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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 8, 2025 MO SB 43 Amends Laws to Expand Protections for Children, Survivors of Abuse, and Crime Victims Bill Passed - House (123 - 14)
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)
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 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)
April 6, 2022 MO HB 2012 Establishes Protections for "Infants Born Alive" Bill Passed - House (91 - 37)
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)
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 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)
April 19, 2018 MO HB 2155 Authorizes State to Regulate Powdered Alcohol Bill Passed - House (117 - 30)
April 3, 2018 MO HB 1486 Establishes Work Requirements for SNAP Benefits Bill Passed - House (107 - 43)
June 20, 2017 MO SB 5 Amends Abortion Regulations Bill Passed - House (110 - 38)
April 3, 2017 MO HB 90 Establishes Prescription Drug Monitoring Program Bill Passed - House (102 - 54)
April 3, 2017 MO HB 90 Establishes Prescription Drug Monitoring Program Bill Passed - House (102 - 54)
March 30, 2017 MO HB 174 Prohibits Local Governments from Enacting Ordinances that Oppose State Law Bill Passed - House (118 - 36)
April 26, 2016 MO HB 1679 Authorizes Pharmacists to Prescribe Oral Contraceptives Bill Passed - House (97 - 50)
April 14, 2016 MO HB 2069 Prohibits Donation of Fetal Tissue Bill Passed - House (120 - 34)
March 31, 2016 MO HB 1786 Prohibits Powdered Alcohol Bill Passed - House (95 - 56)
March 3, 2016 MO HB 1892 Establishes Prescription Drug Monitoring System Bill Passed - House (87 - 66)
April 21, 2015 MO SB 239 Limits Medical Malpractice Lawsuit Awards Bill Passed - House (125 - 27)
Feb. 26, 2015 MO HB 130 Establishes a Prescription Drug Monitoring Program Bill Passed - House (107 - 48)
Sept. 10, 2014 MO SB 506 Expands and Establishes Certain Agricultural Programs Veto Override Failed - House (108 - 52)
March 5, 2014 MO HB 1173 Establishes Causes of Action in Medical Malpractice Lawsuits Bill Passed - House (94 - 61)
Feb. 13, 2014 MO HB 1430 Authorizes Health Care Providers to Opt Out of Certain Medical Procedures Bill Passed - House (112 - 38)
May 8, 2013 MO SB 114 Amends Homebrewed Beer and Liquor Distributor Regulations Bill Passed - House (110 - 48)
May 8, 2013 MO SB 265 Prohibits Compliance with United Nations Agenda 21 Bill Passed - House (118 - 37)
April 19, 2012 MO HB 1534 Prohibits Implementation of the Patient Protection and Affordable Care Act Bill Passed - House (108 - 44)
April 19, 2012 MO HB 1534 Prohibits Implementation of the Patient Protection and Affordable Care Act Bill Passed - House (108 - 44)
March 29, 2012 MO HB 1541 Provides Exemptions on Participating in Certain Medical Procedures. Bill Passed - House (113 - 41)
March 29, 2012 MO HB 1541 Provides Exemptions on Participating in Certain Medical Procedures. Bill Passed - House (113 - 41)
March 29, 2012 MO HB 1541 Provides Exemptions on Participating in Certain Medical Procedures. Bill Passed - House (113 - 41)
Sept. 23, 2011 MO HA 1 to SB 7 Prohibits Public Funding for Certain Life Science Research Projects Amendment Rejected - House (68 - 74)
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)
5/08 SB 43 Amends Laws to Expand Protections for Children, Survivors of Abuse, and Crime Victims Bill Passed - House (123 - 14)
5/09 HB 2134 Requires Industrial Wastewater and Meatpacking Sludge be Regulated by the Department of Natural Resources Concurrence Vote Passed - House (149 - 8)
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)
5/02 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)
4/06 HB 2012 Establishes Protections for "Infants Born Alive" Bill Passed - House (91 - 37)
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)
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)
5/13 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)
4/19 HB 2155 Authorizes State to Regulate Powdered Alcohol Bill Passed - House (117 - 30)
4/03 HB 1486 Establishes Work Requirements for SNAP Benefits Bill Passed - House (107 - 43)
6/20 SB 5 Amends Abortion Regulations Bill Passed - House (110 - 38)
4/03 HB 90 Establishes Prescription Drug Monitoring Program Bill Passed - House (102 - 54)
4/03 HB 90 Establishes Prescription Drug Monitoring Program Bill Passed - House (102 - 54)
3/30 HB 174 Prohibits Local Governments from Enacting Ordinances that Oppose State Law Bill Passed - House (118 - 36)
4/26 HB 1679 Authorizes Pharmacists to Prescribe Oral Contraceptives Bill Passed - House (97 - 50)
4/14 HB 2069 Prohibits Donation of Fetal Tissue Bill Passed - House (120 - 34)
3/31 HB 1786 Prohibits Powdered Alcohol Bill Passed - House (95 - 56)
3/03 HB 1892 Establishes Prescription Drug Monitoring System Bill Passed - House (87 - 66)
4/21 SB 239 Limits Medical Malpractice Lawsuit Awards Bill Passed - House (125 - 27)
2/26 HB 130 Establishes a Prescription Drug Monitoring Program Bill Passed - House (107 - 48)
9/10 SB 506 Expands and Establishes Certain Agricultural Programs Veto Override Failed - House (108 - 52)
3/05 HB 1173 Establishes Causes of Action in Medical Malpractice Lawsuits Bill Passed - House (94 - 61)
2/13 HB 1430 Authorizes Health Care Providers to Opt Out of Certain Medical Procedures Bill Passed - House (112 - 38)
5/08 SB 114 Amends Homebrewed Beer and Liquor Distributor Regulations Bill Passed - House (110 - 48)
5/08 SB 265 Prohibits Compliance with United Nations Agenda 21 Bill Passed - House (118 - 37)
4/19 HB 1534 Prohibits Implementation of the Patient Protection and Affordable Care Act Bill Passed - House (108 - 44)
4/19 HB 1534 Prohibits Implementation of the Patient Protection and Affordable Care Act Bill Passed - House (108 - 44)
3/29 HB 1541 Provides Exemptions on Participating in Certain Medical Procedures. Bill Passed - House (113 - 41)
3/29 HB 1541 Provides Exemptions on Participating in Certain Medical Procedures. Bill Passed - House (113 - 41)
3/29 HB 1541 Provides Exemptions on Participating in Certain Medical Procedures. Bill Passed - House (113 - 41)
9/23 HA 1 to SB 7 Prohibits Public Funding for Certain Life Science Research Projects Amendment Rejected - House (68 - 74)
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