Bill > HB2999

This bill modifies the definition of the "practice of optometry" in Missouri to expand the scope of services optometrists can provide. It clarifies that optometrists can examine, diagnose, treat, and provide preventative care for the eye and its surrounding structures, referred to as the "adnexa" (which includes lids, lashes, and the tear system). The bill specifically allows optometrists to prescribe and administer pharmaceutical agents, including epinephrine delivery devices, for examination, diagnosis, and treatment, but excludes injectable agents. It also permits optometrists to perform several specific procedures, such as removing superficial and certain embedded foreign bodies from the eye and eyelid, removing damaged corneal epithelium without a blade, epilation with forceps, expressing conjunctival follicles, placing punctal plugs and bandage contact lenses, and performing procedures related to treating blepharitis and meibomian gland disease. Furthermore, the bill includes the application of ultraviolet light for collagen crosslinking or light adjustable lenses, and the therapeutic release of aqueous through a pre-existing wound. Importantly, the bill reiterates that optometrists are not permitted to perform surgery, including laser treatments. The bill also defines terms like "diagnostic pharmaceutical agents," "low vision care," "pharmaceutical agents," "therapeutic pharmaceutical agents," and "vision therapy" to provide clarity on these aspects of optometric practice.

Labor and Employment

https://house.mo.gov/Bill.aspx?bill=HB2999&year=2026&code=R