Official Summary Text
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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
Current Bill Text
Read the full stored bill text
5640S.02C
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SENATE COMMITTEE SUBSTITUTE
FOR
SENATE BILL NO. 1423
AN ACT
To repeal section 334.031, RSMo, and to enact in lieu
thereof one new section relating to the licensure of
physicians.
Be it enacted by the General Assembly of the State of Missouri, as follows:
Section A. Section 334.031, RSMo, is repealed and one new
section enacted in lieu thereof, to be known as section 334.031,
to read as follows:
334.031. 1. Candidates for licenses as physicians and
surgeons shall furnish [satisfactory evidence of their good
moral character, and their preliminary qualifications, to
wit: a certificate of graduation from an accredited high
school or its equivalent, and satisfactory evidence of
completion of preprofessional education consisting of a
minimum of sixty semester hours of college credits in
acceptable subjects leading towards the degree of bachelor
of arts or bachelor of science from an accredited college or
university. They shall also furnish satisfactory evidence
of having attended throughout at least four terms of thirty-
two weeks of actual instructions in each term and of having
received a diploma from some reputable medical college or
osteopathic college that enforces requirements of four terms
of thirty-two weeks for actual instruction in each term,
including, in addition to class work, such experience in
operative and hospital work during the last two years of
instruction as is required by the American Medical
Association and the American Osteopathic Association before
the college is approved and accredited as reputable. Any
medical college approved and accredited as reputable by the
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American Medical Association or the Liaison Committee on
Medical Education and any osteopathic college approved and
accredited as reputable by the American Osteopathic
Association is deemed to have complied with the requirements
of this subsection]:
(a) Evidence of good moral character by submitting to
a criminal background check as provided in section 43.540;
(b) Either:
a. A diploma and academic transcripts from a school
accredited by the Liaison Committee on Medical Education,
the Commission on Osteopathic College Accreditation, or a
similar accrediting agency or from some reputable medical
college or osteopathic college; or
b. A valid certificate from the Educational Commission
for Foreign Medical Graduates (ECFMG); and
(c) A certificate demonstrating that the applicant has
satisfied the requirements of section 334.035 relating to
postgraduate training. An applicant who holds a valid
certificate issued by the ECFMG shall submit satisfactory
evidence of successful completion of two years of such
training.
(2) Except as provided in subsection 3 of this
section, the board shall not require applicants to provide
information in addition to the information the applicant is
required to furnish under this subsection.
2. In determining the qualifications necessary for
licensure as a qualified physician and surgeon, the board,
by rule and regulation, may accept the certificate of the
National Board of Medical Examiners of the United States,
chartered pursuant to the laws of the District of Columbia,
of the National Board of Examiners for Osteopathic
Physicians and Surgeons chartered pursuant to the laws of
the state of Indiana, or of the Licentiate of the Medical
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Counsel of Canada (LMCC) in lieu of and as equivalent to its
own professional examination. Every applicant for a license
on the basis of such certificate, upon making application
showing necessary qualifications as provided in subsection 1
of this section, shall be required to pay the same fee
required of applicants to take the examination before the
board.
3. The board may require applicants to list all
licenses to practice as a physician currently or previously
held in any other state, territory, or country and to
disclose any past or pending investigations, discipline, or
sanctions against each such license.
4. In addition to the criminal background screening
required by this section, the board may obtain a report on
the applicant from the National Practitioner Data Bank or
the Federation of State Medical Boards.