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HB1699 • 2026

Modifies provisions relating to county health officers

Modifies provisions relating to county health officers

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Christensen, Mazzie (002)
Last action
2026-04-21
Official status
04/21/2026 - Reported Do Pass (H)
Effective date
2026-08-28

Plain English Breakdown

The official source material does not provide detailed information on the specific content of the removed sections, only that they are repealed and replaced with new provisions.

Changes for County Health Officers

This law modifies how county health officers are appointed in Missouri.

What This Bill Does

  • Removes old rules about county health officers.
  • Allows counties to choose whether to appoint a health officer or not.
  • Sets the term of a county health officer to one year and allows for interim appointments if needed.
  • Specifies that compensation for the health officer comes from the county treasury.

Who It Names or Affects

  • County commissions in Missouri
  • County health officers

Terms To Know

county health officer
A doctor appointed by a county commission to oversee public health issues in the county.
interim appointment
A temporary position filled until a permanent selection is made.

Limits and Unknowns

  • The law does not require counties to appoint a health officer.
  • It's unclear how many counties will choose to have a county health officer after these changes.

Bill History

  1. 2026-04-21 Missouri House of Representatives and Missouri Senate

    Reported Do Pass (H) - AYES: 11 NOES: 0 PRESENT: 0

  2. 2026-04-20 Missouri House of Representatives and Missouri Senate

    Executive Session Completed (H)

  3. 2026-04-20 Missouri House of Representatives and Missouri Senate

    Voted Do Pass (H)

  4. 2026-04-13 Missouri House of Representatives and Missouri Senate

    Referred: Rules - Legislative(H)

  5. 2026-04-09 Missouri House of Representatives and Missouri Senate

    HCS Reported Do Pass (H) - AYES: 11 NOES: 0 PRESENT: 0

  6. 2026-04-08 Missouri House of Representatives and Missouri Senate

    Executive Session Completed (H)

  7. 2026-04-08 Missouri House of Representatives and Missouri Senate

    HCS Voted Do Pass (H)

  8. 2026-04-01 Missouri House of Representatives and Missouri Senate

    Public Hearing Completed (H)

  9. 2026-03-09 Missouri House of Representatives and Missouri Senate

    Referred: Special Committee on Rural Issues(H)

  10. 2026-01-08 Missouri House of Representatives and Missouri Senate

    Read Second Time (H)

  11. 2026-01-07 Missouri House of Representatives and Missouri Senate

    Read First Time (H)

  12. 2025-12-01 Missouri House of Representatives and Missouri Senate

    Prefiled (H)

Official Summary Text

Modifies provisions relating to county health officers

Current Bill Text

Read the full stored bill text
SECOND REGULAR SESSION
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 1699
103RD GENERAL ASSEMBL Y
3991H.02C JOSEPH ENGLER, Chief Clerk
AN ACT
T o repeal sections 192.260 and 205.100, RSMo, and to enact in lieu thereof two new sections
relating to county health of ficers.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Sections 192.260 and 205.100, RSMo, are repealed and two new sections
2 enacted in lieu thereof, to be known as sections 192.260 and 205.100, to read as follows:
192.260. The county commissions of the several counties of this state may appoint a
2 duly licensed qualified physician as a county health of ficer for a term of one year , and in the
3 event a vacancy is created in the of fice of the county health of ficer , such commission may
4 appoint a duly licensed qualified physician for the unexpired term. If the incumbent county
5 health officer shall not be reap pointed, the county health officer shall vacate the office,
6 and the county commission shall appoint an interim county health officer until the
7 vacancy is filled. If the county commission of any county decides to appoint a county health
8 of ficer as empowered in this law , it shall agree with the of ficer as to the compensation and
9 expenses to be paid for such service, which amount shall be paid out of the county treasury of
10 the county . Nothing contained herein shall be construed to require the county commission of
11 any county to appoint a county health of ficer in any county .
205.100. The county commission or commissions shall annually at their February
2 meeting, appoint the director of the public health center as county health of ficer [ and such ] .
3 In the event a vacancy is creat ed in the office of the county health officer or the
4 incumbent county health officer is not be rea ppointed, the county health officer shall
5 vacate the office, and the county commission shall appoint an interim county health
6 officer until the vacancy is filled. The county health of ficer shall exercise all of the rights
EXPLANA TION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
intended to be omitted from the law . Matter in bold-face type in the above bill is proposed language.
7 and perform all of the duties pertaining to that of fice as set forward under the health laws of
8 the state and rules and regulations of the department of health and senior services.
✔
HCS HB 1699 2