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Read. Follow. Verify.Missouri House Bill 2464 Establishes New Care Protocols and Penalties for Terminally Ill Patients
Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsors: Phil Amato and 1 other
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What This Bill Would Do
House Bill 2464 establishes the Missouri Terminally Ill Patient Dignity and Care Act, requiring Missouri hospitals to adopt specific care protocols for terminally ill patients, respond to patient assistance requests within thirty minutes, and designate a by January 1, 2027.
Hospitals face civil penalties up to five thousand dollars per violation and potential license suspension for failing to meet mandated care and response standards for terminally ill patients.
- House Bill 2464 was introduced during the 2026 Regular Session of the Missouri General Assembly. context
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.
Terminally ill patients
Patients receive guaranteed response time frames, access to a terminal care ombudsman, and explicit rights to designate family advocates and make complaints without reprisal.
Hospitals
Hospitals must adopt new care protocols, designate an ombudsman, maintain detailed documentation logs, post notices in inpatient units, and face potential civil penalties or license revocation for violations.
Hospital employees
Employees gain statutory protection against retaliation when reporting neglect in good faith, with legal remedies including reinstatement and double back pay for violations.
Department Of Health And Senior Services
The department is tasked with promulgating implementing rules, investigating verified complaints of neglect, imposing administrative sanctions, and publishing annual hospital compliance reports.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What is a terminally ill patient under this bill?
What happens if a hospital fails to respond to a patient's call light?
What is the role of the terminal care ombudsman?
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 16, 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- Significance75How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz35Current news / social attention level
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