health care benefit mandate on the MCHCP. Any new health care benefit mandate enacted after August 28, 2026 that requires a health carrier to provide coverage under a health benefit plan for specific health care services, specific diseases, or for certain health care providers shall only apply to the MCHCP. Coverage under MCHCP shall be effective for a period of thirty-six consecutive months and shall remain in effect until the General Assembly takes action or until the mandate sunsets in absence of legislative action. TAYLOR MIDDLETON

SB 1208 - Under the act, a retail electric supplier shall offer net metering, as defined in the act, to customer-generators pursuant to a Public Service Commission approved tariff of an electrical corporation or contract approved by the governing body of other retail electric supplies under certain options described in the act. A customer-generator's facility shall be equipped with certain equipment including, but not limited to, necessary electric distribution system upgrades. If the electricity generated by the customer-generator exceeds the electricity supplied by the supplier during a billing cycle, the customer-generator shall demand charges for the billing cycle. Each qualified electric energy generation unit used by a customer-generator shall be installed, maintained, and repaired in accordance with all applicable industry standards described in current law. All qualified electric energy generation units utilizing battery backup shall be installed to operate completely isolated from the retail electric supplier's system including all neutral connections and grounding points during times of back up operation. Unless allowed under the provisions of the act, no retail electric supplier shall impose any fee or other requirement as described in current law, except that a retail electric supplier may require that a customer-generator's system contain adequate surge protection, or other accessible device that would allow emergency response personnel to disconnect from the electric distribution system. Applications by a customer-generator for interconnection of a qualified electric energy generation shall be accompanied by a plan for the customer-generator's electrical generating system and reviewed by a retail electric supplier, unless mutually agreed to. Prior to the interconnection of the qualified electric energy generation to the retail electric supplier's system, the customer-generator will furnish a retail electric supplier a certification from a professional electrician or an engineer deemed qualified by the retail electric supplier. If the professional electrician or engineer is not licensed, the retail electric supplier may require a bond or other form of financial security to ensure the safe installation and operation of the qualified electric energy generation unit. The estimated generating capacity of all net metering systems shall count for purposes of compliance with any applicable federal law. Any non-retail electric supplier who sells a qualified electric energy generation unit or who provides a net metering service to a customer-generator under the act shall be subject to certain requirements described in the act. Provisions of the act shall be enforced by the Attorney General under the Missouri Merchandising Practices Act as described in the act. The act is identical SB 467 (2025), SB 855 (2024), HB 1705 (2024), HB 1854 (2024), substantially similar to HB 370 (2025), HB 940 (2025), and similar to SB 642 (2023), HB 709 (2023) and HB 991 (2023). JULIA SHEVELEVA

SCS/SBs 1247 & 1445 - This act provides that a certified registered nurse anesthetist ("CRNA") may select, issue orders for, and administer certain controlled substances for and while providing anesthesia care to a patient in a licensed facility pursuant to state law. This act shall not be construed as authorizing a CRNA to prescribe such controlled substances and a CRNA shall not be required to obtain a certificate of controlled substance prescriptive authority from the Board of Nursing in order to exercise this prescriptive authority. This act is identical to SB 522 (2025) and SB 545 (2025), is substantially similar to a provision in HB 1981 (2026), in HB 831 (2025), and is similar to a provision in SB 910 (2024), HB 1561 (2024), and HB 1881 (2024). KATIE O'BRIEN

SB 1022 - The act modifies provisions relating to self-storage. The act modifies the definitions of "public sale" and "rental agreement". The act changes "owner" to "operator" of the self-service storage facility throughout the language of the act. Under the act, an occupant may not use a self-service storage facility after the operator has delivered a written notice of termination or non-renewal of the rental agreement. The notice shall provide the occupant with no less than 14 days after delivery of the notice to remove all personal property from the self-service storage facility. Prior to removal of personal property, the operator may place reasonable restrictions on the occupant's use of the self-service storage facility, as described in the act. The operator may dispose of any personal property remaining in the self-service storage facility after the date indicated in the written notice. The act repeals a provision relating to the advertisement of the sale of personal property if the occupant is in default. Notices sent to the operator shall be sent to the self-service storage facility where the occupant's property is stored unless another address to send notices to the operator is specified in the rental agreement. JULIA SHEVELEVA

