Missouri Senate Bills

SCS/SB 1484 - This act modifies provisions relating to public contracts. Current law allows the Commissioner of Administration to contract directly with other governmental entities for the purchase of supplies. This act additionally allows the Commissioner to contract with nonprofit entities for the purchase of supplies. Current law provides procedures for how a political subdivision may enter into a contract for a design-build project. This act establishes procedures for political subdivisions to enter into progressive design-build contracts. A progressive design-build project is one in which the design, construction, alteration, addition, remodeling, or improvement of any buildings or facilities is under one, progressive contract with a political subdivision, including civil works projects, such as roads, streets, bridges, utilities, airport runways and taxiways, storm drainage and flood control projects, or transit projects and noncivil works projects, such as buildings, site improvements, and other structures, habitable or not, commonly designed by architects. Progressive design-build projects are subject to many of the same requirements as are currently applicable to design-build projects except that it is a two-step process rather than a three-step process. Phase I shall consist of the solicitation and evaluation of qualifications of design-builders. Phase II shall consist of the solicitation and evaluation of proposals describing the design-builder's approach to design development, pre-construction services and construction of the project. The political subdivision shall have discretion to disqualify any design-builder who, in the political subdivision's opinion, lacks the minimum qualifications required to perform the work. The provisions of this act relating to progressive design-build projects expire on August 28, 2036. This act is substantially similar to the truly agreed to SCS/HCS/HB 2474 (2026), HB 2899 (2026), and certain provisions in SCS/HB 3000 (2026). SCOTT SVAGERA

SCS/SB 1249 - This act provides that the Director of the Department of Public Safety shall have cause to deny any application for a peace officer license or entrance into a basic training course when the applicant previously had a peace officer license or certification revoked or surrendered or when the applicant is not a citizen of the United States. This act is similar to HB 981 (2025). TRISTAN BENSON, JR.

SB 1104 - This act specifies that drivers shall stop at railroad crossings for "any on-track equipment" in addition to trains. This act is identical to HB 2246 (2026), HB 3318 (2026), SB 254 (2025), and provisions in SCS/HCS/HB 572 (2025), HB 671 (2025), SB 1299 (2024), and HB 2636 (2024). TAYLOR MIDDLETON

SB 1030 - This act prohibits all state departments and agencies from enforcing any rule or regulation promulgated by any federal agency until the rule or regulation has first been approved by the Missouri General Assembly. This act is identical to SB 771 (2025), SB 1141 (2024), SB 358 (2023), SB 956 (2022), SB 426 (2021) and HB 2339 (2020). JIM ERTLE

SS/SB 889 - This act repeals a number of expired, terminated, sunset, and obsolete statutes and references to such statutes contained in another statutes. Many provisions of this act are identical to HRB 1 (2024) which is a bill prepared by the Joint Committee on Legislative Research as required by current law. These provisions are similar to SCS/SB 757 (2025). The act additionally repeals the Missouri Economic Diversification and Afforestation Act of 1990. These provisions are identical to SB 790 (2025). Currently, a local board of education for a school district shall establish a written policy of discipline that includes the district's determination on the use of corporal punishment. This act repeals the provisions on the use of corporal punishment. Further, the act repeals a provision of current law that states that spanking, when administered by certified school personnel and in the presence of a school district employee, is not considered child abuse. Further, this act repeals a number of provisions of law concerning the acquisition of one insurance company by another, the payment of dividends by insurance companies, required deposits by life insurance companies; assessment plan life insurance and stipulated premium plan life insurance, mutual insurance companies other than for life and fire, and required cash reserves for reciprocal or interinsurance exchanges. JIM ERTLE

SS#3/SB 1062 - This act requires the Commissioner of Administration, prior to awarding any contract in an amount of $20 million or more, to obtain the consent of both the chair of the house budget committee and the chair of the senate appropriations committee. Under this act, the Missouri Commission for the Deaf and Hard of Hearing shall establish a statewide communication access services program to improve compliance with the federal Americans with Disabilities Act for agencies and businesses by coordinating resources, filling service gaps, and assisting with costs related to accommodations. The Commission shall develop a statewide registry of service providers, establish training and equipment standards, maintain an informational website, provide training, conduct outreach, and submit an annual report to the Governor and General Assembly, as described in the act. The Commission shall also, subject to appropriation, finance requests for assistance in providing communication access services and administer scholarships for professional development, internships, and certification testing. This provision is identical to SB 1637 (2026) and similar to SB 766 (2025). This act creates the "Charity Act" and the "Charity" program. The act requires the Department of Social Services to coordinate with various state agencies and a partner network to assist participants in achieving personal goals, self-sufficiency, community integration, and a prosperous future. Participation in the Charity program is limited to legal residents who are 18 years of age or older, except as otherwise provided in the act. State departments and agencies are required to participate in the Charity program at the direction of the Governor. In order to use government resources more effectively and efficiently, participating state departments and agencies shall use existing resources and personnel, to the extent possible, to operate the Charity program. This provision is substantially similar to SB 1803 (2026). SARAH HASKINS

