# Missouri HB2010: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Department of Health and Senior Services, and the Missouri Health Facilities Review Committee Missouri HB2010, Appropriates money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Department of Health and Senior Services, and the Missouri Health Facilities Review Committee, is a 2026 Regular Session House bill sponsored by Deaton, Dirk (159); status signed, last action 2026-06-30 (Delivered to Secretary of State (G)); PRIA reads it as touching household money (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/MO-HB2010-2026 - As of: 2026-11-04 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Missouri HB2010 - State: Missouri - Session: 2026 Regular Session - Title: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Department of Health and Senior Services, and the Missouri Health Facilities Review Committee - Status: signed - Chamber: House - Introduced: 2026-01-27 - Last action: 2026-06-30, Delivered to Secretary of State (G) - Sponsor: Deaton, Dirk (159) - Cosponsors: 0 - Touches household money: yes - Roll calls: 7 (499 yes, 72 no in all) - Economic provisions PRIA read: 74 ## Summary No summary available. ## Bill overview: provisions PRIA read - Funding and protections for disability services: benefit, high. For July 1, 2026, through June 30, 2027, the law provides about $2.692 billion for developmental disability community programs. Residential-service spending for people who are not Medicaid-eligible and are assessed as needing those services cannot fall below prior-year spending. It also provides $2… - Medicaid funds support community care choices: benefit, high. For July 1, 2026–June 30, 2027, the law provides about $682.61 million for specified home and community-based services. People eligible for or receiving nursing home care must have the chance to use Medicaid funds for community care. Eligible Personal Care Option participants can choose the program… - Coordinated healthcare for people with disabilities: benefit, medium. The law provides $20.36 million for the Developmental Disabilities Health Home Program in fiscal year 2027. It coordinates care for eligible people with identified health risks and chronic conditions who receive developmental disability home and community services. Participants choose a designated… - Funding for seniors' meals and services: benefit, medium. The law provides $36.58 million for meals through Area Agencies on Aging and $19.53 million in additional agency distributions. At least $500,000 of state general revenue must fund non-Medicaid meals. That amount is divided based on each agency's share of meals served during the prior fiscal year.… - Funding for special healthcare needs services: benefit, medium. The law provides $3.97 million for special healthcare needs programs in fiscal year 2027. Money comes from state revenue, federal funds, and funds for brain injuries and children's special healthcare needs, among other sources. The money supports program services, not a set payment to each person. - Funding HIV care with income eligibility: benefit, medium. The law provides $83.09 million for HIV, sexually transmitted infection, and hepatitis services in fiscal year 2027. This includes the Ryan White program. To qualify for Ryan White services, a person's income must be at or below 300% of the federal poverty level. The appropriation does not set indi… - Home support for seniors and disabled residents: benefit, medium. For fiscal year 2027, the law provides $39.32 million for home and community service grants through Area Agencies on Aging. Up to 10% can shift to meals, and 3% can shift to Section 10.950. It also provides $3.48 million for senior and disability programs whose services cannot be billed to Medicaid… - Newborn screening includes weekends and holidays: benefit, medium. The law funds State Public Health Laboratory operations, including newborn screening on weekends and holidays. Listed state-fund appropriations total about $19.42 million. The provision does not set a household payment or change in screening fees. - Paid family care for Medicaid patients: benefit, medium. The law provides $11 million for a family complex care assistant program. A parent, guardian, family member, or person with a family-like relationship can provide services to a Medicaid enrollee. The caregiver must work for a private duty nursing agency and have approval from the enrollee’s parent… - Support for families caring for dementia: benefit, medium. For fiscal year 2027, the law provides $550,000 for Alzheimer’s support grants, including respite help for caregivers. Another $650,000 funds caregiver training, including home visits aimed at helping people with dementia stay home longer. These funds support services, not set payments to families. - Youth mental health services stay uncapped: benefit, medium. The law provides about $263.84 million for youth psychiatric care and