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Missouri Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

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Date State Bill No. Title Outcome
April 2, 2026 MO HB 2355 Requires the Department of Social Services to Request Federal Nutritional Support for Medicaid Recipients with Nutrition-Related Chronic Diseases Bill Passed - House (128 - 18)
May 9, 2025 MO SB 43 Amends Laws to Expand Protections for Children, Survivors of Abuse, and Crime Victims Concurrence Vote Passed - Senate (32 - 2)
May 8, 2025 MO SB 43 Amends Laws to Expand Protections for Children, Survivors of Abuse, and Crime Victims Bill Passed - House (123 - 14)
March 27, 2025 MO SB 79 Exempts Certain Health Insurance Plans From Federal Protections Bill Passed - Senate (24 - 6)
March 27, 2025 MO SB 79 Exempts Certain Health Insurance Plans From Federal Protections Bill Passed - Senate (24 - 6)
Feb. 20, 2025 MO SB 105 Amends and Modifies Provisions Relating to Invasive Plants Bill Passed - Senate (32 - 0)
Feb. 20, 2025 MO SB 60 Amends Existing Law Making Manufacturing or Possessing Meth an Act of Child Endangerment Bill Passed - Senate (33 - 0)
May 9, 2024 MO HB 2134 Requires Industrial Wastewater and Meatpacking Sludge be Regulated by the Department of Natural Resources Concurrence Vote Passed - House (149 - 8)
May 8, 2024 MO SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
May 8, 2024 MO SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
May 7, 2024 MO HB 1495 Requires the Missouri Veterans Commission to Review a Previously Passed Mental Healthcare Plan Bill Passed - Senate (30 - 0)
April 29, 2024 MO SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
April 29, 2024 MO SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
April 11, 2024 MO HB 2634 Prohibits State Medicaid Funding for Abortion Providers and Their Affiliates Bill Passed - Senate (23 - 10)
March 27, 2024 MO HB 2626 Increases MO-HealthNet Coverage to Include Hearing Aids and Cochlear Implants Bill Passed - House (149 - 3)
March 7, 2024 MO HB 1751 Prohibits New South Kansas City Landfill Proposal Bill Passed - House (112 - 30)
March 4, 2024 MO HB 2634 Prohibits State Medicaid Funding for Abortion Providers and Their Affiliates Bill Passed - House (102 - 50)
May 12, 2023 MO SB 45 Amends Various Provisions Relating to Health Care Conference Report Adopted - House (132 - 23)
May 12, 2023 MO SB 157 Establishes a Loan Forgiveness Program for Mental Health and Public Health Professionals Conference Report Adopted - House (99 - 51)
May 10, 2023 MO HB 447 Amends the Name of the Half-Credit High School Health Class as "Health and Family Education" Concurrence Vote Passed - House (133 - 22)
May 5, 2023 MO SB 45 Amends Various Provisions Relating to Health Care Conference Report Adopted - Senate (25 - 7)
May 5, 2023 MO SB 106 Requires Patient Approval before Doctors Give Prostate, Anal, or Pelvic Exams to Unconscious Individuals Concurrence Vote Passed - Senate (26 - 7)
May 2, 2023 MO SB 106 Requires Patient Approval before Doctors Give Prostate, Anal, or Pelvic Exams to Unconscious Individuals Bill Passed - House (118 - 29)
April 12, 2023 MO SB 51 Authorizes Physical Therapists to Treat Patients Without a Prescription or Physician Referral Bill Passed - House (146 - 2)
May 13, 2022 MO HB 1667 Establishes the Kratom Consumer Protection Act Concurrence Vote Passed - House (106 - 31)
May 13, 2022 MO HB 2116 Reduces Restrictions of Visitors in Hospitals Bill Passed - House (95 - 36)
May 5, 2022 MO HB 2485 Prohibits Any Person from Operating a Solid Waste Area Without a Permit Bill Passed - Senate (21 - 11)
April 25, 2022 MO HB 1667 Establishes the Kratom Consumer Protection Act Bill Passed - Senate (30 - 2)
April 6, 2022 MO HB 2012 Establishes Protections for "Infants Born Alive" Bill Passed - House (91 - 37)
April 5, 2022 MO HB 2162 Amends Provisions Relating to Opioid Addiction Treatment and Recovery Fund (30 - 0)
April 5, 2022 MO HB 2162 Amends Provisions Relating to Opioid Addiction Treatment and Recovery Fund (30 - 0)
