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MissouriHB2622025 Regular SessionHouseWALLET

Creates provisions relating to alternative therapies for veterans with PTSD and traumatic brain injuries

Sponsored By: Chris Brown (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Therapy funding for eligible Missouri veterans

The law creates a fund to pay providers for prescribed hyperbaric oxygen therapy for eligible Missouri veterans. Veterans must have a PTSD or traumatic brain injury diagnosis, voluntarily agree, and previously seek Veterans Health Administration or available private insurance care. Facilities must give upfront cost estimates, including cognitive testing, and get Missouri Veterans Commission approval before treatment. Treatment requires FDA-approved equipment, licensed practitioners, a written treatment plan, and safety, privacy, clinical, and health-data standards. Payment depends on appropriations and available money; facilities cannot bill veterans for covered therapy. The commission must pay accepted bills within 45 days, up to the amount reserved for that veteran. It may reallocate reserved money when treatment is not scheduled or billed within six months. The fund also supports commission administration and alternative-therapy studies, accepts donations, earns investment income, and keeps unspent money rather than returning it to general revenue.

Access protections for veterans seeking therapy

State officials cannot block hyperbaric oxygen therapy access for veterans who meet the law's eligibility and treatment requirements. Any qualified facility can provide the therapy. Licensing boards cannot discipline practitioners solely for recommending it to veterans. State agencies also cannot act against practitioners' Medicare or Medicaid certification solely for that recommendation. Counseling and recommendations must follow medical standards; therapy can also occur under an institutional review board with a national clinical trial number.

Veterans' therapy reporting and cost recovery

Fund-paid facilities must assess veterans before and after therapy using accepted protocols and report individual and group results. Reports include veterans' demographics, numbers treated, therapy sessions, cognitive test results, and testimonials only when voluntarily provided. Before January 1 each year, the commission must report the previous fiscal year's treatments, provider types, veterans served, outcomes, and spending. The commission must seek repayment from TRICARE, federal agencies including the Veterans Health Administration, and other responsible payers. Recovery efforts must rely on treatment results shown through accepted cognitive tests, brain scans, or other assessments; veterans owe no repayment under this requirement. The law also requires commission rules but declares rules proposed or adopted after August 28, 2025, void. It makes the act and Chapter 536 nonseverable and invalidates the rulemaking grant if a rule is later held unconstitutional.

Sponsors & Cosponsors

Sponsor

  • Chris Brown

    Republican • House

Cosponsors

  • Brian Seitz

    Republican • House

  • Burt Whaley

    Republican • House

  • David Dolan

    Republican • House

  • Mark Boyko

    Democratic • House

  • Matthew Overcast

    Republican • House

  • Ron Fowler

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 223 • No: 1

Senate vote • 5/5/2025

Truly Agreed To and Finally Passed

Yes: 33 • No: 0

House vote • 4/7/2025

Third Read and Passed

Yes: 156 • No: 1

House vote • 4/3/2025

Reported Do Pass

Yes: 8 • No: 0

House vote • 2/25/2025

Reported Do Pass

Yes: 9 • No: 0

House vote • 2/4/2025

Reported Do Pass

Yes: 17 • No: 0

Actions Timeline

  1. Delivered to Secretary of State (G)

    7/14/2025House

  2. Approved by Governor (G)

    7/14/2025House

  3. Delivered to Governor

    5/30/2025House

  4. Signed by President Pro Tem

    5/30/2025Senate

  5. Signed by House Speaker

    5/29/2025House

  6. Senate Message

    5/5/2025Senate

  7. Truly Agreed To and Finally Passed - AYES: 33 NOES: 0 PRESENT: 0

    5/5/2025Senate

  8. Taken Up for Third Reading

    5/5/2025Senate

  9. Reported Do Pass

    5/5/2025Senate

  10. Voted Do Pass

    5/1/2025Senate

  11. Executive Session Held

    5/1/2025Senate

  12. Executive Session Scheduled - Thursday, May 1, 2025, May 1, 2025, 9:35 a.m., Senate Lounge - 3rd Floor

    4/30/2025

  13. Referred: Fiscal Oversight

    4/28/2025Senate

  14. Reported Do Pass

    4/24/2025Senate

  15. Voted Do Pass

    4/16/2025Senate

  16. Executive Session Held

    4/16/2025Senate

  17. Public Hearing Held

    4/16/2025Senate

  18. Public Hearing Scheduled - Wednesday, April 16, 2025, 12:00 p.m., Senate Committee Room 1 - 1st Floor

    4/14/2025Senate

  19. Second read and referred: Veterans and Military Affairs

    4/10/2025Senate

  20. Reported to the Senate and First Read

    4/7/2025Senate

  21. Third Read and Passed - AYES: 156 NOES: 1 PRESENT: 0

    4/7/2025House

  22. Taken Up for Third Reading

    4/7/2025House

  23. Reported Do Pass - AYES: 8 NOES: 0 PRESENT: 0

    4/3/2025House

  24. Voted Do Pass

    4/3/2025House

  25. Executive Session Completed

    4/3/2025House

Bill Text

  • Truly Agreed

    5/5/2025

    PDF

  • Perfected

    3/31/2025

    PDF

  • Introduced

    1/8/2025

    PDF

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