SS/SB 1032 - Current law authorizes a taxpayer to claim a $1,200 exemption for each dependent for whom such taxpayer is entitled to a dependency exemption for federal tax purposes, provided such federal exemption is not equal to $0. This act authorizes a taxpayer to claim a $2,400 exemption during the tax year in which a taxpayer gives birth to or adopts a child for which the taxpayer is entitled to a dependency exemption for federal tax purposes, regardless of whether the federal exemption is equal to $0. This act is substantially similar to SB 371 (2025), SB 1225 (2024), HB 457 (2023) and SB 12 (2022 First Extraordinary Session), and to a provision in SS/SCS/SB 133 (2023), as amended. JOSH NORBERG

SB 968 - Under this act, no pharmacy benefits manager shall prohibit or limit a covered person from selecting a pharmacy or pharmacist of their choice or impose a monetary advantage or penalty that would affect a covered person's choice if a pharmacy or pharmacist has agreed to participate in a covered person's health benefit plan. A pharmacy benefits manager shall not impose upon a pharmacy or pharmacist any course of study, accreditation, certification, or credentialing as a condition of participation that is inconsistent with, more stringent than, or in addition to what is required under state law. Additionally, a pharmacy benefits manager shall not pay or reimburse a pharmacy or pharmacist for an amount less than the most recently published National Average Drug Acquisition Cost (NADAC) for a prescription drug. This act requires a pharmacy benefits manager to reimburse pharmacies for a drug at an amount that is the greater of the maximum allowable cost (MAC) pricing or the current NADAC pricing. Additionally, no pharmacy benefits manager shall retaliate against a contracted pharmacy for exercising its right to appeal a reimbursement dispute to the pharmacy benefits manager. A pharmacy benefits manager shall reimburse any pharmacist or pharmacy located in this state for an amount equal to what the pharmacy benefits manager reimburses a pharmacy benefits manager affiliate for dispensing the same prescription drug. Finally, in addition to the reimbursement amounts determined by the MAC and NADAC, a pharmacy benefits manager shall reimburse a pharmacy or pharmacist a dispensing fee no less than 90% of the MO HealthNet professional dispensing fee in effect on the date of service. This act is similar to HB 1975 (2026). TAYLOR MIDDLETON

SB 1634 - This act adds licensed occupational therapists to the definition of "other authorized health care practitioner" for purposes of the physician's statement required for issuance of a disabled license plate or placard. This act is identical to SB 616 (2025). TAYLOR MIDDLETON

SCS/SB 1607 - This act modifies the professional sports teams for which a person can receive a special license plate to include the National Women's Soccer League and the Women's National Basketball Association. The Kansas City Current shall forward all emblem-use fees received, less an amount not in excess of five percent of the costs of administration to the Kansas City Current Foundation or a team designated nonprofit that benefits youth in the Kansas City area. This act is identical to provisions in the perfected SB 1477 (2026), and similar to HB 2446 (2026), HB 3273 (2026), and HB 3325 (2026). TAYLOR MIDDLETON

SB 1503 - Currently, the first $2 million of fees collected for watercraft certification shall be deposited into the state general revenue fund. All fees in excess of $2 million are deposited into the Water Patrol Division Fund. Under this act, all fees collected on or after August 28, 2026, shall be deposited in the Water Patrol Division Fund and shall be used exclusively for the Water Patrol Division. This act is similar to provisions contained in the truly agreed to and finally passed HB 2885 (2026). TAYLOR MIDDLETON

SB 1080 - Currently, the state highway patrol must receive a specific appropriation from the General Assembly for any single vehicle purchase in excess of $100,000. This act increases the threshold to $500,000. This act is identical to HB 1786 (2026), and to a provision contained in HS/HCS/HBs 3068 & 3049 (2026). TRISTAN BENSON, JR.

