All Roll Calls
Yes: 416 • No: 62
MissouriHB29742026 Regular SessionHouseWALLET
Modifies provisions relating to licensure reciprocity
Sponsored By: Melanie Stinnett (Republican)
Signed by Governor
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
27 provisions identified: 7 benefits, 8 costs, 12 mixed.
Easier Missouri licensing for out-of-state professionals
Eligible professionals can get Missouri education, experience, and exam requirements waived within six months. They must hold a valid license for at least one year in the same occupation and practice level. Missouri must verify their qualifications and can still require a state-law test, fees, bonds, and insurance. Disqualifying criminal records, license problems, and unresolved complaints or investigations can block the waiver. Local licenses, occupations listed in the prevailing-wage exclusion, and specified electrical contractor licenses are excluded. Health care providers licensed this way have full practice rights, including telehealth under Missouri law.
Faster licenses for qualifying service spouses
Qualifying military and law enforcement spouses receive a Missouri reciprocity license within 30 days of application. Missouri must waive repeated education, experience, and exam requirements. Resident and nonresident spouses qualify, but they must meet the other reciprocity requirements and avoid its disqualifying conditions.
Dietitian discipline can end interstate practice
A disciplinary restriction on a dietitian's Home State license ends compact practice privileges in all other member states. All Home State restrictions must be removed before the dietitian can qualify again and reapply in each remote state. Member states can also recover investigation and case costs after adverse action, but only when state law allows it.
Physician assistant discipline blocks interstate practice
Discipline against a physician assistant's qualifying license deactivates compact privileges in all remote states. Privileges stay off until two years after all license restrictions are removed. When reviewing a Missouri qualifying license, Missouri must treat reported conduct from participating states like conduct within Missouri. Missouri law governs its action. Participating states can recover investigation and case costs after adverse action only when their own laws allow it.
Trainer discipline can halt interstate work
Only the issuing state can discipline an athletic trainer's qualifying license. Remote states can fine trainers or remove local practice privileges, following their laws and due process. Adverse action against the qualifying license deactivates compact privileges across all member states while the order is pending. Restoring privileges requires ending restrictions, completing any removal period, paying fines, and meeting the two-year no-restriction rule and compact eligibility standards.
Athletic trainers gain interstate practice with conditions
Athletic trainers can practice across member states with a qualifying license and completed background check. They need active national certification or the approved education-and-exam route, with no license or privilege restrictions in the past two years. Trainers must notify the Commission, pay application and renewal fees, and meet continuing-competence and remote-state law requirements. They must report specified nonmember-state actions within 30 days and follow the law where the patient is located. Privileges renew with the qualifying license; only one license can be designated, without a residence or primary-practice requirement. States must fully implement federal and state background checks, handle complaints, share required data, and enforce compact rules.
Dietitians gain interstate practice with safeguards
The dietitian compact lets eligible dietitians practice across member states using an unrestricted Home State license. Eligibility requires current national dietitian registration or an accredited master's or doctoral degree, 1,000 supervised practice hours, and an approved exam. For the education route, the exam must be within five years before initial licensure, followed by continuous licensure. Applicants must notify the Commission, pay fees, pass required state-law tests, and follow the state's practice laws. States must share licensing and investigation information and implement fingerprint or biometric background checks. Dietitians must report specified nonmember-state actions within 30 days; privileges renew with the Home State license, and only its continuing education applies. Single-state licenses remain available but do not allow practice across member states.
Physician assistants gain compact practice access
Missouri must grant compact practice privileges to physician assistants holding an unrestricted qualifying license from a participating state. Missouri law governs their practice in the state. To participate, Missouri must require license applicants to pass a recognized national exam. It must also implement criminal background checks within the Commission's deadline. The licensing board must receive check results and tell the Commission whether each applicant received a license.
Compact officials gain civil liability protection
Compact officials, staff, and representatives receive protection for covered acts within their Commission duties. Coverage also applies when they reasonably believed the acts fell within those duties. The Commissions must defend them and cover qualifying claims, settlements, or judgments. These protections exclude intentional, willful, or wanton misconduct.
Athletic trainers gain out-of-state conduct protection
Member states cannot discipline athletic trainers for conduct or practice in another member state that was legal there. The protection depends on the law where the conduct occurred at that time.
Compact exits include temporary practice protections
A state terminated from the compact must promptly notify licensees and recognize their privileges for at least six months after notice. A state withdrawing by repeal leaves 180 days after enactment. It must immediately notify licensees and recognize privileges for at least 180 days after that notice. Required investigation and disciplinary reporting continues until withdrawal takes effect.
