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Read. Follow. Verify.Missouri House Bill 1976 Modifies Pharmacist Vaccine Ordering and Administration Rules
Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsor: Bennie Cook
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What This Bill Would Do
House Bill 1976 modifies the legal provisions governing the practice of pharmacy, specifically updating the rules under which licensed pharmacists may order and administer vaccines. The measure adjusts exclusions on certain vaccines and outlines administrative requirements including patient monitoring, training certifications, and reporting to the .
Licensed pharmacists and patients seeking vaccinations at retail pharmacies are directly affected by changes to vaccine administration protocols, record-keeping requirements, and reporting mandates.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Pharmacists
Pharmacists face updated statutory standards and training requirements for ordering, administering, and reporting vaccinations.
Patients receiving vaccinations
Patients are subject to new observation protocols, consent attestations regarding the ShowMeVax system, and direct provider reporting alternatives.
Key Facts
- The practice of pharmacy includes the ordering and administration of FDA-approved or authorized vaccines to persons at least seven years of age or meeting CDC age recommendations.
- Certain vaccines such as cholera, monkeypox, rabies, and others are excluded from standard pharmacist ordering unless under specific joint rules or states of emergency.
- Pharmacists administering a vaccine must request the patient to remain in the pharmacy for a safe observation period and maintain emergency treatment protocols.
- Pharmacist administration of a vaccine must be entered into the ShowMeVax system, or reported directly to the patient's health care provider within fourteen days if the patient declines registry entry.
Show all 5 facts
- Pharmacists must receive additional board-required training and display their certification in the pharmacy where vaccines are delivered.
Frequently Asked Questions
What age must a person be to receive a vaccine from a pharmacist under this bill?
What happens if a patient does not want their vaccination recorded in the ShowMeVax system?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
4 actions- May 15, 2026HouseCommitteeReferred: Emerging Issues(H)
- Jan 8, 2026HouseFloorRead Second Time (H)
- Jan 7, 2026HouseIntroducedRead First Time (H)
- Dec 1, 2025HouseIntroducedPrefiled (H)
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Connected Entities
Sources
house.mo.gov
Analysis Score
0–100- Significance60How much this matters to a regular citizen
- Controversy20Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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