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HB2874 • 2026

Creates provisions relating to air ambulance memberships

Creates provisions relating to air ambulance memberships

Firearms
Passed Legislature

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

Sponsor
Phelps, Brandon (054)
Last action
2026-04-29
Official status
04/29/2026 - Placed Back on Formal Perfection Calendar (H)
Effective date
2026-08-28

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Creates provisions relating to air ambulance memberships

Creates provisions relating to air ambulance memberships

What This Bill Does

  • Creates provisions relating to air ambulance memberships

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

4344H01.01H

4344H01.01H • Bosley

Distributed

Plain English: 4344H01.01H HB 2874 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 3 1 AMEND House Bill No.

  • 4344H01.01H HB 2874 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 3 1 AMEND House Bill No.
  • 2874, Page 2, Section 407.324, Line 43, by inserting after all of said 2 section and line the following: 3 4 "407.1170.
  • 1.
  • After December 31, 2026, no person or entity shall sell any firearm 5 ammunition unless the person or entity is designated by the secretary of state as a licensed 6 ammunition seller.
4344H01.02H

4344H01.02H • Bosley

Distributed

Plain English: 4344H01.02H HB 2874 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 1 1 AMEND House Bill No.

  • 4344H01.02H HB 2874 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 1 1 AMEND House Bill No.
  • 2874, Page 1, In the Title, Lines 2-3, by deleting the phrase "air 2 ambulance memberships" and inserting in lieu thereof the phrase "merchandising practices"; and 3 4 Further amend said bill by amending the title, enacting clause, and intersectional references 5 accordingly.

Bill History

  1. 2026-04-29 Missouri House of Representatives and Missouri Senate

    Placed Back on Formal Perfection Calendar (H)

  2. 2026-04-13 Missouri House of Representatives and Missouri Senate

    Placed on the Informal Perfection Calendar (H)

  3. 2026-04-09 Missouri House of Representatives and Missouri Senate

    Placed Back on Formal Perfection Calendar (H)

  4. 2026-03-23 Missouri House of Representatives and Missouri Senate

    Placed on the Informal Perfection Calendar (H)

  5. 2026-03-12 Missouri House of Representatives and Missouri Senate

    Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0

  6. 2026-03-11 Missouri House of Representatives and Missouri Senate

    Executive Session Completed (H)

  7. 2026-03-11 Missouri House of Representatives and Missouri Senate

    Voted Do Pass (H)

  8. 2026-02-27 Missouri House of Representatives and Missouri Senate

    Referred: Rules - Administrative(H)

  9. 2026-02-24 Missouri House of Representatives and Missouri Senate

    Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 1

  10. 2026-02-23 Missouri House of Representatives and Missouri Senate

    Executive Session Completed (H)

  11. 2026-02-23 Missouri House of Representatives and Missouri Senate

    Voted Do Pass (H)

  12. 2026-02-16 Missouri House of Representatives and Missouri Senate

    Public Hearing Completed (H)

  13. 2026-02-05 Missouri House of Representatives and Missouri Senate

    Referred: Insurance(H)

  14. 2026-01-12 Missouri House of Representatives and Missouri Senate

    Read Second Time (H)

  15. 2026-01-08 Missouri House of Representatives and Missouri Senate

    Introduced and Read First Time (H)

Official Summary Text

Creates provisions relating to air ambulance memberships

Current Bill Text

Read the full stored bill text
SECOND REGULAR SESSION
HOUSE BILL NO. 2874
103RD GENERAL ASSEMBL Y
INTRODUCED BY REPRESENT A TIVE PHELPS.
4344H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
T o amend chapter 407, RSMo, by adding thereto one new section relating to air ambulance
memberships, with penalty provisions.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Chapter 407, RSMo, is amended by adding thereto one new section, to be
2 known as section 407.324, to read as follows:
407.324. 1. As used in this section, the following terms mean:
2 (1) "Air ambulance membership agreement", an agreement in exchange for
3 consideration to pay for , indemnify , or pr ovide an amount to a person for the cost of air
4 ambulance services. The term "air ambulance membership agr eement" shall not
5 include a health insurance plan or policy regu lated under chapter 376;
6 (2) "Air ambulance membership organization", an individual or entity that
7 pr ovides an air ambulance membership agr eement.
8 2. (1) An air ambulance membership organization shall not knowingly sell, offer
9 for sale, or renew an air ambulance membership agr eement to an individual who is
10 enr olled in MO HealthNet.
11 (2) If an individual who has pur chased an air ambulance membership
12 agr eement subsequently enr olls in MO HealthNet during the duration of the
1 3 membership agreement, the enr ollee may notify the air ambulance membership
14 organization of such enrol lment. If the enr ollee notifies the air ambulance membership
15 organization of such enr ollment within thirty days following the effective date of the
16 enr ollment, the enr ollee may requ est, and upon such re quest the air ambulance
17 membership organization shall provi de, either a pr orated ref und of any consideration
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.
18 paid for the period fr om the effective date of the MO HealthNet enrol lment thr ough the
19 expiration date of the air ambulance membership agr eement or a transfer of the
20 membership to another individual in the enr ollee's household. If the enr ollee does not
21 notify the air ambulance membership organization of such enrol lment within thirty
22 days, the enr ollee is not entitled to a prora ted r efund, but the air ambulance
23 membership organization shall still disenr oll the enr ollee within thirty days of r eceipt of
24 the notice of the enroll ee's enroll ment in MO HealthNet unless the enr ollee's
25 membership is transferr ed to another individual in the enro llee's household.
26 3. All air ambulance membership agree ment websites, broch ures, and marketing
27 material shall include the following disclosur es in a clear and conspicuous place:
28 (1) The air ambulance membership agreement is a membership plan and is not
29 insurance coverage;
30 (2) Medicaid enroll ees are not eligible to pur chase this membership; and
31 (3) Some state laws pr ohibit Medicaid beneficiaries fr om being offer ed air
32 ambulance memberships or being accepted into air ambulance membership pr ograms.
33 4. An air ambulance membership agreement application shall include the
34 following disclosur es in a clear and conspicuous place:
35 (1) The air ambulance membership agreement is a membership plan and is not
36 insurance coverage;
37 (2) Medicaid enroll ees are not eligible to pur chase this membership; and
38 (3) Some state laws pr ohibit Medicaid beneficiaries fr om being offer ed air
39 ambulance memberships or being accepted into air ambulance membership pr ograms.
40 5. If an enro llee believes that an individual or entity has violated the pr ovisions
41 of this section, the enrol lee may file a complaint with the office of the state attorney
42 general. The attorney general shall have all powers, rights, and duties r egarding
43 violations of this section as ar e pr ovided in sections 407.010 to 407.145.
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HB 2874 2