SB 1405 - 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 act is identical to a provision in the perfected SS/SB 895 (2026), in SS/SB 1083 (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

SCS/SB 1423 - 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 act is identical to HB 2976 (2026), substantially similar to provisions in SCS/SB 292 (2025), and 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). SARAH HASKINS

SB 1445 - This act provides that a certified registered nurse anesthetist ("CRNA") may select, issue orders for, and administer certain controlled substances for and during the course of providing anesthesia care to a patient in a licensed facility pursuant to state law. This act shall not be construed as authorizing a CRNA to prescribe such controlled substances and a CRNA shall not be required to obtain a certificate of controlled substance prescriptive authority from the Board of Nursing in order to exercise this prescriptive authority. This act is identical to SB 1247 (2026), SB 545 (2025), and SB 522 (2025), is substantially similar to a provision in HB 1981 (2026), in HB 831 (2025), and is similar to a provision in SB 910 (2024), HB 1561 (2024), and HB 1881 (2024). KATIE O'BRIEN

SB 844 - This act provides that the State Legal Expense Fund shall be used to pay claims or final judgments against any entity, including its members, officers, or employees, that provides foster care case management services or residential services under a contract with the state. This act is identical to SB 1450 (2026) and is similar to HCS/HB 2610 (2026). KATIE O'BRIEN

SB 1187 - This act creates the offense of consumption of marijuana in public spaces, which shall be a class B misdemeanor. SARAH HASKINS

SB 1025 - This act requires the elder abuse and neglect hotline operated by the Department of Health and Senior Services to be operated continuously 24 hours a day, 7 days a week. This act is identical to SB 694 (2025). SARAH HASKINS

SCS/SB 943 - This act applies certain current law provisions regarding nuisance actions to the City of Independence. 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 two thousand dollars 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 act is identical to a provision contained in SS/SCS/SB 1001 (2026), SCS/SB 1468 (2026), and SCS/HB 3000 (2026). TRISTAN BENSON, JR.

SB 1551 - This act authorizes any third class city with a city manager form of government to impose a transient guest tax at a rate not to exceed 5%. If the city elects to collect the tax rather than enter into an agreement for the Department of Revenue to collect the tax, then the city shall only use such tax revenues for the promotion of tourism. After the payment of initial bonds, the governing body of the city may submit the question of repealing the transient guest tax to the voters. This act is identical to HB 2595 (2026). JOSH NORBERG

SB 995 - Currently, the sheriff of the City of St. Louis is elected. This act instead provides that a majority of the circuit and associate circuit judges of the 22nd Judicial Circuit, consisting of the City of St. Louis, shall appoint the sheriff. The sheriff is removable for cause by a majority of the judges pursuant to Missouri Supreme Court rules. The elected sheriff holding office on August 28, 2026, shall continue to hold office for the remainder of his or her term. This act is identical to HB 3224 (2026), and is similar to SB 484 (2017), HCS/HB 878 (2017), and SB 527 (2015). TRISTAN BENSON, JR.

SCS/SBs 1557 & 1054 - This act modifies provisions relating to retirement. TIER 2011 (Section 104.1091) Currently, a vested former member or a former member who is not vested may request a refund of his or her contributions and interest from the Missouri State Employees' Retirement System (MOSERS) or the Missouri Department of Transportation and Highway Patrol Retirement System (MPERS). This act provides that for a former member who is not vested, the system shall refund such member's contributions and interest credited thereon if the total amount is $1,000 or less, or such other amount as may be permitted under federal law, provided that: (1) The system and the State Treasurer are authorized to share information regarding the refund, which shall be open to public inspection as allowed under current law; and (2) The system's procedures to locate such member from time to time shall be considered reasonable and necessary diligence consistent with good business practices and in compliance with federal law. This provision is similar to HCS/SB 1572 (2026) and HB 2198 (2026). DEFERRED COMPENSATION (Section 105.915) This act provides that the election to defer compensation by the employees of the state of Missouri shall be made at the beginning of the payroll period, rather than the month, for which the compensation is paid and contributions shall begin on the pay period beginning after such election. Beginning July 1, 2027, this act provides that the deferred compensation plan shall provide for automatic increases for certain employees participating or eligible to participate in the deferred compensation plan. The increase shall commence with the first payroll period following the employee's one-year anniversary date of employment or reemployment with the state, whichever is later. The deferral amount shall increase annually by .5% until the amount reaches 10% of compensation or the limitation imposed under federal law, whichever is less. Employees who are automatically increased may elect to change the contribution rate in accordance with the terms of the plan. This provision is identical to a provision in SB 1559 (2026). KATIE O'BRIEN

