Legislative Session 2025: A Comprehensive Overview
"Explore the key highlights of the 2025 legislative session including leadership changes, significant bills, and political dynamics. Dive into the session's challenges, achievements, and impact on state governance."
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www.MHAnet.com The 2025 Legislative Session Jane Drummond General Counsel and Senior Vice President of Governmental Relations Helping Hospitals Manage Operations | Treat Patients | Serve Communities
www.MHAnet.com How It Ended Republicans have made up their mind what they re going to do here. They re going to destroy the Senate. That s what they re doing. They re going to destroy the Senate. So let s be clear. I am not a person who makes hollow threats. I have never made hollow threats in here. I ve worked with every person in this chamber, but I will guarantee you, I will guarantee you nothing will happen. Nothing. The banner year that everybody had in this place, that is over with. So, to the lobbyists don t even ask. To everybody in this building, don t ask. -- Senate Minority Leader Doug Beck 2
www.MHAnet.com How It Ended Immediately after the measure passed, Senate Republicans used the PQ again to force a vote on HB 567, which repealed the sick leave provisions of Proposition A, passed by the voters in the 2024 general election. On Wednesday, May 14, Senate Republicans invoked a procedural motion to shut off debate and force a vote on HJR 73, which would put a new constitutional measure regulating abortion on the ballot. 3
www.MHAnet.com 2024 Versus 2025 The 2024 legislative session was marked by Republican infighting. Election dynamics played a significant role in Senate dysfunction. The Senate set two separate records for the longest filibuster. The legislature passed only 28 substantive bills a historically low number. The budget process lacked transparency. 4
www.MHAnet.com 2024 Versus 2025 Both the House and Senate elected new leadership in 2025: Sen. Cindy O Laughlin (R- Shelbina) President Pro Tem Sen. Tony Luetkemeyer (R- Parkville) Senate Floor Leader Rep. Jon Patterson (R-Lee s Summit) Speaker of the House Rep. Alex Riley (R-Springfield) House Floor Leader 5
www.MHAnet.com 2024 Versus 2025 In 2025, the Senate spent more time in principled debate and negotiated compromises on several significant pieces of legislation but passed only 51 bills. The 2025 budget process proceeded normally, until the House unexpectedly refused to consider a capital improvements bill containing numerous significant investments in state infrastructure. Tensions between the House and Senate and Senate Republicans and Democrats impacted the passage of bills in the final weeks of session. In both 2024 and 2025, the Senate adjourned before the constitutional deadline. 6
www.MHAnet.com The 2025 Session in Summary Governor Kehoe s agenda was a focal point of the session. He achieved several wins: public safety reform capital gains tax cut private school vouchers budget priorities. His proposal to keep the Chiefs and Royals failed in the Senate. Industry and legislator priorities were largely left behind, including MHA s legislative agenda. 7
www.MHAnet.com Health Care Legislation 8
www.MHAnet.com Workforce/Licensed Professionals STEM Career Awareness (SB 68 and SB 150) Creates the STEM Career Awareness Activity Fund to facilitate STEM educational activities for high school students Career-Tech Certificate Program (SB 150) Reimburses students for the cost of tuition, books and fees for certain training programs, including CNAs, CMTs, Level 1 medication aides, EMTs and paramedics Missouri State Loan Repayment Program (SB 150 and HB 419) Renames and expands the Health Professional Student Loan Repayment Program 9
www.MHAnet.com Workforce/Licensed Professionals Higher Education Core Curricula (SB 150) Requires the Coordinating Board for Higher Education to approve a 60 credit-hour, transferable, common core block for business, psychology, nursing and biology majors Social Workers (SB 150) Expands the educational institutions from which an applicant may receive a degree to be eligible for licensure Licensure Waivers (SB 81 and SB 150) Allows professional licensure boards to waive the licensure process for resident and nonresident spouses of Missouri law enforcement officers who otherwise meet the qualifications for licensure 10
www.MHAnet.com Workforce/Licensed Professionals EMS Recruitment and Retention (HB 419) Provides free college tuition for certain public safety personnel with at least six years of service, including EMTs Criminal Background Checks (SB 71 and SBs 81 & 174) Allows regulating agencies or boards to require fingerprint checks of certain professionals, including EMTs, occupational therapists, perfusionists, podiatrists, chiropractors, dentists, physicians, assistant physicians, anesthesiologist assistants, physical therapists, athletic trainers, physician assistants, respiratory care practitioners, nurses, psychologists, counselors, social workers, pharmacists and providers seeking enrollment as MO HealthNet providers 11
www.MHAnet.com Workforce/Licensed Professionals Prop A Repeal (HB 767, 546, 758 & 958) Repeals mandated sick leave provisions Terminates indexing provisions that provide for future minimum wage increases Requires public employers to comply with minimum wage requirements This Photo by Unknown Author is licensed under CC BY-ND 12