community programs, plus a separate $12.33 million psychiatric appropriation. Youth community psychiatric rehabilitation and certified community behavioral health organization services cannot be capped. The department must reques… - Funding keeps state psychiatric hospitals operating: benefit, medium. The law provides $283.25 million for state inpatient psychiatric hospitals and treatment facilities in fiscal year 2027. Up to 15% can move to specified community services, including help for patients moving to community or other state-operated care. Up to 10% can shift between staff costs and oper… - Funding supports addiction treatment and recovery: benefit, medium. The law provides about $117.45 million for alcohol and drug treatment and $62.78 million for treatment through certified community behavioral health organizations. The latter appropriation allows 15% transfers between specified clinic payment lines and 3% funding flexibility. Recovery Community Cen… - Funding supports adult mental health care: benefit, medium. The law provides about $505.27 million for adult psychiatric care and community programs. A separate adult psychiatric appropriation provides about $101.31 million, while comprehensive psychiatric services receive about $23.22 million. The adult appropriations allow 15% transfers between specified… - Funding supports supplemental nutrition programs: benefit, medium. The law provides $171.64 million in federal funds for supplemental nutrition programs in fiscal year 2027. The money comes through the Department of Health and Senior Services Federal Fund. This appropriation supports the programs but does not specify individual eligibility rules or benefit amounts. - Funding supports testing and infection prevention: benefit, medium. Federal stimulus funds provide about $51.31 million for coronavirus testing, tracing, reporting, and related work, plus $360,783 for preparedness. Another $37.25 million supports COVID-19 testing, vaccines, reporting, and public health workers. About $4.63 million supports advanced laboratory detec… - Eligible immigrants get naturalization assistance funding: benefit, low. The law provides $200,000 for naturalization help through a qualified nonprofit experienced with the eligible population. Assistance serves refugees and legal immigrants who have lived in Missouri for more than five years. They must be unable to attend or benefit from classroom instruction and need… - Facility upgrades support veterans' recovery care: benefit, low. The law provides $250,000 in opioid recovery funds for a veterans' healthcare nonprofit to renovate facilities in fiscal year 2027. The work supports mental healthcare and job training for veterans with opioid use disorder or co-occurring substance-use disorders. The nonprofit must be headquartered… - Funding supports mobile and donated dental care: benefit, low. The law provides $2.72 million for oral health services and initiatives in fiscal year 2027. This includes $655,000 for the Elks Mobile Dental Clinic and $350,000 for the Missouri Donated Dental Services Program. The appropriation supports services but does not set individual eligibility rules or b… - Funding supports tuberous sclerosis patient care: benefit, low. The law provides $450,000 for programs focused on tuberous sclerosis complex. Funds support basic scientific research, clinic-based patient research, or patient care. The law does not set a payment or service amount for each patient. - Help finding breast cancer care statewide: benefit, low. The law provides $500,000 for statewide help finding breast cancer screening and treatment in fiscal year 2027. A statewide community nonprofit must deliver the services. It must have experience helping low- to moderate-income people who need preventive screening or breast cancer treatment. - Money for health department refunds: benefit, low. The law sets aside $401,200 for refunds handled by Missouri’s Department of Health and Senior Services. For refunds using federal and other funds, the department has 50% flexibility between those funding sources. The appropriation does not set individual refund amounts or eligibility rules. - People with ALS get service funding: benefit, low. The law provides $250,000 for a grant program serving people with amyotrophic lateral sclerosis, or ALS. Services include respite care, care coordination, and clinical support. The appropriation does not set an individual service or payment amount. - State mental health facilities fund refunds: benefit, low. The law sets aside $965,500 for refunds owed by state mental health facilities from July 1, 2026, through June 30, 2027. Refunds cover insurance, private-pay charges, license fees, and Medicaid. Refunds used to offset debts remain subject to Missouri’s existing debt-offset law, Section 143.786. The… - Funding for refunds applied to debts: benefit, low. The law provides $50,000 from the Debt Offset Escrow Fund for refunds applied