Missouri · Senate Bill 1019 · 2026 Regular Session (103rd General Assembly)

Modifies several provisions relating to health care

SB 1019 Sponsored by Sandy Crawford Became law

  1. Introduced Dec 1, 2025
  2. In committee Jan 15, 2026
  3. Passed the Senate Mar 12, 2026
  4. Passed the House May 14, 2026
  5. To the governor May 28, 2026
  6. Became law Jul 13, 2026

What it does

The legislature's own summary of the bill, or its official long title.

HCS/SB 1019 - This act modifies several provisions relating to health care. HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158) This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other…

Read the full title (272 words)

HCS/SB 1019 - This act modifies several provisions relating to health care. HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158) This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other obligations. This act permits investment of up to 50% of funds not required for operations or other obligations in a manner described in the act, with the remaining portion to be invested into any investment in which the Treasurer is allowed to invest. Under this act, municipal hospitals in third class cities may operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals may operate in areas where municipal hospitals in third class cities and county hospitals operate. These provisions are identical to provisions in the truly agreed to and finally passed SS/SCS/HCS/SB 2372 (2026), SS/SCS/SB 841 (2026), SCS/HCS/HB 943 (2025), SCS/SB 317 (2025), and HCS/SS/SB 7 (2025) and substantially similar to SB 244 (2025). LYME DISEASE (Section 192.026) This act establishes the "Missouri Lyme Disease Eradication Act." The Department shall compile an annual report on the incidence and prevalence of Lyme disease in Missouri, as described in the act. The Department shall collaborate with public four-year institutions of higher education to integrate Lyme disease surveillance data into existing tick-borne disease monitoring programs. This act also contains a repeal of this section as truly agreed to and finally passed in SS/SCS/HCS/HB 2372 (2026). This provision is substantially similar to a provision in SB 887 (2026).

Every action

42 steps, oldest first, as the legislature records them.

Show the 34 earlier steps
  1. SenatePrefiled
  2. SenateS First Read
  3. CommitteeSecond Read and Referred S General Laws Committee · Senate General Laws
  4. CommitteeHearing Conducted S General Laws Committee · Senate General Laws
  5. CommitteeVoted Do Pass S General Laws Committee · Senate General Laws
  6. CommitteeReported from S General Laws Committee · Senate General Laws
  7. SenateSA 1 S offered (Lewis)--(4774S01.12S)
  8. SenateBill Placed on Informal Calendar
  9. SenateSA 1 S withdrawn
  10. SenatePerfected
  11. SenateReported Truly Perfected S Rules, Joint Rules, Resolutions and Ethics Committee
  12. SenateS Third Read and Passed
  13. HouseH First Read
  14. HouseH Second Read
  15. CommitteeReferred H Health and Mental Health · House Health and Mental Health
  16. CommitteeHearing Conducted H Health and Mental Health · House Health and Mental Health
  17. CommitteeHCS Voted Do Pass H Health and Mental Health · House Health and Mental Health
  18. CommitteeHCS Reported Do Pass H Health and Mental Health · House Health and Mental Health
  19. CommitteeReferred H Rules - Administrative · House Rules - Administrative
  20. CommitteeHCS Voted Do Pass H Rules - Administrative · House Rules - Administrative
  21. CommitteeHCS Reported Do Pass H Rules - Administrative · House Rules - Administrative
  22. CommitteeReferred H Fiscal Review Committee · House Fiscal Review
  23. CommitteeHCS Voted Do Pass H Fiscal Review · House Fiscal Review
  24. CommitteeHCS Reported Do Pass H Fiscal Review · House Fiscal Review
  25. HouseBill Placed on H Informal Calendar
  26. HouseHA 1 to HCS H offered & adopted (Stinnett)--(4774H04.27H)
  27. HouseHCS, as amended, H adopted --(4774H.04C)
  28. HouseH Third Read and Passed
  29. HouseMotion to reconsider H Third Reading Vote H adopted
  30. HouseMotion to reconsider the adoption of the HCS, as amended, H adopted
  31. HouseMotion to reconsider the adoption HA 1 to HCS H adopted
  32. HouseHSA 1 for HA 1 to HCS H offered & adopted (Kalberloh)--(4774H04.34H)
  33. HouseHCS, as amended, H adopted --(4774H.04C)
  34. HouseH Third Read and Passed
  1. SenateS concurs in HCS, as amended
  2. SenateS Third Read and Passed
  3. SenateTruly Agreed To and Finally Passed
  4. SenateReported Duly Enrolled Rules, Joint Rules, Resolutions & Ethics Committee
  5. SenateSigned by Senate President Pro Tem
  6. HouseSigned by House Speaker
  7. SenateDelivered to Governor
  8. GovernorSigned by Governor