SB 1054 - This act modifies provisions relating to retirement. TIER 2011 (Section 104.1091) Currently, a vested former member or a former member who is not vested may request a refund of his or her contributions and interest from the Missouri State Employees' Retirement System (MOSERS) or the Missouri Department of Transportation and Highway Patrol Retirement System (MPERS). This act provides that for a former member who is not vested, the system shall refund such member's contributions and interest credited thereon if the total amount is $1,000 or less, or such other amount as may be permitted under federal law, provided that: (1) The relevant system's procedures try to locate such member from time to time and after the application of such procedures such refund is returned to the system, the refund shall be considered abandoned property; and (2) Provisions regarding the payment of contributions from a system's fund following the reversion of accumulated contributions standing to a member's credit that are unclaimed by such member for a period of four years or more to the system's fund shall not apply to these refunds. This provision is identical to SB 1557 (2026), a provision in HCS/SB 1572 (2026), and HB 2198 (2026). DEFERRED COMPENSATION (Section 105.915) This act provides that the election to defer compensation by the employees of the state of Missouri shall be made at the beginning of the payroll period, rather than the month, for which the compensation is paid and contributions shall begin on the pay period beginning after such election. Beginning July 1, 2027, this act provides that the deferred compensation plan shall provide for automatic increases for certain employees participating or eligible to participate in the deferred compensation plan. The increase shall commence with the first payroll period following the employee's one year anniversary date of employment or re-employment with the state, whichever is later. The deferral amount shall increase annually by .5% until the amount reaches 10% of compensation or the limitation imposed under federal law, whichever is less. Employees who are automatically increased may elect to change the contribution rate in accordance with the terms of the plan. This provision is identical to a provision in SB 1559 (2026). KATIE O'BRIEN

SB 1593 - This act designates every April 27th as "Ulysses S. Grant Day" in Missouri. This act is identical to HB 2213 (2026). JIM ERTLE

SB 1573 - Under this act, the Children's Division shall provide a child leaving foster care with certain documents and information, including information on how to access medical records and court documents, a letter confirming the child's prior foster care status for purposes of program eligibility, and information on relevant social service programs and supports. Such information shall also be provided to a child's proposed or nominated guardian prior to the child leaving foster care or the custody of the state. This act requires the Children's Division or the Division of Youth Services, in cases where guardianship of a child is deemed the permanency plan or is being considered by the court, to include any proposed or nominated guardian for a child leaving foster care or state custody in the development of the plan at least six months prior to the child leaving foster care or state custody. The proposed or nominated guardian shall receive a copy of the proposed plan. SARAH HASKINS

SB 1342 - This act provides that the term contiguous and compact shall include when an unincorporated area proposed to be annexed is contiguous to the annexing city, town, or village by at least twenty-five percent of the length of the unincorporated area's perimeter. Additionally, no city, town, or village shall annex an unincorporated area contiguous to any unincorporated area annexed by the city, town, or village within the last twenty-four months. The act further provides that any area annexed shall be provided all municipal services by the annexing city. (Section 71.012) Finally, this act repeals provisions relating to annexation procedures which apply to cities within St. Charles County. (Section 71.015) This act is identical to SB 922 (2024). TRISTAN BENSON, JR.

SB 1058 - This act provides that helianthus annuus shall not be considered an agricultural crop for the purposes of chapter 89 relating to local planning and zoning. This act is identical to HB 3087 (2026), and identical to a provision contained in SS/SCS/SB 1001 (2026). TRISTAN BENSON, JR.