to debts under Missouri’s debt-offset law. This funds those refund payments rather than creating a new refund amount for each person. - Funding for public defender legal help: benefit, low. The law transfers about $51.7 million from the Veterans, Health, and Community Reinvestment Fund to the Public Defender Reinvestment Fund. This supports public defenders under Missouri’s Constitution and includes about $31.7 million in one-time funding. Money left at the end of the two-year budget… - Funding supports vital records and coroners: benefit, low. The law provides about $4.82 million for vital records certification and issuance and final updates to the state's records system. It also funds coroner training through the Missouri Coroners' and Medical Examiners' Association. The provision does not specify an individual fee change. - Brain stimulation equipment prioritizes veterans, responders: benefit, low. The law provides about $6.23 million to put EEG-guided magnetic brain stimulation equipment into use. Priority groups include veterans, law enforcement, and first responders. The appropriation does not set individual eligibility details or patient payments. - Clinic upgrades support local addiction care: benefit, low. The law provides $750,000 in opioid recovery funds for clinic and recovery-housing renovations and expanded telehealth in fiscal year 2027. The recipient must provide outpatient Comprehensive Substance Treatment and Rehabilitation services in a city not within a county. It must have at least 20 yea… - Funding covers Medicaid home care reassessments: benefit, low. The law provides about $3.65 million for reassessments in Medicaid’s home and community-based services program. The money comes from state revenue, federal funds, and the Health Initiatives Fund. This appropriation does not set a new eligibility test or change benefit amounts. - Funding distributes opioid reversal medicines statewide: benefit, low. The law provides $800,000 from the Opioid Addiction Treatment and Recovery Fund for statewide distribution of opioid reversal medicines. Distributed medicines must have Food and Drug Administration approval. The provision does not set individual eligibility or household payments. - Funding keeps disease tracking system running: benefit, low. The law provides $800,000 from the Missouri Public Health Services Fund for the reportable disease tracking system in fiscal year 2027. The money pays for maintenance and the annual subscription. It supports state disease monitoring and response rather than individual benefit payments. - Funding keeps mental health programs operating: benefit, low. For July 1, 2026, through June 30, 2027, the law funds mental health program operations. About $4.14 million supports a multi-year, vendor-hosted electronic health record system for all state mental health hospitals and facilities. Another $18.5 million funds Medicaid payments tied to intergovernme… - Funding mental health crisis and community support: benefit, low. The law provides about $7 million for Missouri's 988 crisis response services in fiscal year 2027. Federal mental health funds and the Missouri Crisis Services Fund supply that money. It also provides $1.45 million for Community Behavioral Health Liaisons and $1.38 million for Youth Behavioral Heal… - Funding newborn safety and child protection: benefit, low. For fiscal year 2027, the law provides $250,000 for newborn safety incubator grants that comply with Section 210.950. Another $250,000 funds SAFE-CARE's regional medical response to child abuse and medical-forensics training. SAFE-CARE funding supports daily review of cases involving children under… - Funding recovery services and peer support: benefit, low. The law provides $7.43 million for Recovery Support Services from July 1, 2026, through June 30, 2027. This includes $1.84 million in opioid recovery funds, $3 million in mental health reinvestment funds, and $2.60 million federally. The federal money supports the Access to Recovery Program. Anothe… - Funding supports adolescent health services: benefit, low. The law provides about $1.85 million for Missouri's Adolescent Health Program. Funding includes $21,228 from General Revenue, $1.83 million in federal funds, and $1,228 from the Health Initiatives Fund. The provision does not set individual benefits or eligibility rules. - Funding supports autism outreach for families: benefit, low. The law provides about $23.22 million for autism outreach, education, awareness, an autism center, and regional projects. It includes autism outreach for children in Northeast Missouri. The funded center must be in a city spanning multiple counties with more than 51,000 but fewer than 58,000 reside… - Funding supports better nursing home care: benefit, low. The law provides $725,000 for nursing home quality efforts and about $1.21 million for technical help through QIPMO. Both amounts come from the Nursing Facility Reimbursement Allowance