Bill > HB2833

This bill modifies provisions related to long-term care facilities by updating requirements for obtaining a certificate of need (CON) for new institutional health services, which is a process to ensure that healthcare services are needed before they are developed or offered. Specifically, it clarifies that CONs are not required for the transfer of ownership of existing health facilities, except for assisted living, intermediate care, residential care, or skilled nursing facilities. The bill also revises the requirements for obtaining a license to operate a facility, mandating that applications must disclose all facility owners, trustees, and service providers, including real estate investment trusts. Furthermore, it establishes new minimum staffing requirements for assisted living facilities, requiring a certain number of hours per resident day for registered nurses and certified nursing assistants, and mandates electronic submission of staffing data to the Centers for Medicare and Medicaid Services (CMS). The bill also outlines conditions under which assisted living facilities may be exempted from these staffing requirements due to verifiable hardship, and specifies that facilities with certain serious staffing violations or those failing to submit data to CMS are ineligible for such exemptions. Finally, it requires assisted living facilities to designate a full-time director of nursing and a registered professional nurse to serve as a charge nurse for each shift, with exceptions for smaller facilities.

https://house.mo.gov/Bill.aspx?bill=HB2833&year=2026&code=R