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), and is substantially similar to HB 855 (2025), HB 2278 (2024), and a provision in SCS/HCS/HB 1569 (2024). OLIVIA SHANNON

SCS/SB 928 - This act modifies provisions relating to criminal offenses. ATTORNEY GENERAL (SECTION 27.117) This act gives the Attorney General concurrent jurisdiction to prosecute certain offenses that occurred in more than one jurisdiction. PROTECTIVE ORDERS (SECTION 455.050) Under current law, a person that petitions for a full or ex parte protective order is protected from certain offenses if the order is granted. This act adds cyberstalking to the list of offenses. RELEASE FROM JAIL (SECTION 544.667) Currently, a person can be released from jail upon recognizance or bond. This act provides that a person that has been released under such circumstances that fails to comply with the conditions of such release that imposes no contact with the victim shall be guilty of a class A misdemeanor and shall forfeit any security that was pledged for their release. CRIMINAL OFFENSES (SECTIONS 565.002, 565.050, 565.052, 565.054, 565.056, 565.072, 565.073, 565.074, 565.090, 565.091, 565.225, 565.227, 565.260, 565.400, 565.405, 573.570, & 573.575) This act modifies the offenses of assault in the first, second, third, and fourth degrees and the offenses of domestic violence in the first, second, third, and fourth degrees by removing the defined terms of "serious physical injury" and "physical injury" and providing for the following harms: • Great bodily harm: Bodily injury which creates a high probability of death, or which causes serious permanent or protracted loss or impairment of function of any bodily member or organ, or other serious bodily harm; • Substantial bodily harm: Bodily harm which involves a temporary but substantial disfigurement, or which causes temporary but substantial loss or impairment of the function of any bodily member or organ, or which causes a fracture of any bodily member; and • Bodily harm: Physical pain or injury, illness, or any impairment of physical condition. Under current law, the first offense of harassment in the first degree is a class E felony. This act provides that a second or subsequent conviction of harassment in the first degree shall be a class D felony where the individual has previously been found guilty of harassment in the first or second degree. Currently, a first offense of harassment in the second degree is a class A misdemeanor. Under this act, provisions relating to a second or subsequent conviction of harassment in the second degree are modified to include a conviction of harassment in the first degree as a previous conviction in which case it is a class E felony. This act modifies the offense of stalking in the first degree by repealing the elements of such offense and providing that a person commits the offense of stalking in the first degree when the person knowingly, through a course of conduct that is directed at another person or through technological abuse, as defined in the act, engages in conduct that would cause a reasonable person under similar circumstances to: • Fear death or bodily injury, as defined in this act; 1. Fear that an offense will be committed against a member of the person's family, household members, or an individual with whom the person has a dating relationship; 2. Fear that an offense will be committed against the person's property; or 3. Feel harassed, terrified, or intimidated. This act modifies the offense of stalking in the second degree by repealing the elements of such offense and providing that a person commits the offense of stalking in the second degree when the person knowingly, through a course of conduct that is directed at another person or through technological abuse, as defined in the act, engages in conduct that would cause a reasonable person under similar circumstances to feel harassed, terrified, or intimidated. This act creates the offense of unlawful tracking of a motor vehicle. A person is guilty of this offense if he or she knowingly installs, conceals, or otherwise places an electronic tracking device in or on a motor vehicle. This offense shall be a class A misdemeanor for a first offense and a class E felony for a second or subsequent offense. This act creates the offense of cyberharassment. A person commits this offense if he or she purposely or knowingly engages in a threatening, aggressive, or otherwise fear-inducing, course of conduct by using digital technology, internet service providers, electronic service providers or other electronic communications and devices cause reasonable fear, alarm, anxiety, undo stress, or terror to others by repeated contact with no legitimate purpose. This offense shall be a class B misdemeanor upon a first offense and a class A misdemeanor for second or subsequent offenses. A person commits the offense of cyberstalking if such person purposely or knowingly engages in a threatening, aggressive, or otherwise fear-inducing, course of conduct by using digital technology, internet service providers, electronic service providers or other electronic communications and devices to enhance the ability to intimidate, track, follow or cause reasonable fear, alarm, anxiety, undo stress, or terror to another person. A first offense shall be a class A misdemeanor and a second or subsequent offense shall be a class E felony. This act creates the offense of disclosure of an intimate digital depiction. A person shall be guilty of such offense if he or she discloses or threatens to disclose an intimate digital depiction with the intent to harass or threaten another person. A violation of such offense is a class D felony if the person discloses an intimate digital depiction and a class E felony if the person threatens to disclose an intimate digital depiction. Any second or subsequent violation of such offense is a class C felony. Additionally, it shall be a class C felony if the disclosure interferes with a government proceeding or causes violence. This act creates the offense of sadistic online exploitation. A person commits this offense where he or she uses the internet to coerce a victim into committing certain acts. This offense shall be a class E felony. TRISTAN BENSON, JR.

