Report Adult Abuse and Neglect in Missouri

Legislative Watch

Missouri House of Representatives 2025

HB 88 Griffith, Dave
Modifies provisions relating to tort actions based on improper health care. 
Last action: 01/09/2025 – Read Second Time.

HB 98 Ealy, Anthony
Establishes the “Office of State Oversight for Residential Care Facilities”.
Last action: 01/09/2025 – Read Second Time.

HB 139 Lewis, Ed
Adds penalties for violations of provisions relating to compassionate care visits in health care facilities. 
Last action: 01/09/2025 – Read Second Time.

HB 390 Amato, Phil
Creates provisions relating to referrals to long-term care facilities.
Last action: 03/04/2025 – Public Hearing Completed in Health and Mental Health Committee; Next hearing 04/02/2025 or upon adjournment, which is later, in Joint Hearing Room.

HB 392 Hinman, Dave
Modifies provisions relating to advanced practice registered nurses. MCQC supports the removal of any barrier for advance practice registered nurses (APRNs) that limits their ability to provide care to nursing home residents.
Last action: 01/09/2025 – Read Second Time.

HB 453 Mackey, Ian
Establishes the “Marilyn Teitelbaum Death with Dignity Act”.
Last action: 01/09/2025 – Read Second Time.

HB 511 Wilson, Travis
Establishes a dementia services coordinator as a full-time position within the Department of Health and Senior Services.
Last action: 03/10/2025 – Referred to Health and Mental Health Committee; Public Hearing Completed 03/25/25. Next hearing 04/02/2025 or upon adjournment, which is later, in Joint Hearing Room.

HB 598 Crossley, Aaron
Increases the number of inspections of facilities licensed by the Department of Health and Senior Services from once a year to twice a year.
Last action: 01/09/2025 – Read Second Time.

HB 747 Van Schoiack, Dean
Establishes the Designated Health Care Decision-Maker Act, which authorizes certain persons to make health care decisions for certain incapacitated persons.
Last action: 01/09/2025 – Read Second Time.

HB 763 Overcast, Matthew
Modifies provisions relating to advanced practice registered nurses. MCQC supports the removal of any barrier for advance practice registered nurses (APRNs) that limits their ability to provide care to nursing home residents.
Last action: 01/09/2025 – Read Second Time.

HB 789 Collins, Kimberly-Ann
Modifies provisions relating to long-term care facilities requiring disclosure of facility owners, trustees, and companies doing business with the facility and setting staffing levels for assisted living facilities.
Last action: 01/09/2025 – Read Second Time.

HB 815 Van Schoiack, Dean
Modifies provisions relating to long-term care facilities prohibiting rules requiring a prospective employee to be assessed by a physician in order to be employed.
Last action: 03/11/2025 – Voted do Pass in Special Committee on Intergovernmental Affairs. Public Hearing scheduled 04/02/2025 in Senate Lounge.

HB 1298 Jones, Holly
Requires animal control officers and animal humane investigators to be mandated reporters in cases of abuse and neglect of children, the elderly, and other vulnerable persons and to receive training to recognize the signs of abuse or neglect in children, the elderly, and vulnerable persons.
Last action: 03/12/2025 Referred to Rules – Administrative Committee; 03/25/2025 Voted Do Pass.

HB 1335 Ingle, Keri
Establishes the position of dementia services coordinator within the department of health and senior services.
Last action: 03/05/2025 – Referred to Health and Mental Health Committee. Next hearing 04/02/2025 or upon adjournment, which is later, in Joint Hearing Room.

HB 1372 Jamison, Ken
Requires long-term care facilities to maintain liability insurance.
Last action: 02/20/2025 – Read Second Time.

HB 1400 Rush, Tonya
Modifies provisions relating to licensure requirements for home health agencies.
Last action: 03/19/2025 – Referred to Health and Mental Health Committee.

HB 1406 Overcast, Matthew
Modifies provisions relating to the Alzheimer’s state plan task force.
Last action: 02/24/2025 – Read Second Time.

HB 1492 Brown, Chris
Modifies provisions relating to prescriptive authority for advanced practice registered nurses and physician assistants. MCQC supports the removal of any barrier for advance practice registered nurses (APRNs) that limits their ability to provide care to nursing home residents.
Last action: 02/27/2025 – Read Second Time.

Missouri Senate 2025

SB 144 Schroer, Nick
Modifies the scope of practice for advanced practice registered nurses (APRNs). MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents.
Last action: 02/25/2025 Hearing conducted in Emerging Issues and Professional Registration Committee.

SB 164 Schnelting, Adam
Modifies provisions relating to the abuse or neglect of vulnerable persons.
Last action: 01/23/2025 Read Second Time and referred to General Laws Committee.

SB 179 Lewis, Patty
Modifies the scope of practice for advanced practice registered nurses (APRNs). MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents.
Last action: 02/25/2025 Hearing conducted in Emerging Issues and Professional Registration Committee.

SB 356 Black, Rusty
Establishes the Designated Health Care Decision-Maker Act, which authorizes certain persons to make health care decisions for certain incapacitated persons.
Last action: Public Hearing Set Conducted 03/26/25 in Families, Seniors and Health Committee.

SB 410 Fitzwater, Travis
Creates the position of dementia services coordinator within the Department of Health and Senior Services.
Last action: 02/17/2025 Read Second Time and Referred to Families, Seniors and Health Committee.

SB 548 Black, Rusty
Establishes the Designated Health Care Decision-Maker Act, which authorizes certain persons to make health care decisions for certain incapacitated persons.
Last action: 02/27/2025 Read Second Time and Referred to Families, Seniors and Health Committee.

SB 655 Burger, Jamie
Requires animal control officers and animal humane investigators to be mandated reporters in cases of abuse and neglect of children, the elderly, and other vulnerable persons and to receive training to recognize the signs of abuse or neglect in children, the elderly, and vulnerable persons.
Last action: 03/24/2025 Read Second Time and Referred to Families, Seniors and Health Committee.

SB 685 Brown, Justin
Repeals a requirement that home health plans of treatment be reviewed by a physician at least once every six months.
Last action: 03/24/2025 Read Second Time and Referred to Emerging Issues and Professional Registration Committee.

SB 689 Coleman, Mary Elizabeth
Eliminates annual onsite inspections of residential care facilities and assisted living facilities by the Department of Health and Senior Services if they are accredited by another recognized accrediting entity. This act is identical to SB 813 (2024) and SB 685 (2023).
Last action: 03/24/2025 Read Second Time and Referred to Families, Seniors and Health Committee.

SB 694 May, Karla
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.
Last action: 03/24/2025 Read Second Time and Referred to Families, Seniors and Health Committee.

SB 733 Webber, Stephen
Modifies provisions relating to long-term care facilities requiring disclosure of facility owners, trustees, and companies doing business with the facility.
Last action: 03/24/2025 Read Second Time and Referred to Families, Seniors and Health Committee.

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