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SB1621 • 2026

Establishes provisions relating to civil actions involving medical monitoring

Establishes provisions relating to civil actions involving medical monitoring

Healthcare
Passed Legislature

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

Sponsor
Gregory (21), Kurtis; House handler: N/A
Last action
2026-02-12
Official status
Second Read and Referred S General Laws Committee
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.

Establishes provisions relating to civil actions involving medical monitoring

The following summaries of this bill are available: Print All Summaries Introduced Print SB 1621 - This act provides that there shall be no standalone cause of action for medical monitoring in this state.

What This Bill Does

  • The following summaries of this bill are available: Print All Summaries Introduced Print SB 1621 - This act provides that there shall be no standalone cause of action for medical monitoring in this state.
  • Additionally, regardless of the legal theory asserted, an increased risk of disease shall not compensable by itself through damages or any other form of relief.
  • No defendant shall be required to pay damages or provide other relief for a plaintiff's future medical monitoring unless the plaintiff proves, in addition to the requirements for the underlying cause of action, the following: • The future monitoring is directly related to, and necessitated by, a presently existing and diagnosable physical disease or injury of the plaintiff; • The future monitoring is distinct from other monitoring recommended in the absence of the preexisting physical disease or injury and related exposure; and • The plaintiff's presently existing physical disease or injury was caused by the defendant's tortious conduct.
  • Furthermore, the mere presence of a toxic substance in the bloodstream shall not constitute a presently existing and diagnosable physical disease or injury.

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.

Bill History

  1. 2026-02-12 S383

    Second Read and Referred S General Laws Committee

  2. 2026-02-04 S286

    S First Read

Official Summary Text

The following summaries of this bill are available:

Print All Summaries

Introduced

Print

SB 1621 - This act provides that there shall be no standalone cause of action for medical monitoring in this state. Additionally, regardless of the legal theory asserted, an increased risk of disease shall not compensable by itself through damages or any other form of relief. No defendant shall be required to pay damages or provide other relief for a plaintiff's future medical monitoring unless the plaintiff proves, in addition to the requirements for the underlying cause of action, the following:
• The future monitoring is directly related to, and necessitated by, a presently existing and diagnosable physical disease or injury of the plaintiff;
• The future monitoring is distinct from other monitoring recommended in the absence of the preexisting physical disease or injury and related exposure; and
• The plaintiff's presently existing physical disease or injury was caused by the defendant's tortious conduct.

Furthermore, the mere presence of a toxic substance in the bloodstream shall not constitute a presently existing and diagnosable physical disease or injury.

This act is identical to HB 2888 (2026).
KATIE O'BRIEN

Current Bill Text

Read the full stored bill text
SECOND REGULAR SESSION
SENATE BILL NO. 1621
103RD GENERAL ASSEMBLY
INTRODUCED BY SENATOR GREGORY (21).
7045S.01I KRISTINA MARTIN, Secretary
AN ACT
To amend chapter 537, RSMo, by adding thereto one new section relating to civil actions for
medical monitoring.
Be it enacted by the General Assembly of the State of Missouri, as follows:
Section A. Chapter 537, RSMo, is amended by adding thereto 1
one new section, to be known as section 537.1600, to read as 2
follows:3
537.1600. 1. No standalone cause of action for 1
medical monitoring exists under the laws of this state. 2
Increased risk of disease, whether accompanied by 3
physiological or other changes in the human body, is not 4
itself compensable through damages or any other form of 5
relief, regardless of the legal theory being asserted. 6
2. In any civil action, no defendant shall be required 7
to pay damages or provide any other type of legal, 8
injunctive, or equitable relief for a plaintiff's future 9
medical surveillance, screening tests, or monitoring 10
procedures unless the plaintiff proves, in addition to the 11
other requirements for the underlying cause of action, that: 12
(1) The future medical surveillance, screening tests, 13
or monitoring procedures sought are directly related to, and 14
necessitated by, a presently existing and diagnosable 15
physical disease or injury of the plaintiff; 16
SB 1621 2
(2) The future medical surveillance, screening tests, 17
or monitoring procedures are distinct from the medical 18
surveillance, screening tests, or monitoring procedures 19
recommended in the absence of the preexisting physical 20
disease or injury and related exposure; and 21
(3) The plaintiff's presently existing physical 22
disease or injury was caused by the defendant's tortious 23
conduct. 24
3. For purposes of subsection 2 of this section, the 25
mere presence of a toxic substance in the bloodstream shall 26
not constitute a presently existing and diagnosable physical 27
disease or injury. 28
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