SB 875 - This act requires the Department of Social Services to establish a "Restaurant Meals Program" as part of the Supplemental Nutrition Assistance Program (SNAP). Under this program, households containing certain elderly, disabled, or homeless individuals shall have the option, in accordance with federal law, to redeem their SNAP benefits at private establishments that contract with the Department to offer meals, including hot food and meals intended for immediate consumption, for eligible persons at concessional prices. This act is identical to SB 130 (2025), SB 973 (2024), SB 313 (2023), and the perfected SB 798 (2022). SARAH HASKINS

SCS/SB 961 - This act makes several technical changes to provisions of law relating to facilities of historic significance. This act contains an emergency clause. JOSH NORBERG

SB 949 - This act creates the offense of judicial malfeasance. A person commits the offense if the person, while performing the duties of a judge, releases an individual who is a prior or persistent offender during the pendency of a criminal trial and such individual commits a felony during such release. The offense of judicial malfeasance shall be a class E felony. Any person charged or convicted with the offense of judicial malfeasance shall be referred to the Commission on Retirement, Removal, and Discipline for disqualification, removal, and suspension. TRISTAN BENSON, JR.

SCS/SB 927 - This act prohibits the preparation, distribution, advertisement, sale, or offering for sale of a kratom product that: (1) is adulterated; (2) is sold to a person under 21 years of age; (3) contains 7-hydroxymitragynine concentrated at a level above eight hundred parts per million on a dry-weight basis; (4) mimics candy or is appealing to children; or (5) is combustible or intended for vaporization. Kratom products shall contain specified labels that include disclaimers. A person who violates this provision will be deemed to have engaged in an unlawful practice in violation of the state's Merchandising Practices Act. Additionally, it shall be an infraction for a person to sell a kratom product to a person under 21 years of age, as described in the act. SARAH HASKINS

SB 859 - The act establishes the "AI Non-Sentience and Responsibility Act". The act provides that an artificial intelligence (AI) system shall be declared a non-sentient entity and shall not be considered or recognized as a person, spouse or domestic partner, or designated, appointed, or serve as any officer, director, manager, or similar role within any company. AI systems shall not be recognized as legal entities capable of owning title to property, as described in the act. Any assets associated with the AI system shall be attributed to human individuals or organizations responsible for the AI's development, deployment, or operation. Any harm caused by an AI system shall be the responsibility of the owner or user of the AI system, as described in the act. Owners of AI systems shall maintain proper oversight and control measures over any AI system if its outputs or recommendations could reasonably be expected to impact human welfare, property, or public safety. Failure to provide such oversight may constitute negligence or another basis of liability. Any attempt to shift blame on an AI system shall be void. Developers, manufacturers, and owners of AI systems shall develop safety mechanisms to prevent harm to individuals or property, as described in the act. If an AI system causes significant harm, courts may pierce the corporate veil to hold parent companies accountable for the harm, as described in the act. Liability protections under corporate law shall not be used to evade responsibility for direct harm caused by AI systems. Owners or developers of AI systems involved in severe incidents resulting in significant bodily harm, death, or property damage, shall notify the relevant authorities and comply with any subsequent investigations. The provisions of the act shall apply to all AI systems developed, owned, deployed, or operated on or after August 28, 2026. The act is identical to HB 1462 (2025). JULIA SHEVELEVA