Fund. Another $4 million from the Nursing Facility Quality of Care Fund supports projects using civil monetary pen… - Funding supports community care for disabilities: benefit, low. The law provides $14 million in outcome-based payments to providers serving Medicaid developmental-disability home and community-based waiver participants. Another $13.45 million funds community support staff in the Division of Developmental Disabilities. Hospitals receive $3 million in annual, pro… - Funding supports court-ordered mental health care: benefit, low. The law provides about $6.10 million for outpatient services to restore a person's ability to take part in court proceedings. Another $2 million funds these services in jails and detention facilities, under Section 552.020, RSMo. Forensic Mobile Teams receive about $2.07 million, limited to 18.50 f… - Funding supports crisis counseling and prevention: benefit, low. The law provides $997,500 to operate MOConnect’s crisis and referral tools, with $498,750 for each. Show Me Hope receives about $3.53 million in federal grants for crisis counseling tied to presidential disaster declarations. Another $853,854 in federal funds supports suicide prevention. The fundin… - Funding supports local public health readiness: benefit, low. The law provides about $18.25 million for local public health agencies and core public health work. That includes $8.40 million from the Children's Health Insurance Program Federal Fund. It reserves $1 million of emergency preparedness funding to help maintain the Poison Control Hotline. Another $3… - Funding supports Missouri minority health programs: benefit, low. The law provides $451,246 for minority health initiatives in fiscal year 2027. The Department of Health and Senior Services' Division of Community and Public Health runs the initiatives. The appropriation does not specify individual eligibility rules or payment amounts. - Funding supports rural care and doctors: benefit, low. The law provides about $13.43 million for rural health and primary care, including the Health Professional Loan Repayment Program. It includes about $2.50 million for graduate medical education development and grants. Another $5 million supports physician training to prevent, diagnose, and manage s… - Funding supports time critical diagnosis services: benefit, low. The law provides $821,060 in state general revenue for the Time Critical Diagnosis Unit. The appropriation supports the unit’s work but does not set individual payments or benefit amounts. - Funding supports tobacco prevention and quitting: benefit, low. The law provides $100,000 in federal funds for tobacco quitting services. It also provides $300,000 from the Merchandising Practices Revolving Fund for tobacco addiction prevention. These provisions do not set individual payments or eligibility rules. - Funding supports treatment for gambling addiction: benefit, low. The law provides $153,606 from the Compulsive Gamblers Fund for gambling addiction treatment through the Department of Mental Health. The money supports treatment services rather than direct household payments. - Funding supports women and maternal health: benefit, low. The law provides $750,000 for universal maternal screening for depression, anxiety, and substance use disorders. It provides about $17.85 million for women's health and wellness. That includes $100,000 for a statewide telehealth network for sexual-offense forensic exams and about $2.06 million for… - Funding to manage developmental disability services: benefit, low. The law provides about $3.3 million in state and federal money to administer developmental disability services. Funding covers no more than 30.12 full-time equivalent positions. The appropriation allows 3% funding flexibility but does not set individual benefit amounts. - Funding to run 988 crisis services: benefit, low. The law provides $41,395 in federal funds for administration of Missouri’s 988 crisis response service. The money supports service operations, not direct payments to households. - Funding treatment for substance-related traffic offenders: benefit, low. The law provides $4.50 million for the Substance Abuse Traffic Offender Program in fiscal year 2027. The money comes from the Mental Health Earnings Fund. This appropriation funds the program but specifies no changes to participant eligibility or fees. - Funding youth and primary-care addiction prevention: benefit, low. For fiscal year 2027, the law provides $1 million in opioid recovery funds for primary-care substance-use prevention. Prevention Resource Centers receive the grants, and each grant must be at least $250,000. It also provides separate one-time youth prevention appropriations of $270,000 and $30,000… - Grants support addiction treatment and recovery: benefit, low. The law provides $3.87 million in Health Reinvestment Fund grants for proven addiction treatment with fewer barriers to care. Grants also support overdose