Military families get compact licensing relief
Under the dietitian compact, active military members and spouses can keep a Home State designation throughout active duty. They must hold a current license in good standing in that state. Under the athletic trainer compact, active military members and spouses do not pay the Commission's privilege fee. Member states can also reduce or waive their own fees, but state fees can still apply.
Physician assistants protected for lawful outside conduct
Missouri cannot deny or discipline a physician assistant's compact privilege because of conduct lawful where it occurred in another state. Missouri also cannot subpoena evidence of that conduct for this purpose.
Seven states activate portable licensing compacts
The dietitian and physician assistant compacts each take effect when the seventh state enacts that compact. No calendar activation dates are specified. Once activated, these compacts and their Commissions continue even if departures or terminations leave fewer than seven states.
Athletic trainers face possible compact charges
The athletic trainer Compact Commission can charge trainers with interstate practice privileges and assess member states annually. These charges can cover its approved budget when other revenue falls short. States can also charge affected trainers for investigations and case costs that result in discipline, when state law allows. The law sets no dollar amounts.
Dietitian compact can charge operating fees
The dietitian compact Commission can charge fees to dietitians with compact practice privileges. It can also collect annual assessments from member states. These charges cover its approved budget when other revenue falls short. State assessments follow a formula set by rule; the law sets no dollar amounts.
Physician assistants can face compact fees
Missouri can charge physician assistants for granting a compact practice privilege, but is not required to do so. The Commission can charge privilege fees and annual state assessments to cover approved budget costs not met by other revenue. An assistant ending one qualifying license and applying through another participating state must notify the Commission and pay any required fee. They must hold a qualifying license in the new application state. The law sets no fee or assessment amounts.
Reciprocity licenses stay within Missouri
A license issued through Missouri's general reciprocity route is valid only in Missouri. It does not qualify the holder for an interstate licensing compact. People licensed through an interstate compact in another state cannot use this Missouri reciprocity route.
Dietitian compact can remove noncompliant states
The dietitian Compact Commission can remove a state that fails to fix violations of compact or rule duties. Other compliance efforts must be exhausted, and a majority of member-state delegates must approve removal. The state still owes assessments and other obligations and liabilities incurred through termination. The Commission does not cover that state's costs unless the parties agree in writing.
Athletic trainers get state-exit transition time
The athletic trainer Commission can remove a state after uncorrected violations, exhausted compliance efforts, and a majority vote of member-state commissioners. After notice to licensees, the state must recognize compact licenses and privileges for at least 180 days. A state can also leave by repealing the compact; withdrawal takes effect 180 days after enactment. It must notify licensees and privilege holders and recognize privileges for at least 180 days after notice. Required investigation and discipline reporting continues for the period before withdrawal takes effect.
Dietitian discipline follows shared state rules
A remote state can discipline a dietitian's interstate practice privilege, following its own due-process rules. Only the home state can discipline the home-state license. The home state must treat reported member-state conduct like local conduct and apply its own law. States can also use another remote state's factual findings, following their own procedures.
Moving dietitians face new licensing steps
Dietitians can use the compact after moving between member states, but must apply for a new Home State license. They must notify both states, pay fees, and complete required fingerprint checks and state-law requirements. They can have only one Home State license, while keeping single-state licenses elsewhere. Those who cannot meet compact standards face the new state's single-state licensing requirements. Moves between member and nonmember states follow the new state's single-state licensing rules.
Physician assistants get state-exit practice protections
The physician assistant Commission can remove a state after uncorrected violations, exhausted compliance efforts, and a majority delegate vote. It can also deny entry or use termination procedures when state constitutional requirements materially depart from the compact. Privileges in a terminated state last 180 days after termination; affected licensees can preserve privileges elsewhere by holding or obtaining a qualifying license in a participating state before that period ends. Voluntary withdrawal takes effect 180 days after repeal; the state must recognize compact licenses for at least 180 days after notice and continue required reporting for earlier events. Licensees from a withdrawing state can preserve privileges elsewhere beyond the transition by holding or obtaining another participating-state license within 180 days.
Athletic trainers get interstate licensing oversight
The law creates an Athletic Trainer Licensure Compact Commission made up of states that enact the compact. Each state's licensing authority must appoint one commissioner within 60 days of joining and fill vacancies within 60 days. Commission rules become law the day after adoption unless they set a later date; state executive and judicial branches must enforce the compact. A court can block a rule where it conflicts with state laws governing athletic trainers' scope of practice. A majority of member-state legislatures can reject a rule or part within four years, ending its force across member states.
