Bill > HB2514

This bill creates the "Missouri Medical Documentation and Patient Recording Accountability Act", which establishes comprehensive requirements for medical documentation and patient recording rights. The legislation mandates that all clinical communications influencing patient care must be documented within the same calendar day or within 24 hours, and requires that no clinical decisions, diagnoses, or care plan changes are valid unless properly documented. Healthcare professionals must perform a thorough differential diagnosis and document their rationale when attributing symptoms to psychiatric causes, and all electronic communications related to patient care must be automatically retained within the patient's medical record. The bill also grants patients and their advocates the right to audio, video, or live stream medical encounters, with protections against healthcare provider interference or retaliation. Healthcare providers who violate these documentation requirements can face escalating legal penalties, ranging from misdemeanors to felonies depending on the number and severity of violations. The bill further requires healthcare facilities to post signage informing patients of their recording rights and mandates that the Department of Health and Senior Services develop specific rules to implement these provisions. Importantly, the legislation aims to increase transparency, accountability, and patient protection in medical settings by ensuring comprehensive documentation and patient involvement in their own healthcare documentation.

https://house.mo.gov/Bill.aspx?bill=HB2514&year=2026&code=R