Bill > HB1637

This bill repeals the existing Missouri Certificate of Need Law and related provisions, which previously required healthcare facilities to obtain a certificate of need from a state committee before developing new services, expanding facilities, or making significant capital expenditures. The bill eliminates the complex regulatory framework that governed healthcare facility expansions and changes, including the requirement for facilities to seek prior approval for new services, bed additions, or significant investments. Instead, the bill simplifies the existing statutes by removing detailed definitions, review processes, and restrictions on healthcare facility development. The bill retains some basic provisions related to facility identification badges, managed care organization reimbursement for long-term care facilities, and Medicaid reimbursement rate calculations, but fundamentally dismantles the previous certificate of need review process. By repealing these provisions, the bill aims to reduce regulatory barriers and potentially make it easier for healthcare facilities to expand, invest in new equipment, or develop new services without going through a lengthy state approval process.

https://house.mo.gov/Bill.aspx?bill=HB1637&year=2026&code=R