SS#2/SB 1233 - This act modifies provisions relating to the licensing of certain professionals. 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). 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 SB 1092 (2026), SB 1417 (2026), HB 1963 (2026), SB 479 (2025), and SB 563 (2025) and is substantially similar to HB 886 (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, 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 SB 1405 (2026), 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 the perfected HB 2591 (2026). 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

SJR 96 - This constitutional amendment, if approved by the voters, prohibits any taxes from being imposed on any unrealized gains accrued on any asset prior to the sale of such asset. This amendment is identical to SJR 53 (2025). JOSH NORBERG

SCS/SJRs 68 & 96 - This constitutional amendment, if approved by the voters, prohibits any taxes from being imposed on any unrealized gains accrued on any asset prior to the sale of such asset. This amendment is identical to SJR 53 (2025). JOSH NORBERG

SCR 11 - This concurrent resolution urges the Missouri Congressional delegation to uphold the principles of federalism with regard to the ability of states to govern their election processes and enact policies regarding campaign finance and election influence. JIM ERTLE

SB 853 - Current law requires a county assessor to provide notification to a taxpayer by no later than June 15 if the assessor increases the taxpayer's real property valuation. This act requires such notice to be provided by no later than June 1. (Section 137.180) Additionally, current law requires a taxpayer to file an appeal of the taxpayer's assessed valuation by no later than the second Monday in July. This act requires such appeal to be filed by no later than the first Monday in August. (Sections 137.275 to 138.180) JOSH NORBERG

SB 1620 - This act allows vendors to round the total amount due on a cash transaction, including sales tax, to the nearest five cent increment. Rounding shall not be allowable for any credit, debit, or other noncash transactions. This act is substantially similar to HCS/HB 2819 (2026). JOSH NORBERG

SB 1587 - Currently, Franklin County, located in the 20th Judicial District, has three associate circuit judges per the statutory formula. This act provides for an additional associate circuit judge for Franklin County to be appointed by the Governor until January 1, 2029, and elected thereafter. This act is identical to a provision in SCS/HB 1625 (2026) and is substantially similar to a provision in HCS/SB 945 (2026), in HCS/SB 1067 (2206), HB 2386 (2026), and in HCS/HBs 2968, 2427 & 3086 (2026). KATIE O'BRIEN

SB 1425 - Current law authorizes a tax credit for a 10-year period for business headquarters that commence operations in this state on or before December 31, 2030. This act extends such date to December 31, 2040. This act is identical to HB 3095 (2026). JOSH NORBERG

SB 1250 - Under this act, spousal maintenance shall terminated upon the payor reaching full retirement age, as defined in the act, unless otherwise agreed to by both parties. The payor shall provide the payee reasonable notice in advance of retirement and six months notice shall be presumed to be reasonable. SARAH HASKINS

SB 1244 - This act requires a state agency to refer to Judea and Samaria in any official government material and to not use the term "West Bank". A state agency shall not use state moneys to create any official government material that refers to Judea and Samaria as "West Bank". The act authorizes the director of a state agency to waive the provisions of the act if it is in the best interests of the state and notice is provided to the President Pro Tem of the Senate and the Speaker of the House of Representatives. JIM ERTLE

SB 1082 - Current law authorizes a tax credit for donations of cash or food to local food pantries, local soup kitchens, and local homeless shelters in an amount equal to fifty percent of the value of the donation. For all tax years beginning on or after January 1, 2026, this act also authorizes a tax credit for donations of cash or food to local food banks, as defined in the act, and increases the tax credit amount to seventy percent of the value of the donation. Additionally, the total amount of tax credits that may be authorized in a fiscal year shall not exceed $1.75 million. This act increases such amount to $3.5 million. Finally, the act extends the sunset date from December 31, 2026, to December 31, 2032, unless reauthorized by the General Assembly. This act is substantially similar to HCS/HBs 2461, 2457 & 1782 (2026) and to a provision in SCS/SB 1547 (2026), and is similar to a provision in CCS/HCS/SB 994 (2026). JOSH NORBERG

SB 1079 - Current law authorizes a tax credit for certain motion media production projects, with $8 million per year allowed for film production, and $8 million per year allowed for series production. This act provides that, for all tax years beginning on or after January 1, 2027, a total of $16 million per year may be authorized with no specific limits for either film or series production. Additionally, the tax credit is scheduled to sunset on December 31, 2029. This act extends such date to December 31, 2035. This act is identical to HB 2196 (2026) and is substantially similar to HCS/HBs 2142 & 2058 (2026). JOSH NORBERG