March 29, 2022 MO HB 2485 Prohibits Any Person from Operating a Solid Waste Area Without a Permit Bill Passed - House (82 - 45)
May 14, 2021 MO SB 51 Establishes Protections for Various Organizations from COVID-19 Related Lawsuits Bill Passed - House (97 - 57)
May 11, 2021 MO SB 63 Establishes a Statewide Prescription Drug Monitoring Program Bill Passed - House (91 - 64)
May 4, 2021 MO SB 26 Prohibits Any Person from Using Pesticides that are Cancelled or Suspended Bill Passed - House (98 - 50)
April 28, 2021 MO HB 271 Limits the Authority of Local Health Officials to Close Organizations During a Public Health Emergency Bill Passed - Senate (25 - 6)
April 6, 2021 MO SB 63 Establishes a Statewide Prescription Drug Monitoring Program Bill Passed - Senate (20 - 12)
Feb. 25, 2021 MO SB 26 Prohibits Any Person from Using Pesticides that are Cancelled or Suspended Bill Passed - Senate (24 - 9)
Feb. 23, 2021 MO SB 51 Establishes Protections for Various Organizations from COVID-19 Related Lawsuits Bill Passed - Senate (20 - 13)
Dec. 2, 2020 MO HB 14 Appropriates Emergency Spending for COVID-19 Bill Passed - Senate (23 - 1)
May 15, 2020 MO SB 631 Authorizes Mail-In Voting During COVID-19 Pandemic Conference Report Adopted - House (121 - 24)
May 15, 2020 MO HB 1963 Authorizes Licensed Motorcyclists to Ride without a Helmet Concurrence Vote Passed - House (121 - 31)
May 15, 2020 MO HB 1682 Authorizes Free COVID-19 Testing Concurrence Vote Passed - House (127 - 21)
May 14, 2020 MO HB 1414 Establishes a State Birth Certificate Program and Medicaid Health Coverage for Missouri's Homeless Youth Concurrence Vote Passed - House (138 - 4)
May 14, 2020 MO HB 1682 Authorizes Free COVID-19 Testing Bill Passed - Senate (25 - 5)
May 13, 2020 MO HB 1693 Establishes a Prescription Drug Monitoring Program Conference Report Adopted - House (94 - 59)
May 13, 2020 MO HB 1693 Establishes a Prescription Drug Monitoring Program Conference Report Adopted - House (94 - 59)
May 7, 2020 MO SB 676 Exempts Federal Government Stimulus Checks from State Taxable Income Bill Passed - House (105 - 39)
April 8, 2020 MO HB 2014 Establishes a Supplemental Budget to Address the COVID-19 Pandemic Concurrence Vote Passed - House (147 - 4)
March 11, 2019 MO HB 487 Increases Access to Birth Control Bill Passed - House (105 - 45)
Date No. Title Outcome
4/02 HB 2355 Requires the Department of Social Services to Request Federal Nutritional Support for Medicaid Recipients with Nutrition-Related Chronic Diseases Bill Passed - House (128 - 18)
5/09 SB 43 Amends Laws to Expand Protections for Children, Survivors of Abuse, and Crime Victims Concurrence Vote Passed - Senate (32 - 2)
5/08 SB 43 Amends Laws to Expand Protections for Children, Survivors of Abuse, and Crime Victims Bill Passed - House (123 - 14)
3/27 SB 79 Exempts Certain Health Insurance Plans From Federal Protections Bill Passed - Senate (24 - 6)
3/27 SB 79 Exempts Certain Health Insurance Plans From Federal Protections Bill Passed - Senate (24 - 6)
2/20 SB 105 Amends and Modifies Provisions Relating to Invasive Plants Bill Passed - Senate (32 - 0)
2/20 SB 60 Amends Existing Law Making Manufacturing or Possessing Meth an Act of Child Endangerment Bill Passed - Senate (33 - 0)
5/09 HB 2134 Requires Industrial Wastewater and Meatpacking Sludge be Regulated by the Department of Natural Resources Concurrence Vote Passed - House (149 - 8)
5/08 SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
5/08 SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
5/07 HB 1495 Requires the Missouri Veterans Commission to Review a Previously Passed Mental Healthcare Plan Bill Passed - Senate (30 - 0)
4/29 SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
4/29 SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
4/11 HB 2634 Prohibits State Medicaid Funding for Abortion Providers and Their Affiliates Bill Passed - Senate (23 - 10)
3/27 HB 2626 Increases MO-HealthNet Coverage to Include Hearing Aids and Cochlear Implants Bill Passed - House (149 - 3)