Roll calls

11 recorded votes: 7 on the floor, 4 in committee. Each shows how every member voted.

SBs 3rd READ - INFORMAL · Full House

110–31
May 14, 2026 · journal entry
Yes 110 No 31 Not voting 17
Democrats: 45 yes, 0 no Republicans: 65 yes, 31 no
How each member voted

Yes · 110

No · 31

Not voting · 1

Absent · 16

THAT THE VOTE BY WHICH HCS SB 1019, A.A., WAS THIRD READ AND PASSED BE RECONSIDERED · Full House

103–24
May 14, 2026 · journal entry
Yes 103 No 24 Not voting 31
Democrats: 18 yes, 18 no Republicans: 85 yes, 6 no
How each member voted

Yes · 103

No · 24

Not voting · 9

Absent · 22

THAT THE VOTE BY WHICH HCS SB 1019, A.A., WAS ADOPTED BE RECONSIDERED · Full House

109–23
May 14, 2026 · journal entry
Yes 109 No 23 Not voting 26
Democrats: 27 yes, 13 no Republicans: 82 yes, 10 no
How each member voted

Yes · 109

No · 23

Not voting · 4

Absent · 22

SBs 3rd READ - INFORMAL · Full House

105–32
May 14, 2026 · journal entry
Yes 105 No 32 Not voting 21
Democrats: 42 yes, 1 no Republicans: 63 yes, 31 no
How each member voted

Yes · 105

No · 32

Not voting · 2

Absent · 19

Senator Crawford moved that HCS for SB 1019, as amended, be adopted, which motion prevailed · Full Senate

Passed 29–1
May 15, 2026 · journal entry
Yes 29 No 1 Not voting 4
Democrats: 9 yes, 0 no Republicans: 20 yes, 1 no
How each member voted

Yes · 29

No · 1

Absent · 1

Excused · 3

On motion of Senator Crawford, HCS for SB 1019 was read the 3rd time and passed · Full Senate

Passed 29–1
May 15, 2026 · journal entry
Yes 29 No 1 Not voting 4
Democrats: 9 yes, 0 no Republicans: 20 yes, 1 no
How each member voted

Yes · 29

No · 1

Absent · 1

Excused · 3

Committee and other votes

DateWhereQuestionResult
Jan 28, 2026 Senate General Laws General Laws: To pass the bill out - Regular
Members

Yes · 6

Absent · 1

 6–0
Mar 12, 2026 Full Senate On motion of Senator Crawford, SB 1019 was read the 3rd time and passed
Members

Yes · 29

Absent · 1

Excused · 4

 Passed 29–0
Apr 21, 2026 House Health and Mental Health Committee on Health and Mental Health: Do Pass with House Committee Substitute
Members

Yes · 12

No · 1

Absent · 5

 12–1
Apr 28, 2026 House Rules - Administrative Committee on Rules - Administrative: Do Pass
Members

Yes · 8

Absent · 3

 8–0
May 14, 2026 House Fiscal Review Committee on Fiscal Review: Do Pass
Members

Yes · 8

 8–0

Sponsors

The member who introduced it.

From Missouri's official records (www.senate.mo.gov), checked Nov 2, 2026. Text links go to the official versions; LegiList does not copy bill text.