www.MHAnet.com Emergency Services Ambulance Districts (SB 271 and HB 225) Modifies training requirements for ambulance district board members State Advisory Council on EMS (SB 271 and HB 225) Modifies the composition of the council Ambulance District Taxes (SB 271 and HB 594) Increases the tax levy that can be imposed by ambulance and fire districts 13
www.MHAnet.com Emergency Services Creates the offense of interference with a first responder First Responders (HB 225) Expands liability relief for lay persons responding to emergencies Good Samaritan Law (SB 271 and HB 225) This Photo by Unknown Author is licensed under CC BY 14
www.MHAnet.com Healthy Schools Cardiac Response Plans (SB 68) Requires all schools to implement a cardiac emergency response plan for school personnel to respond to cardiac arrests or other life-threatening emergencies on school property Cardiopulmonary Resuscitation (SB 68) Requires school districts to train all employees on CPR Stop the Bleed (SB 68) Requires DESE to develop protocols for schools to follow in the event of a serious injury and outlines requirements for bleeding control kits in schools 15
www.MHAnet.com Healthy Schools Cell phones in schools (SB 68) Requires school districts to develop policies prohibiting the use of cell phones during school hours Recovery High Schools (SB 68) Expands the entities that may establish a recovery high school for students with substance use disorder 16
www.MHAnet.com Women s Health Prenatal Blood Testing (SB 79) Expands the diseases that are tested for during pregnancy and requires additional blood testing for such diseases at the 28th week of pregnancy and immediately after birth Mammograms (SB 79) Repeals requirements to inform patients about dense breast tissue identified during a mammogram Abortion (HJR 73) Proposes a constitutional amendment that would prohibit abortions except in cases of medical emergencies, fetal anomalies, rape or incest and prohibit gender-transition treatment for minors 17
www.MHAnet.com Treatment and Coverage Expedited Partner Therapy (SB 79) Expands the designated sexually transmitted infections for which a physician can engage in expedited partner therapy without a patient/physician relationship Telehealth (SB 79) Redefines telehealth to include audiovisual and audio-only technologies SANE exemptions (SB 79, SB 271 and HB 225) Exempts specialty hospitals from participation in the SANE telehealth network 18
www.MHAnet.com Treatment and Coverage Alternative Therapies for Veterans (HB 262) Creates a fund to reimburse facilities for providing hyperbaric oxygen therapy to veterans diagnosed with PTSD or TBI Medicaid Coverage of Hearing Devices (SB 79) Requires MO HealthNet to cover medically necessary cochlear implants and hearing devices for all beneficiaries Farm Bureau Health Plans Authorizes Farm Bureau to offer health plans that are not regulated as insurance products to its members 19
www.MHAnet.com State-Supported Services Youth Services (SB 43 and HB 737 & 486) Requires the Department of Social Services to establish a comprehensive system of service delivery, education, and residential care for youth with severe behavioral challenges. Treatment Courts (SB 218) Establishes mental health treatment courts 20
www.MHAnet.com Legal Reforms Class Action Reform (SB 47) Changes the procedure for state class actions to largely mirror federal procedure State Loper Bright (SB 221) Modifies the standard of review for agency action, requiring de novo review and requires any doubt be interpreted that limits agency power Newborn Safety Incubators (SB 43 and HB 121) Increases the age at which a newborn may be relinquished to a safety incubator without penalty from 45 to 90 days 21
www.MHAnet.com Medical Records Medical Records (SB 71) Patient records created by an emergency care provider or emergency dispatch must be made available to the patient or the patient s representative on written request This Photo by Unknown Author is licensed under CC BY-NC-ND 22
www.MHAnet.com Awareness Designations (SB 348) Ovarian Cancer Awareness Month (September) Human Trafficking Awareness Week (Second Tuesday of April) Believe in Gianna Day (November 13 Sanfilippo Syndrome) Amyloidosis Awareness Day (May 8) End Neighborhood Gun Violence Day (June 17) 23
www.MHAnet.com Unsuccessful Health Care Legislation Prior Authorization reform Physician licensure reform Notary requirements for civil commitments APRN/CRNA scope of practice 340B non-discrimination Patient boarding Reimbursement for psychiatric transfers Health care decision maker 24
www.MHAnet.com Unsuccessful Health Care Legislation ED staffing Price transparency 340B reporting requirements Honest billing Visitation policies Covenants not to compete 25
www.MHAnet.com Budget Overview Patient Boarding $8.7M for DMH developmentally disabled clients $2M for DMH behavioral health clients $5M for the Nurse Education Incentive Program $25M for enhanced reimbursement for inpatient psychiatric care $1.15M for the Advancing Care for Exceptional (ACE) Kids Program $74.4M for DMH DD waiver slots $550,000 for EMResource 26
www.MHAnet.com What s Next? Laws generally take effect August 28 unless otherwise stated in enacting legislation Gubernatorial action on bills Special Session Democratic resistance? Veto session 27
www.MHAnet.com Questions? 28
