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SB1423 • 2026

Modifies provisions relating to the licensure of physicians

Modifies provisions relating to the licensure of physicians

Healthcare
Passed Legislature

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

Sponsor
Crawford, Sandy; House handler: N/A
Last action
2026-03-10
Official status
SCS Voted Do Pass S Emerging Issues and Professional Registration Committee (5640S.02C)
Effective date
2026-08-28

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

  1. 2026-03-10 Missouri House of Representatives and Missouri Senate

    SCS Voted Do Pass S Emerging Issues and Professional Registration Committee (5640S.02C)

  2. 2026-02-17 Missouri House of Representatives and Missouri Senate

    Hearing Conducted S Emerging Issues and Professional Registration Committee

  3. 2026-02-05 S304

    Second Read and Referred S Emerging Issues and Professional Registration Committee

  4. 2026-01-07 S90

    S First Read

  5. 2025-12-10 Missouri House of Representatives and Missouri Senate

    Prefiled

Official Summary Text

The following summaries of this bill are available:

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Senate Committee Substitute

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SCS/SB 1423 - This act requires a candidate applying for licensure as a physician to submit to a criminal background check and furnish certain educational and experience documents. This act also allows the Board of Registration for the Healing Arts to require applicants to list all licenses to practice as a physician currently or previously held in another state, territory, or country and to disclose any past or pending investigations, discipline, or sanctions for such licenses. The Board may also obtain a report on the applicant from the National Practitioner Data Bank or the Federation of State Medical Boards.

This act is identical to HB 2976 (2026), substantially similar to provisions in SCS/SB 292 (2025), and similar to provisions in SB 1030 (2024), SB 1251 (2024), HB 2349 (2024), HB 2753 (2025), HB 1279 (2023), SB 511 (2023), and SB 538 (2021).
SARAH HASKINS

Introduced

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SB 1423 - This act modifies the definition of "hospital" for purposes of regulating the dispensation and distribution of controlled substances to include outpatient facilities owned and operated by a hospital. A hospital may obtain a separate registration for the distribution or dispensation of controlled substances from the Department of Health and Senior Services for each outpatient facility owned or operated by the hospital in which behavioral health or substance abuse services are delivered.

Currently, a health care practitioner shall not accept any portion of a controlled substance unused by a patient when the practitioner did not originally dispense the drug unless the controlled substance was delivered to the practitioner to administer to the patient for whom the medication was prescribed as authorized by federal law. This act removes the "as authorized by federal law" limitation.

This act requires a candidate applying for licensure as a physician to submit to a criminal background check and furnish certain educational and experience documents. This act also allows the Board of Registration for the Healing Arts (the "Board") to require applicants to list all licenses to practice as a physician currently or previously held in another state, territory, or country and to disclose any past or pending investigations, discipline, or sanctions for such licenses. The Board may also obtain a report on the applicant from the National Practitioner Data Bank or the Federation of State Medical Boards.

Additionally, this act specifies that an applicant who has completed an unaccredited postgraduate training in a medical subspecialty for which there is no program accredited by the Accreditation Council for Graduate Medical Education ("ACGME") shall satisfy the training requirements for permanent licensure as required by state rules if such training occurred in a teaching hospital accredited by ACGME. The training period shall be equal to or exceed an accredited postgraduate training program. The Board shall waive such training requirements for any applicant who has been a licensed physician in good standing in another state for more than three years.

Finally, this act modifies rulemaking authority regarding pharmacy services in hospitals. Under this act, the Department of Health and Senior Services shall have the sole authority to promulgate rules governing pharmacy services in hospitals. The Department and the Board of Pharmacy may jointly promulgate rules governing medication distribution and medication therapy services by a pharmacist at or within a hospital. The Board shall have the sole authority to promulgate rules governing inspection and licensure of Class B pharmacies.

This act is substantially similar to SCS/SB 292 (2025) and similar to provisions in SB 1030 (2024), SB 1251 (2024), HB 2349 (2024), HB 2753 (2025), HB 1279 (2023), SB 511 (2023), and SB 538 (2021).
SARAH HASKINS