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State Legislation: Bill Amendments · May 15, 2026 · Primary source

MO SB 841: new version, 4/28/2026 - SA 5 to SS for SCS S offered & adopted (Moon)--(4822S07.13S) 4/28/2026 - Adopted

Score 63PRIMARYregulatoryState legislature

Summary

Missouri SS/SCS/SB 841 is a broad omnibus healthcare bill adopted in the Senate on April 28, 2026, with multiple subject areas. Among the most operationally significant provisions: Missouri telehealth law is amended to require a provider-patient relationship before prescribing controlled substances or other treatments, replacing the prior ban on prescribing based solely on an internet questionnaire and relaxing the physical examination requirement so it is needed only when the standard of care demands it. The bill also mandates that all Missouri health carriers cover doula services beginning January 1, 2027, adds doula services and childbirth education to MO HealthNet coverage, and modifies investment authority for municipal and hospital district hospital boards.

What this may mean

Missouri telehealth prescribers, including those prescribing controlled substances via online platforms, face a revised provider-patient relationship standard effective upon enactment, removing the prior categorical ban on questionnaire-based prescribing while requiring a proper relationship as a precondition. Missouri health carriers and MO HealthNet must cover doula services beginning January 1, 2027. Ambulance services and community paramedic entities face new contracting and endorsement requirements under the Department of Health and Senior Services.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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