Bill > HB2413

This bill modifies regulations for long-term care facilities, specifically residential care and assisted living facilities. The bill establishes more comprehensive guidelines for admitting and retaining residents, requiring facilities to only admit individuals who can safely navigate to safety, potentially with assistive devices, and who do not require skilled nursing or hospital care. Facilities must now provide detailed services, including 24-hour staffing, written disaster and evacuation plans, pre-admission screenings, community-based assessments, and individualized service plans for residents. The bill also adds restrictions on admitting residents with certain medical conditions or behavioral issues, such as those requiring physical or chemical restraints, skilled nursing services, or more than one person to assist with daily activities. New provisions require facilities to develop plans protecting residents' rights and safety, and allow some exceptions for hospice patients. Additionally, the bill expands who can perform admission physical examinations to include advanced practice registered nurses and physician assistants, and modifies regulations around medication administration in long-term care facilities. The overall goal appears to be improving resident care, safety, and facility accountability in long-term care settings.

https://house.mo.gov/Bill.aspx?bill=HB2413&year=2026&code=R