education, housing, counseling, and job placement. Priority goes to applicants serving populations with the highest drug overdose rates. Another… - Local infant death reviews gain independence: benefit, low. A qualifying local fetal and infant death review team can operate independently, with its own institutional review board. It must be an existing nongovernmental team in a city with more than 400,000 people spanning more than one county. Its reviews cover selected ZIP codes. The team must follow Dep… - One-time funding for nursing home staffing: benefit, low. The law provides a one-time $2.65 million for the Nursing Home Staffing Campaign in fiscal year 2027. The campaign works with the federal Centers for Medicare and Medicaid Services to increase the number of nursing home nurses. The money comes from the Nursing Facility Quality of Care Fund. - Opioid reversal drugs reach communities, responders: benefit, low. The law provides $10.1 million in opioid recovery funds for statewide purchase, distribution, and tracking of FDA-approved opioid reversal drugs. This includes $5 million for law enforcement and first responders and a $100,000 fentanyl test-strip pilot for community groups. Funding runs through a p… - Organizations get cardiac emergency planning funds: benefit, low. The law provides $2 million from the Budget Stabilization Fund for cardiac emergency planning and equipment. Organizations can use funding for automated external defibrillators and maintenance, CPR kits or training, first aid training, and educational materials. The appropriation does not create di… - Overdose prevention and round-the-clock recovery referrals: benefit, low. The law provides $1.11 million for opioid overdose prevention through an organization serving a city outside a county and surrounding areas. Another $500,000 supports EPICC's 24/7 referral service, connecting people with recovery support and substance-use treatment in targeted regions. It mainly se… - Recovery high schools receive treatment funding: benefit, low. The law provides about $10.43 million for prevention, treatment, and recovery programs at recovery high schools. The money comes from federal mental health and opioid treatment and recovery funds. It supports student services, not fixed payments per student. - Reinvestment funds support substance use treatment: benefit, low. The law transfers about $40.02 million to the Health Reinvestment Fund for substance use treatment and education, including $20.02 million one-time. It separately authorizes grants from that fund: about $28.51 million to Mental Health and $1.80 million to Corrections. The Mental Health grant includ… - State care facilities receive operating support: benefit, low. The law provides about $4.84 million in federal funds for state hospital operations, repairs, staff training, and Medicare-related needs. It also provides $12.01 million in General Revenue to pay state hospital provider taxes. Another $6.90 million pays provider taxes for state-operated intermediat… - Targeted funding connects residents with care: benefit, low. The law provides $500,000 for a fire department in a city with more than 105,000 but fewer than 125,000 residents. The department must link social work, mental health, and emergency response resources to connect residents with essential services. Another $200,000 funds mental health services at Fed… - Transfers fund care at veterans' homes: benefit, low. The law transfers $13 million from the Missouri Veterans' Health and Care Fund to the Missouri Veterans' Homes Fund. It also transfers about $40.02 million from the Veterans, Health, and Community Reinvestment Fund, including $20.02 million one-time. Both transfers support veterans' health and care… - Housing help for disabled residents and veterans: benefit, low. For July 1, 2026–June 30, 2027, the law funds housing assistance through the Department of Mental Health. It provides about $14.34 million in federal Shelter Plus Care grants, including housing help for homeless veterans. Another $2.5 million from the opioid recovery fund pays for housing liaisons… - Funding for behavioral health training and scholarships: benefit, low. The law provides $1 million from the opioid recovery fund for addiction medicine fellowships. It also provides $250,000 in General Revenue for the Roy Blunt Behavioral Health Scholarship Program. A one-time $228,692 from the Mental Health Earnings Fund supports psychology internships, capped at 5.6… - Health department can use new grants: benefit, low. The health department can receive and spend about $2.60 million in grants, donations, contracts, and payments available between legislative sessions. Sources can include private, federal, and other government agencies. Before using each new fund, the department must notify the General Assembly in w… - Waiver participants face care hour limits: cost, medium. State-funded Independent Living Waiver personal care cannot exceed