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SB 1019 MO
Became Law

HCS/SB 1019 - This act modifies several provisions relating to health care. HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158) This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other obligations. This act permits investment of up to 50% of funds not required for operations or other obligations in a manner described in the act, with the remaining portion to be invested into any investment in which the Treasurer is allowed to invest. Under this act, municipal hospitals in third class cities may operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals may operate in areas where municipal hospitals in third class cities and county hospitals operate. These provisions are identical to provisions in the truly agreed to and finally passed SS/SCS/HCS/SB 2372 (2026) and SB 244 (2025) and substantially similar to provisions in SS/SCS/SB 841 (2026), SCS/HCS/HB 2372 (2026), SCS/HCS/HB 943 (2025), SCS/SB 317 (2025), and HCS/SS/SB 7 (2025). LYME DISEASE (Section 192.026) This act establishes the "Missouri Lyme Disease Eradication Act." The Department shall compile an annual report on the incidence and prevalence of Lyme disease in Missouri, as described in the act. The Department shall collaborate with public four-year institutions of higher education to integrate Lyme disease surveillance data into existing tick-borne disease monitoring programs. This act also contains a repeal of this section as truly agreed to and finally passed in SS/SCS/HCS/HB 2372 (2026). This provision is substantially similar to a provision in SB 887 (2026). SARAH HASKINS

MO · session 2026 · Senate · bill

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Introduced Dec 1, 2025

Latest action (Jul 13, 2026) Prefiled

Summary

This bill would modify provisions relating to hospital investments and Lyme disease monitoring in Missouri. The bill would increase the investment authority of municipal hospitals in third-class cities and hospital district hospitals, allowing up to 50% of unused operating funds to be invested (up from 25%), with remaining funds subject to state treasurer investment rules. The bill would remove geographic restrictions, allowing municipal hospitals in third-class cities and hospital district hospitals to operate in areas where the other type of hospital currently operates, reducing territorial limitations between these hospital types. The bill would establish the Missouri Lyme Disease Eradication Act, requiring the Department of Health and Senior Services to compile annual reports on Lyme disease incidence and prevalence, and to collaborate with public universities to integrate Lyme disease surveillance data into existing tick-borne disease monitoring programs.

AI-generated plain-language summary of the bill (from the OpenStates abstract — no full text available yet) — neutral, and may be imperfect.

Official abstract

HCS/SB 1019 - This act modifies several provisions relating to health care. HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158) This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other obligations. This act permits investment of up to 50% of funds not required for operations or other obligations in a manner described in the act, with the remaining portion to be invested into any investment in which the Treasurer is allowed to invest. Under this act, municipal hospitals in third class cities may operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals may operate in areas where municipal hospitals in third class cities and county hospitals operate. These provisions are identical to provisions in the truly agreed to and finally passed SS/SCS/HCS/SB 2372 (2026) and SB 244 (2025) and substantially similar to provisions in SS/SCS/SB 841 (2026), SCS/HCS/HB 2372 (2026), SCS/HCS/HB 943 (2025), SCS/SB 317 (2025), and HCS/SS/SB 7 (2025). LYME DISEASE (Section 192.026) This act establishes the "Missouri Lyme Disease Eradication Act." The Department shall compile an annual report on the incidence and prevalence of Lyme disease in Missouri, as described in the act. The Department shall collaborate with public four-year institutions of higher education to integrate Lyme disease surveillance data into existing tick-borne disease monitoring programs. This act also contains a repeal of this section as truly agreed to and finally passed in SS/SCS/HCS/HB 2372 (2026). This provision is substantially similar to a provision in SB 887 (2026). SARAH HASKINS

Sponsor (1)
  • Crawford, Sandy · primary

Action history (42)
  1. Jul 13, 2026 Signed by Governor · executive
  2. May 28, 2026 Delivered to Governor · executive
  3. May 28, 2026 Signed by House Speaker · lower
  4. May 28, 2026 Signed by Senate President Pro Tem · upper
  5. May 28, 2026 Reported Duly Enrolled Rules, Joint Rules, Resolutions & Ethics Committee · upper
  6. May 15, 2026 Truly Agreed To and Finally Passed · upper
  7. May 15, 2026 S Third Read and Passed · upper
  8. May 15, 2026 S concurs in HCS, as amended · upper
  9. May 14, 2026 H Third Read and Passed · lower
  10. May 14, 2026 HCS, as amended, H adopted --(4774H.04C) · lower
  11. May 14, 2026 HSA 1 for HA 1 to HCS H offered & adopted (Kalberloh)--(4774H04.34H) · lower
  12. May 14, 2026 Motion to reconsider the adoption HA 1 to HCS H adopted · lower
  13. May 14, 2026 Motion to reconsider the adoption of the HCS, as amended, H adopted · lower
  14. May 14, 2026 Motion to reconsider H Third Reading Vote H adopted · lower
  15. May 14, 2026 H Third Read and Passed · lower
  16. May 14, 2026 HCS, as amended, H adopted --(4774H.04C) · lower
  17. May 14, 2026 HA 1 to HCS H offered & adopted (Stinnett)--(4774H04.27H) · lower
  18. May 14, 2026 Bill Placed on H Informal Calendar · lower
  19. May 14, 2026 HCS Reported Do Pass H Fiscal Review · lower
  20. May 14, 2026 HCS Voted Do Pass H Fiscal Review · lower
  21. May 12, 2026 Referred H Fiscal Review Committee · lower
  22. Apr 28, 2026 HCS Reported Do Pass H Rules - Administrative · lower
  23. Apr 28, 2026 HCS Voted Do Pass H Rules - Administrative · lower
  24. Apr 23, 2026 Referred H Rules - Administrative · lower
  25. Apr 21, 2026 HCS Reported Do Pass H Health and Mental Health · lower
  26. Apr 21, 2026 HCS Voted Do Pass H Health and Mental Health · lower
  27. Apr 9, 2026 Hearing Conducted H Health and Mental Health · lower
  28. Apr 2, 2026 Referred H Health and Mental Health · lower
  29. Mar 16, 2026 H Second Read · lower
  30. Mar 12, 2026 H First Read · lower
  31. Mar 12, 2026 S Third Read and Passed · upper
  32. Mar 10, 2026 Reported Truly Perfected S Rules, Joint Rules, Resolutions and Ethics Committee · upper
  33. Mar 9, 2026 Perfected · upper
  34. Mar 9, 2026 SA 1 S withdrawn · upper
  35. Feb 24, 2026 Bill Placed on Informal Calendar · upper
  36. Feb 24, 2026 SA 1 S offered (Lewis)--(4774S01.12S) · upper
  37. Feb 12, 2026 Reported from S General Laws Committee · upper
  38. Jan 28, 2026 Voted Do Pass S General Laws Committee · upper
  39. Jan 21, 2026 Hearing Conducted S General Laws Committee · upper
  40. Jan 15, 2026 Second Read and Referred S General Laws Committee · upper
  41. Jan 7, 2026 S First Read · upper
  42. Dec 1, 2025 Prefiled · upper

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