SB 1005 - Under the act, any pesticide registered by certain federal agencies or a pesticide label consistent with certain federal pesticide labeling requirements shall satisfy any warning label requirement regarding cancer under any other provision of current law. Nothing in this act shall be construed to grant full immunity from liability to pesticide manufacturers in the state. The act is identical to HB 2712 (2026), and similar to SB 14 (2025), SCS/SB 1416 (2024), HCS/HB 2763 (2024), SCS/HCS/HB 1116 (2025), HB 544 (2025). JULIA SHEVELEVA

SB 848 - This act repeals a provision of current law prohibiting the establishment of a state-based health benefit exchange under certain circumstances. This act is identical to provisions in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), HB 3136 (2026), HCS/SS/SB 889 (2026), and HCS/SS/SCS/SB 890 (2026). TAYLOR MIDDLETON

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 1617 - This act establishes the "Accountability for Low-Earning Outcome Degrees in Higher Education Act of 2026", which requires the Coordinating Board for Higher Education to adopt rules prohibiting state funds from being allocated or expended for academic degree programs that satisfy the definition of a low-earning outcome program under federal law. The restricted funding categories include, but are not limited to, student financial aid, base operational funding, separately appropriated aid or grants, and capital or facilities funding. The Coordinating Board for Higher Education shall annually review updated federal determinations of low-earning outcome programs and adopt rules in accordance with the act. Additionally, the Coordinating Board for Higher Education shall submit an annual and publicly available report to the General Assembly documenting the programs prohibited from receiving state aid, the enforcement of such prohibitions, and the estimated fiscal impact due to the prohibitions. OLIVIA SHANNON

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

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 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 1370 - This act modifies the "Workforce Diploma Program" and establishes provisions regarding adult eligibility for virtual school courses and programs. Under this act, an adult student may enroll in any state-approved virtual course or full-time virtual program offered by a school district or a public institution of higher education. Adult students are also eligible to enroll in the Missouri Course Access and Virtual School Program. An "adult student" is defined as a Missouri resident over 21 years of age who has not yet earned a high school diploma but is within 12 academic credits or 2 school years of achieving such a diploma. An adult virtual program shall be entitled to a monthly allocation of state aid for adult students in an amount equal to 14% of the state adequacy target per completed course. However, an adult virtual program shall not be entitled to a school district's ordinary school revenue, including local effort revenue, and any state aid allocated to an adult virtual program shall not count toward the constitutional minimum amount of state aid required for the establishment of free public schools in this state. The total amount of funding provided for an adult student enrolled in a virtual program shall not exceed the state adequacy target. No school district with an adult student enrolled in an adult virtual program shall be required to report such adult student's information for purposes of annual performance reports or as required for full-time, school-age virtual students under current law. (Section 161.672) The act modifies the "Workforce Diploma Program" by repealing current requirements relating to funding, the qualification process for program providers, and program performance standards, as well as repealing the "Workforce Diploma Program Fund" and the sunset on such program. Rather than being subject to these repealed provisions, a program provider through the Workforce Diploma Program shall be authorized under the act's provisions regarding adult eligibility for virtual school courses and programs. (Section 173.831) This act is substantially similar to HCS/HB 3239 (2026), and is similar to SA#4 to SS/HCS/HBs 2097 & 1905 (2026), HCS/HB 1516 (2025), and to provisions in SCS/SB 1207 (2026), HCS/SS/SB 1196 (2026), and in SS/SCS/HB 2896 (2026). OLIVIA SHANNON

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 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