the 60% cost cap, 49 hours weekly, or 7 hours daily. Aged and Disabled Waiver respite care is limited to 49 hours weekly or 7 hours daily per participant. These rules limit funded care; they do not require participants to buy extra… - Disability service providers face payment limits: cost, low. Covered developmental disability provider rates generally cannot exceed their January 1, 2026 levels. Day habilitation caps per 15 minutes are $10.81 for regular service, $12.30 for behavior, and $12.14 for medical service. Corresponding hourly caps are $43.24, $49.20, and $48.56. Self-directed per… - Home care providers face payment caps: cost, low. Covered home care provider rates generally cannot exceed their January 1, 2025 levels, with listed exceptions. Private Duty Nursing is capped at $15.20 per 15 minutes. Reassessments are capped at $100 each, except for providers enrolled in the Value Based Purchasing Reassessment Program. Medicaid h… - Mental health providers face rate limits: cost, low. Covered mental health provider rates generally cannot exceed their January 1, 2026 levels. Children's qualified residential treatment daily caps are $194.47 for Level II, $239.16 for Level III, and $253.80 for Level IV. Outpatient competency restoration payments cannot exceed actuarially sound pros… - Recovery support providers face rate caps: cost, low. Covered recovery provider rates generally cannot exceed their January 1, 2025 levels. Recovery Support Services caps are $34.46 for individual counseling, $44.57 for recovery housing, and $12.60 for care coordination. Peer support is capped at $22.15, and group rehabilitative support at $4.08. Thes… - New disability waiver slots face limits: mixed, medium. Beginning July 1, 2026, the law bars spending on new developmental disability waiver slots except for listed additions. It allows 50 Crisis Residential Services slots and 27 slots for people leaving nursing homes. It also allows 39 slots for children leaving DSS Children's Division-funded waiver sl… - Personal care funding carries payment cap: mixed, medium. The law provides about $723.66 million for consumer-directed personal care, including provider payments tied to value-based initiatives. The service rate cannot exceed 60% of the average monthly Medicaid cost of nursing facility care. This caps state-funded service payments; it does not set a house… ## Sponsors and cosponsors - Sponsor: Deaton, Dirk (159) ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-06 | Senate | Senate Adopts Conference Committee Report | pass | 25 | 5 | | | 2026-05-06 | Senate | Truly Agreed To and Finally Passed | pass | 27 | 5 | | | 2026-05-06 | House | House Adopts Conference Committee Report | pass | 133 | 17 | 1 | | 2026-05-06 | House | Third Read and Passed | pass | 132 | 17 | 1 | | 2026-04-22 | Senate | Third Read and Passed | pass | 20 | 10 | | | 2026-03-26 | House | Third Read and Passed with Amendments - HPA 1, adopted | pass | 132 | 17 | 2 | | 2026-03-12 | House | HCS Reported Do Pass - with a time limit of five and a half hours of debate on Perfection pursuant to Rule 24(4)(d) | pass | 30 | 1 | | ## Actions (57) - 2026-06-30: Delivered to Secretary of State (G) (House) - 2026-06-30: Vetoed in Part by Governor (G) (House) - 2026-05-28: Delivered to Governor (House) - 2026-05-28: Signed by President Pro Tem (Senate) - 2026-05-28: Signed by House Speaker (House) - 2026-05-07: Senate Message (Senate) - 2026-05-06: Truly Agreed To and Finally Passed - AYES: 27 NOES: 5 PRESENT: 0 (Senate) - 2026-05-06: Senate Adopts Conference Committee Report - AYES: 25 NOES: 5 PRESENT: 0 (Senate) - 2026-05-06: Senate Submits Conference Committee Report (Senate) - 2026-05-06: House Message (House) - 2026-05-06: Third Read and Passed - AYES: 132 NOES: 17 PRESENT: 1 (House) - 2026-05-06: House Adopts Conference Committee Report - AYES: 133 NOES: 17 PRESENT: 1 (House) - 2026-05-06: House Submits Conference Committee Report (House) - 2026-05-05: House Distributes Conference Committee Report (House) - 2026-04-28: Senate Message (Senate) - 2026-04-28: Senate Conference Committee Appointed - SENATORS BLACK, HUDSON, CIERPIOT, MAY, NURRENBERN (Senate) - 2026-04-27: House Message (House) - 2026-04-27: House Conference Committee Appointed - REPRESENTATIVES DEATON, DAVIDSON, CHAPPELL, FOGLE, STRICKLER (House) - 2026-04-23: Senate Message (Senate) - 2026-04-23: Senate Refuses to Recede, Grants Conference (Senate) - 2026-04-23: House Message (House) - 2026-04-23: House Refuses to Adopt, Requests Senate to Recede or Grant Conference (House) - 2026-04-23: Taken Up (House) - 2026-04-23: Reported to the House with... - SS SCS (House) - 2026-04-22: Third Read and Passed - AYES: 20 NOES: 10 PRESENT: 0 (Senate) - 2026-04-22: SS Adopted (Senate) - 2026-04-22: SS Offered (Senate) - 2026-04-22: Taken Up for Third Reading (Senate) - 2026-04-20: SCS Reported Do Pass (Senate) - 2026-04-15: SCS Voted Do Pass (Senate) - 2026-04-15: Executive Session Held (Senate) - 2026-04-15: Public Hearing Held (Senate) - 2026-04-09: Public Hearing Scheduled - CANCELLED: Friday, April 17, 2026, 8:30 a.m., Senate Committee Room 2 - 1st Floor (Senate) - 2026-04-09: Public Hearing Scheduled - CANCELLED: Thursday, April 16, 2026, 8:30 a.m., Senate Committee Room 2 - 1st Floor (Senate) - 2026-04-09: Public Hearing Scheduled - AMENDED: Wednesday, April 15, 2026, 9:30 a.m., Senate Committee Room 1 - 1st Floor (Senate) - 2026-04-09: Public Hearing Scheduled - Tuesday, April 14, 2026, 8:30 a.m., Senate Committee Room 2 - 1st Floor (Senate) - 2026-03-31: Second read and referred: Appropriations (Senate) - 2026-03-30: Reported to the Senate and First Read (Senate) - 2026-03-26: Third Read and Passed with Amendments - HPA 1, adopted AYES: 132 NOES: 17 PRESENT: 2 (House) - 2026-03-26: Taken Up for Third Reading (House) - 2026-03-24: Perfected with Amendments - HA 1, HA 2, HA 3, HA 4, HA 5, HA 6, HA 7, HA 8, HA 9, HA 10, HA 11, HA 12 , HA 13, HA 14, HA 15, HA 16, HA 17 (House) - 2026-03-24: HCS Adopted (House) - 2026-03-24: Taken Up (House) - 2026-03-24: Laid Over - HA 2, HA 3, HA 4, HA 5, HA 6, HA 7, HA 8, HA 9, HA 10, HA 11, HA 12, HA 13, HA 14, HA 15, HA 16, HA 17, adopted (House) - 2026-03-24: Taken Up (House) - 2026-03-24: Laid Over - HA 1, adopted (House) - 2026-03-24: Taken Up (House) - 2026-03-23: Laid Over (House) - 2026-03-23: Title of Bill - Agreed To (House) - 2026-03-23: Taken Up for Perfection (House) - 2026-03-12: HCS Reported Do Pass - with a time limit of five and a half hours of debate on Perfection pursuant to Rule 24(4)(d) AYES: 30 NOES: 1 PRESENT: 0 (House) - 2026-03-11: HCS Voted Do Pass (House) - 2026-03-11: Executive Session Completed (House) - 2026-02-11: Public Hearing Completed (House) - 2026-01-28: Referred: Budget (House) - 2026-01-28: Read Second Time (House) - 2026-01-27: Introduced and Read First Time (House) ## Bill text - Truly Agreed, 2026-05-06: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.06T.pdf) - Perfected, 2026-03-24: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.03P.pdf), [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.03D.pdf) - Committee Substitute, 2026-03-12: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010S.04C.pdf), [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.03C.pdf) - Senate Substitute, 2026-03-12: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.06S.pdf), [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010S.05F.pdf) - Introduced, 2026-01-27: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.01I.pdf) ## Related bills - HB1871: Modifies provisions relating to elections (signed) - HB1867: Authorizes Joplin to increase a transient guest tax for tourism to no more than six percent upon a vote of the people (signed) - HB1827: Adds licensed occupational therapists to the definition of "other authorized health care practitioner" for purposes of physician's statements required for disa… (signed) - HB1840: Establishes an alert system to assist in the location of missing persons with developmental disabilities (signed) - HB1825: Removes the prosecuting attorney and the sheriff from the county salary commission (signed) - SB1408: Increases the maximum speed limit from 70 to 75 miles per hour on rural interstates and freeways (signed) ## Sources - [Truly Agreed (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.06T.pdf) - [Perfected (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.03P.pdf) - [Perfected (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.03D.pdf) - [Committee Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010S.04C.pdf) - [Committee Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.03C.pdf) - [Senate Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.06S.pdf) - [Senate Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010S.05F.pdf) - [Introduced (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/2010H.01I.pdf) ## Related - [HB1871: Modifies provisions relating to elections](https://policyrisk.com/state-bill/MO-HB1871-2026) - [HB1867: Authorizes Joplin to increase a transient guest tax for tourism to no more than…](https://policyrisk.com/state-bill/MO-HB1867-2026) - [HB1827: Adds licensed occupational therapists to the definition of "other authorized he…](https://policyrisk.com/state-bill/MO-HB1827-2026) - [HB1840: Establishes an alert system to assist in the location of missing persons with d…](https://policyrisk.com/state-bill/MO-HB1840-2026) - [HB1825: Removes the prosecuting attorney and the sheriff from the county salary commiss…](https://policyrisk.com/state-bill/MO-HB1825-2026) - [SB1408: Increases the maximum speed limit from 70 to 75 miles per hour on rural interst…](https://policyrisk.com/state-bill/MO-SB1408-2026) - [Missouri bills](https://policyrisk.com/states/missouri/bills) - [Missouri state hub](https://policyrisk.com/states/missouri) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MO-HB2010-2026 (as of 2026-11-04).