3/07 HB 1751 Prohibits New South Kansas City Landfill Proposal Bill Passed - House (112 - 30)
3/04 HB 2634 Prohibits State Medicaid Funding for Abortion Providers and Their Affiliates Bill Passed - House (102 - 50)
5/12 SB 45 Amends Various Provisions Relating to Health Care Conference Report Adopted - House (132 - 23)
5/12 SB 157 Establishes a Loan Forgiveness Program for Mental Health and Public Health Professionals Conference Report Adopted - House (99 - 51)
5/10 HB 447 Amends the Name of the Half-Credit High School Health Class as "Health and Family Education" Concurrence Vote Passed - House (133 - 22)
5/05 SB 45 Amends Various Provisions Relating to Health Care Conference Report Adopted - Senate (25 - 7)
5/05 SB 106 Requires Patient Approval before Doctors Give Prostate, Anal, or Pelvic Exams to Unconscious Individuals Concurrence Vote Passed - Senate (26 - 7)
5/02 SB 106 Requires Patient Approval before Doctors Give Prostate, Anal, or Pelvic Exams to Unconscious Individuals Bill Passed - House (118 - 29)
4/12 SB 51 Authorizes Physical Therapists to Treat Patients Without a Prescription or Physician Referral Bill Passed - House (146 - 2)
5/13 HB 1667 Establishes the Kratom Consumer Protection Act Concurrence Vote Passed - House (106 - 31)
5/13 HB 2116 Reduces Restrictions of Visitors in Hospitals Bill Passed - House (95 - 36)
5/05 HB 2485 Prohibits Any Person from Operating a Solid Waste Area Without a Permit Bill Passed - Senate (21 - 11)
4/25 HB 1667 Establishes the Kratom Consumer Protection Act Bill Passed - Senate (30 - 2)
4/06 HB 2012 Establishes Protections for "Infants Born Alive" Bill Passed - House (91 - 37)
4/05 HB 2162 Amends Provisions Relating to Opioid Addiction Treatment and Recovery Fund (30 - 0)
4/05 HB 2162 Amends Provisions Relating to Opioid Addiction Treatment and Recovery Fund (30 - 0)
3/29 HB 2485 Prohibits Any Person from Operating a Solid Waste Area Without a Permit Bill Passed - House (82 - 45)
5/14 SB 51 Establishes Protections for Various Organizations from COVID-19 Related Lawsuits Bill Passed - House (97 - 57)
5/11 SB 63 Establishes a Statewide Prescription Drug Monitoring Program Bill Passed - House (91 - 64)
5/04 SB 26 Prohibits Any Person from Using Pesticides that are Cancelled or Suspended Bill Passed - House (98 - 50)
4/28 HB 271 Limits the Authority of Local Health Officials to Close Organizations During a Public Health Emergency Bill Passed - Senate (25 - 6)
4/06 SB 63 Establishes a Statewide Prescription Drug Monitoring Program Bill Passed - Senate (20 - 12)
2/25 SB 26 Prohibits Any Person from Using Pesticides that are Cancelled or Suspended Bill Passed - Senate (24 - 9)
2/23 SB 51 Establishes Protections for Various Organizations from COVID-19 Related Lawsuits Bill Passed - Senate (20 - 13)
12/02 HB 14 Appropriates Emergency Spending for COVID-19 Bill Passed - Senate (23 - 1)
5/15 SB 631 Authorizes Mail-In Voting During COVID-19 Pandemic Conference Report Adopted - House (121 - 24)
5/15 HB 1963 Authorizes Licensed Motorcyclists to Ride without a Helmet Concurrence Vote Passed - House (121 - 31)
5/15 HB 1682 Authorizes Free COVID-19 Testing Concurrence Vote Passed - House (127 - 21)
5/14 HB 1414 Establishes a State Birth Certificate Program and Medicaid Health Coverage for Missouri's Homeless Youth Concurrence Vote Passed - House (138 - 4)
5/14 HB 1682 Authorizes Free COVID-19 Testing Bill Passed - Senate (25 - 5)
5/13 HB 1693 Establishes a Prescription Drug Monitoring Program Conference Report Adopted - House (94 - 59)
5/13 HB 1693 Establishes a Prescription Drug Monitoring Program Conference Report Adopted - House (94 - 59)
5/07 SB 676 Exempts Federal Government Stimulus Checks from State Taxable Income Bill Passed - House (105 - 39)
4/08 HB 2014 Establishes a Supplemental Budget to Address the COVID-19 Pandemic Concurrence Vote Passed - House (147 - 4)
3/11 HB 487 Increases Access to Birth Control Bill Passed - House (105 - 45)
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