Dietitians face binding interstate licensing rules
Dietitian Compact Commission rules have legal force, and states' usual rulemaking requirements do not apply. A court can find a rule conflicts with state laws governing how dietitians practice. A majority of member-state legislatures can reject a rule within four years, ending its force across member states. Later-joining states must follow existing rules and bylaws, and state executive and judicial branches must enforce the compact. The compact overrides conflicting state requirements; nonconflicting requirements remain enforceable.
Licensing records shared with privacy limits
Compact systems collect required license, denial, discipline, investigation, and specified program records; dietitian applicants receive unique IDs. Dietitian and athletic trainer systems share investigation and discipline records among states, allow designated public-access limits, and must remove expunged records. Certified dietitian compact records qualify as authenticated business records with a hearsay exception in member-state proceedings. Missouri must use the physician assistant system, handle complaints, report discipline and significant investigation information, and follow Commission rules. Physician assistant compact states must also share investigation, court, and compliance materials for compact investigations.
Physician assistants face binding compact rules
Physician assistant compact rules bind participating states, override conflicting state requirements, and bypass states' usual rulemaking procedures. Courts can block rules that conflict with state laws defining which medical services physician assistants may perform. Existing rules and bylaws become law when a state joins, and state executive and judicial branches must enforce the compact. Only member states—not individuals or other groups—can enforce the compact against its Commission. Compatible licensing agreements remain valid, including agreements with states outside the compact.
Sponsors & Cosponsors
Sponsor
Melanie Stinnett
Republican • House
Cosponsors
Steve Butz
Democratic • House
Roll Call Votes
House vote • 4/27/2026
House Adopts - SS SCS, as amended
Yes: 109 • No: 29 • Other: 1
House vote • 4/27/2026
Reported Do Pass
Yes: 8 • No: 0
House vote • 4/27/2026
Truly Agreed To and Finally Passed
Yes: 108 • No: 30 • Other: 1
Senate vote • 4/21/2026
Third Read and Passed with Amendments - SA 1, adopted
Yes: 28 • No: 3
House vote • 3/9/2026
Third Read and Passed
Yes: 136 • No: 0
House vote • 2/26/2026
Reported Do Pass
Yes: 6 • No: 0
House vote • 2/4/2026
HCS Reported Do Pass
Yes: 21 • No: 0
Actions Timeline
Delivered to Secretary of State (G)
7/13/2026HouseApproved by Governor (G)
7/13/2026HouseDelivered to Governor
5/28/2026HouseSigned by President Pro Tem
5/28/2026SenateSigned by House Speaker
5/28/2026HouseConstitutional Objection Filed
5/28/2026HouseHouse Message
4/27/2026HouseTruly Agreed To and Finally Passed - AYES: 108 NOES: 30 PRESENT: 1
4/27/2026HouseHouse Adopts - SS SCS, as amended AYES: 109 NOES: 29 PRESENT: 1
4/27/2026HouseTaken Up
4/27/2026HouseReported Do Pass - AYES: 8 NOES: 0 PRESENT: 0
4/27/2026HouseVoted Do Pass
4/27/2026HouseExecutive Session Completed
4/27/2026HouseReferred: Fiscal Review
4/22/2026HouseReported to the House with... - SS, as amended
4/22/2026HouseThird Read and Passed with Amendments - SA 1, adopted AYES: 28 NOES: 3 PRESENT: 0
4/21/2026SenateSS Adopted
4/21/2026SenateSS Offered
4/21/2026SenateTaken Up for Third Reading
4/21/2026SenateReported Do Pass
4/8/2026SenateVoted Do Pass
3/31/2026SenateExecutive Session Held
3/31/2026SenatePublic Hearing Held
3/25/2026SenatePublic Hearing Scheduled - Wednesday, March 25, 2026, 10:00 a.m., Senate Committee Room - 1st Floor
3/25/2026SenateSecond read and referred: Economic and Workforce Development
3/23/2026Senate
Bill Text
Truly Agreed
4/27/2026
Perfected
3/4/2026
Committee Substitute
2/4/2026
Senate Substitute
2/4/2026
Introduced
1/14/2026
Related Bills
HB2885, Requires all proceeds from boating registrations to be deposited in the water patrol division fund and used exclusively for the water patrol division
HB2896, Modifies provisions relating to the governing bodies of certain public institutions of higher education
HB2819, Modifies provisions relating to certain cash transactions requiring rounding to the nearest five cent denomination
HB2586, Revises the par value of membership shares and allows for participation in board meetings by telephone or electronic means
HB2596, Modifies provisions relating to health benefit plans
HB2372, Modifies provisions relating to health care