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Read. Follow. Verify.Missouri bill requires physicians to administer all medication abortion doses in person and provide reversal information
Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsor: Cathy Jo Loy
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What This Bill Would Do
House Bill 2419 requires physicians to administer all doses of medication abortion drugs in the same room and physical presence of the patient, replacing a prior rule that applied only to the initial dose. The measure also mandates that physicians perform an ultrasound, provide information on abortion-reversal counseling and the H3HELPLINE, and offer abortion-reversal medication if requested and medically appropriate.
Patients seeking medication abortions face stricter in-person attendance mandates for every dose rather than just the initial one, and physicians must fulfill new counseling, ultrasound, and complication-plan reporting requirements.
- House Bill 2419 was introduced during the 2026 Regular Session of the Missouri General Assembly by Representative Cathy Jo Loy. 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.
Physicians
Physicians prescribing medication abortions must administer all doses in person, perform pre-procedure ultrasounds, provide specific counseling and reversal information, offer reversal medication or referrals, and obtain departmental approval for complication plans under certain conditions.
Patients seeking medication abortions
Patients must receive all medication abortion doses in the physical presence of a physician, undergo an ultrasound, receive abortion-reversal information and right-to-sepulcher details, and have access to follow-up visits and reversal medication.
Department Of Health And Senior Services
The department is authorized to review and approve physician complication plans and adopt rules, regulations, and standards governing those plans.
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
Does a physician need to be present for every dose of a medication abortion under this bill?
What information must a physician provide to a patient before administering abortion-inducing drugs?
When is a physician required to submit a complication plan to the state department?
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 15, 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
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Expansion from Initial Dose to All Doses
The bill shifts requirements from applying only to the initial dose of an abortion-inducing drug to requiring physical physician presence for all doses.
Connected Entities
Sources
house.mo.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy90Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz65Current news / social attention level
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