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SECOND REGULAR SESSION
HOUSE BILL NO. 321 1
103RD GENERAL ASSEMBL Y
INTRODUCED BY REPRESENT A TIVE YOUNG.
6363H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
T o amend chapter 338, RSMo, by adding thereto one new section relating to accessible
prescription labels.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Chapter 338, RSMo, is amended by adding thereto one new section, to be
2 known as section 338.088, to read as follows:
338.088. 1. The pr ovisions of this section shall be known and may be cited as the
2 "Accessible Pr escription Labels Act".
3 2. For purposes of this section, the term "pr escription read er" means a device
4 that is designed to audibly convey the information contained on the label of a
5 pr escription drug.
6 3. A pharmacy shall notify each person to whom a pr escription drug is dispensed
7 that an accessible pr escription label is available to the person upon req uest at no
8 additional cost.
9 4. If a person informs a pharmacy that the person identifies as a person who is
10 blind, visually impair ed, or otherwise print-disabled, the pharmacy shall pr ovide to the
11 person an accessible pr escription label affixed to the bottle that:
12 (1) Is available to the person in a timely manner comparable to wait times for
13 other patients and lasts for at least the duration of the pr escription;
14 (2) Is appr opriate to the disability and pref erence of the person making the
15 r equest thr ough use of audible, large print, or Braille labels;
16 (3) Conforms to the format-specific best practices established by the
1 7 Ar chitectural and T ransportation Barriers Compliance Board; and
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 (4) Contains all the label information requi red by state statute and federal law ,
19 including cautions and warnings, and any information available to sighted persons
20 r eading printed labels.
21 5. If a pharmacy prov ides a pr escription r eader to comply with the pr ovisions of
22 this section, the pharmacy shall ensur e that the prescription label is compatible with the
23 pr escription read er .
24 6. The board of pharmacy shall pro mulgate regu lations necessary to implement
25 this section. Any rule or portion of a rule, as that term is defined in section 536.010, that
26 is cr eated under the authority delegated in this section shall become effective only if it
27 complies with and is subject to all of the pr ovisions of chapter 536 and, if applicable,
28 section 536.028. This section and chapter 536 are nonseverable and if any of the powers
29 vested with the general assembly pursuant to chapter 536 to revi ew , to delay the
30 effective date, or to disappr ove and annul a rule are subsequently held unconstitutional,
31 then the grant of rulemaking authority and any rule pro posed or adopted after August
32 28, 2026, shall be invalid and void.
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