SB 1075 - This act creates the "Food is Medicine Act". Under this act, the Department of Social Services shall submit a waiver to the Centers for Medicare and Medicaid Services for a "Food is Medicine" program. The program shall be designed to improve health outcomes for MO HealthNet participants with nutrition-related chronic diseases through nutrition services and to reduce the need for medical care for those participants. Covered nutrition services may include case management, nutrition counseling, meals or pantry stocking, nutrition prescriptions, and grocery provisions. When feasible, the MO HealthNet Division shall prioritize the inclusion of community-based organizations and local growers to support the purchase of locally grown food in nutrition prescriptions. SARAH HASKINS

SB 1189 - Currently, circuit judges of a judicial circuit may establish a place of juvenile detention for the counties within the circuit court. This act provides that a county commission or governing body of a county may provide for juvenile detention in coordination with all other counties within the same circuit court or with all counties of the same circuit court and all counties of an adjoining circuit court. The county commission or governing body shall approve an ordinance, order, or resolution authorizing a place of detention, shall approve an agreement as specified in this act between the counties, and shall notify the presiding circuit judge. The operation and support of a juvenile detention facility authorized pursuant to this act shall be regulated in accordance with the rules and standards of the Supreme Court of Missouri under the governance of the circuit judge. If two or more counties of adjoining judicial circuits have authorized a place of detention, the circuit judges shall jointly govern the affairs of the place of detention. Furthermore, the counties authorizing a place of detention pursuant to this section may impose, by order, a sales tax up to one percent on all retail sales. This act is identical to SB 809 (2025). TRISTAN BENSON, JR.

SB 1402 - Current law provides a sales tax exemption for certain durable medical equipment as defined on January 1, 1980 by the federal Medicare program. This act removes the reference to January 1, 1980. Additionally, current law provides a sales tax exemption for the sales or rental of manual and powered wheelchairs, including parts. This act applies the exemption to accessories for such wheelchairs. (Section 144.030) This provision is identical to SB 173 (2023) and to a provision in SB 573 (2025), SB 1180 (2024), HCS/HB 1427 (2024), HB 1817 (2024), HCS/SS/SB 143 (2023), and SCS/HCS/HB 154 (2023), and is similar to SB 943 (2022), HB 1864 (2022), and SB 483 (2021), and to a provision in SS/SCS/SB 649 (2022), SB 743 (2022), CCS/HCS/SB 226 (2021). This act also provides a sales tax exemption for sales of class III medical devices that use electric fields for the purposes of treatment of cancer, including components and repair parts and disposable or single patient use supplies required for the use of such supplies. (Section 144.813) This provision is identical to a provision in SB 573 (2025), SB 1180 (2024), HCS/HB 1427 (2024), HB 1817 (2024), SS/SCS/SB 131 (2023), and SCS/HCS/HB 154 (2023), and is substantially similar to SB 943 (2022), HB 1864 (2022), and SB 483 (2021), and to a provision in SS/SCS/SB 649 (2022), SB 743 (2022), CCS/HCS/SB 226 (2021). JOSH NORBERG

SB 1539 - This act establishes the Missouri Guaranteed Inclusive Voluntary Exceptional Service (MO GIVES) Program under the Department of the National Guard (Department). The MO GIVES Program allows members of the Missouri National Guard who choose to become living organ donors to receive living donor medical orders for purposes of remaining on paid status during the living donation period. The Department shall approve a member's participation if sufficient funds are available and the member: (1) Is under Troop Program Unit status or Individual Ready Reserve status; (2) Is in good standing with the Department; (3) Either is not eligible for living donor paid leave from the member's employer or elects not to use any such employer-based benefit available to the member; (4) Specifies the type of donation; and (5) Agrees to undergo the procurement operation at a health care facility approved as a provider of continuing education points for transplant certification by the American Board for Transplant Certification. Upon approval of a member's application, the Department shall issue a living donor medical order, which shall: (1) Guarantee paid leave for the member for the living donation period, which shall not exceed 45 days unless an extension of time is deemed medically necessary by the primary surgical and medical recovery team; (2) Exempt the member from any requirement to use accrued annual or medical leave for the guaranteed paid living donation period; and (3) Provide a per diem allowance and a basic allowance for housing during the guaranteed paid living donation period based on the member's rank, region, and dependent status. This act also establishes the MO GIVES Fund, which consists of moneys used to fund the benefits provided under the MO GIVES Program. This act is identical to HB 2664 (2026). KATIE O'BRIEN