SB 1051 - This act requires all public schools, school districts, and public institutions of postsecondary education to treat discrimination motivated by antisemitism, as such term is defined in the act, in an identical manner to racially motivated discrimination. Schools and institutions shall include antisemitism-related conduct and penalties in their codes of conduct for students, faculty, and employees, as provided in the act, and shall prohibit behaviors that disrupt normal educational activity or create fear or intimidation. Criticism of Israel comparable to that of other countries shall not be considered antisemitism. The act shall not be construed to infringe on First Amendment rights or conflict with existing discrimination laws. The act further provides that no public school or public institution of postsecondary education shall discriminate because of race, ethnicity, national origin, sex, disability, religion, or marital status in any program, admission, class, or service, including counseling and financial aid. While specialized programs, such as programs for gifted or disabled students, are allowed, equal access shall otherwise be maintained. To ensure compliance, each educational institution shall report incidents and complaints of antisemitism to the appropriate Title VI coordinator at either the Department of Elementary and Secondary Education (DESE) or the Department of Higher Education and Workforce Development (DHEWD). If an educational institution fails to resolve issues within 30 days after being notified, the coordinator may escalate the matter to federal authorities. An annual report of these activities shall be submitted to the General Assembly by July 1 each year. This act is similar to SS/HB 2061 (2026), HB 2393 (2026), HB 746 (2025), and provisions in HCS/SS/SB 38 (2025) and in HCS/HB 937 (2025). OLIVIA SHANNON

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. The act is identical to HB 2717 (2026). JULIA SHEVELEVA

SB 1021 - This act modifies provisions relating to the Division of Finance. This act creates the Consumer Licensing Fund. The fund is to consist of those fees charged for licensure by the Division of Finance. The fund is to be used for all costs incurred by the Director of the Division in administering the provisions of law assigned to the Division. The act additionally modifies the fees charged for various entities regulated by the Division, including entities applying for licensure in the areas of earned wage access services, financing institutions, premium finance companies, sales finance companies, entities engaged in small loans, credit service organizations, and consumer legal funding companies. At the time of filing an application for licensure as one of the aforementioned entities, the applicant shall pay a licensing fee, to be determined by the Director from time to time, not to exceed $5,000 and a fee for each additional location where such applicant conducts business, to be determined by the Director from time to time, not to exceed $1,000. Applicants who have not exceeded 100 active accounts at any point in the previous licensing year, shall pay a licensing fee, to be determined by the Director from time to time, not to exceed $1,000 and a fee for each additional location where such applicant conducts business, to be determined by the Director from time to time, not to exceed $1,000. All license fees paid pursuant to this act shall be credited to the Consumer Licensing Fund. Several entities regulated by the Division of Finance are required by current law to register with the Division and pay a fee upon doing so. This act changes the terminology for such entities to require instead to be "licensed." This change applies to entities applying for licensure in the areas of earned wage access services, financing institutions, premium finance companies, sales finance companies, entities engaged in small loans, credit service organizations, and consumer legal funding companies. The act increases from $400 to $1,000 the fee that the Division may charge a credit service organization for filing a registration statement. This act is substantially similar to the truly agreed to SS/HB 2423 (2026). SCOTT SVAGERA

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/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 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 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

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 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) and to a provision in SCS/HCS/HB 1790 (2026) and HCS/HB 2431 (2026). JOSH NORBERG

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

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 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

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.

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. This act is substantially similar to HCS/HB 3080 (2026). 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 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.

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 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

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 substantially similar to SB 1474 (2026), similar to HCS/HBs 1746 & 1769 (2026), has a provision similar to a provision in SS#2/SCS/SB 1012 (2026). JULIA SHEVELEVA

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 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 HB 1760 (2026) and SB 173 (2023), and to a provision in SCS/HCS/HB 1883 (2026), 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 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 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 897 - This act provides that health care providers shall not be required to obtain prior authorization for a health care service unless the health carrier or utilization review entity determines that in the most recent evaluation period, as defined in the act, less than 90% of the prior authorization requests submitted by that provider for that health care service were approved or would have been approved. Additionally, health care providers shall not be required to obtain prior authorization for any health care services unless the health carrier or utilization review entity has approved or would have approved less than 90% of all prior authorization requests submitted by that provider for health care services. Health carriers and utilization review entities shall notify providers within 25 days after a determination is made under the act, shall include in the notification certain information used in making the determination, shall establish an appeals process for the providers, and shall maintain an online prior authorization portal as described in the act. No health carrier or utilization review entity shall deny or reduce payment to a health care provider for a health care service for which the provider has prior authorization, except as described in the act. This act shall not apply to MO HealthNet services not provided through a managed care organization, or to providers who have not participated in a health benefit plan offered by the health carrier for at least one full evaluation period. This act is identical to HB 1675 (2026), substantially similar to HB 618 (2025) and to provisions in HCS/SB 94 (2025), and is similar to SB 846 (2026), SB 841 (2026), HCS/HB 3010 (2026), SB 230 (2025), SB 983 (2024), HB 1976 (2024), SB 576 (2023), and HB 1045 (2023). TAYLOR MIDDLETON