Missouri 2026 Regular Session

Health and Mental Health Jan 29th, 2026 at 08:00 am

House Health and Mental Health Committee

Event Log

  • Kent Haden — Asked about shelf life and cost of the newer products and whether they would last longer than injectors.
  • Kent Haden — Said epinephrine has a limited life and asked whether three products would reduce cost.
  • Kent Haden — Representative Hayden was part of a discussion in which a witness was asked where they practiced and about their familiarity with the Webster Grove School District, followed by a question about whether all teachers should be trained to administer new allergy treatments.
  • Kent Haden — Representative Kent Haden asked the witness for a specific example of something the committee or state had missed out on, pressing for clarification about missed opportunities and related capability concerns.
  • Kent Haden — Representative Kent Haden is addressed in the context of a 340B discussion, where he is identified as the member asking about available data and sources, and the exchange continues with a follow-up about whether he would have the relevant number.
  • Kent Haden — Referenced as having made a great point about the bill.
  • Gregg Bush — Gregg Bush responded present at roll call and later cast two aye votes during the meeting.
  • Gregg Bush — Gregg Bush is referenced multiple times by the witness as someone with firsthand experience related to anaphylaxis and as an authority who can confirm how delegation works under the Nurse Practice Act, with the discussion staying focused on nurse practice and delegation rules.
  • Gregg Bush — Interjects to say he has different information about hospitals doing okay and shares that with the committee.
  • LaKeySha Bosley — Responded to the roll call as present.
  • LaKeySha Bosley — Voted yes.
  • LaKeySha Bosley — Asked for a brief description of what changed in the substitute.
  • LaKeySha Bosley — Voted yes.
  • LaKeySha Bosley — Representative LaKeySha Bosley asked a series of related questions about the bill’s expansion and implementation. She first confirmed whether the bill would extend to child care and nursing home/older adult facilities, then asked how many schools or districts currently have school nurses and noted that some districts may be unable to participate without them. She suggested creating a fund to help school districts hire school nurses and obtain proper storage devices, asked about liability protections for trained professionals as the bill expands, and then raised a follow-up question about whether sublingual doses should be treated as a device or delivery method to ensure all avenues are covered. A later reference to her reflected her firsthand experience with anaphylaxis.
  • LaKeySha Bosley — Representative LaKeySha Bosley briefly thanked the witness and the chair, then indicated she would proceed with a brief inquiry.
  • LaKeySha Bosley — Representative Bosley questions the bill sponsor about the practical operation of the proposal, focusing on how it would affect access to federal funding and the ability to address public health concerns. The discussion remains centered on whether the bill would limit or support funding opportunities and how it would work in practice.
  • LaKeySha Bosley — Her doula services proposal is included in the bill.
  • LaKeySha Bosley — Representative LaKeySha Bosley opened by thanking the sponsor, praising the bill as bipartisan and non-controversial, and asking about the RX Cares for Missouri sunset date. She then continued the discussion by asking how doulas participate in the Mo HealthNet program, with the response explaining that doulas must register in Mo HealthNet to receive reimbursement and that the bill’s 'shall' language is intended to establish order and verification in the process.
  • Carolyn Caton — Carolyn Caton was present during roll call and later recorded as voting aye twice, with her name mis-transcribed in each instance.
  • Bennie Cook — Bennie Cook is called during roll call and later responds to vote calls by voting aye.
  • Bennie Cook — Representative Bennie Cook is referenced as the sponsor associated with two legislative items: a community paramedics provision and the RX CARES for Missouri sunset reduction.
  • Bennie Cook — Representative Bennie Cook is referenced as the sponsor of the community paramedic provision, with a possible additional reference to an RSV-related item, and then mentioned again in connection with that same provision.
  • Bennie Cook — Representative Cook is recognized to ask questions.
  • David Dolan — Responded to the roll call as here; name was transcribed as Dolin.
  • David Dolan — Responded to the roll call as here.
  • David Dolan — Voted aye; name was transcribed as Dullen.
  • David Dolan — Introduced House Bill 1783 and described the state's public health funding and grant administration challenges.
  • David Dolan — David Dolan is acknowledged in the exchange and then asks for clarification about the bill’s provision on inspections of long-term care facilities, seeking more detail on how that requirement would work.
  • David Dolan — Referenced as the sponsor/point of contact for the long-term care inspections language.
  • Dave Griffith — Dave Griffith was called during roll call, responded as present, and later recorded two separate aye votes during subsequent roll-call votes.
  • Dave Griffith — Representative Griffith began questioning the witness about school protocols in St. Louis and rural schools.
  • Tony Harbison — Responded to the roll call as here.
  • Tony Harbison — Voted aye.
  • Tony Harbison — Named as one of the representatives presenting bills.
  • George Hruza — Responded to the roll call; name was transcribed as Haruza.
  • George Hruza — Voted aye; name was transcribed as Harusa.
  • George Hruza — Said he would mainly 'ditto' the prior remarks and noted a third epinephrine product that may be approved by January 31st.
  • George Hruza — Explained the film-based epinephrine product, saying it is placed under the tongue and dissolves, and noted the bill expands coverage to nursing homes and child care facilities.
  • George Hruza — Continued describing the bill's expansion and referenced prior testimony on alpha-gal syndrome and students carrying EpiPens under 504 plans.
  • George Hruza — Said the bill would reduce administrative burden related to students carrying EpiPens and other devices.
  • George Hruza — Explained that his bill is mainly for school nurses and firefighters, and confirmed expansion to nursing homes and child care facilities.
  • George Hruza — Referenced as having made a prior point that prompted the question about delivery terminology.
  • George Hruza — Referenced as having firsthand contact with anaphylaxis.
  • George Hruza — Referenced regarding anesthesia continuity so patients are not left without anesthesia mid-procedure.
  • George Hruza — Representative George Hruza participated in a focused exchange about a technical bill change, proposing that 'epinephrine' be updated to 'epinephrine delivery system' to reflect newer products. The discussion then confirmed that the related pharmacy-distributor language was already included in the bill on page 40, and concluded with appreciation for Hruza’s contribution and a lighthearted remark about adding his provision as an 'ornament' to the bill's 'Christmas tree' on the floor.
  • Becky Laubinger — Becky Laubinger was called during roll call and then responded 'aye' when her name was called during the vote, with her vote repeated in the roll-call sequence.
  • Becky Laubinger — Asked about contract structure and concerns with state contracting practices.
  • Becky Laubinger — Commented that the issue is one legislators should be concerned about and then sought clarification on the bill's structure.
  • Becky Laubinger — Representative Laubinger is recognized to inquire.
  • Pattie Mansur — During the roll call vote, Pattie Mansur was called multiple times due to transcription variations of her name, responded 'here,' and then voted aye.