The civic record

Read. Follow. Verify.

HB 1855MISSOURISession 2026State Billpassed chamber

Passed

Missouri House Bill 1855 mandates disease surveillance reporting for alpha-gal syndrome and Lyme disease

Original title: DISEASE SURVEILLANCE

Last action · May 7, 2026: Placed on Informal CalendarSponsors: Matthew Overcast and 18 others

Bill progressHistory & official text ↓

Introduced

Committee

Floor Vote

Passed

Law

Track this bill to get notified when it advances a stage. One tap to stop, anytime.

Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Would Do

The Department of Health and Senior Services is required to designate public health concerns, mandate reporting for and Lyme disease, and enforce prevention rules. Health care providers must report Lyme disease within seven days of positive laboratory confirmation, while laboratories must report alpha-gal syndrome using an electronic system. The department must also follow up on alpha-gal cases using random sampling and submit an annual report to the Centers for Disease Control and Prevention.

Why it matters

Changes mandatory reporting requirements for medical providers and testing laboratories, establishing specific thresholds and timelines for submitting tick-borne disease data to state health authorities.

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.

Directly affected

Health care providers

Health care providers treating patients must submit required noncommunicable disease case reports within seven days of receiving a positive laboratory confirmation.

Directly affected

Laboratories

Testing laboratories that finalize positive test results for alpha-gal syndrome must report the results using a departmental electronic reporting system.

Directly affected

Department of Health and Senior Services

The department is tasked with designating diseases of public health concern, enforcing rules, following up on reported cases, and submitting an annual report to the Centers for Disease Control and Prevention.

Key Facts

The Department of Health and Senior Services must designate noncommunicable diseases of public health concern and enforce rules to prevent their spread.
The department's reporting list must explicitly include alpha-gal syndrome and Lyme disease.
Noncommunicable disease case reports must be submitted to the department within seven days of receiving a positive laboratory confirmation.
For cases other than alpha-gal syndrome, the treating health care provider is responsible for submitting the report.

Show all 10 facts

For alpha-gal syndrome, the testing laboratory that finalizes the positive result is responsible for submitting the report.
A report of alpha-gal syndrome is required for an immunoglobulin E level greater than or equal to 0.1 international units per milliliter or 0.1 kilounits per liter.
Testing laboratories must report alpha-gal syndrome test results using an electronic reporting system developed by the department.
The department must follow up on reported alpha-gal syndrome cases using a random sampling method to confirm they meet Centers for Disease Control and Prevention surveillance definitions.
The department must submit an annual report to the Centers for Disease Control and Prevention summarizing findings on disease incidence.
Rulemaking authority granted under this section is subject to chapter 536 and is nonseverable from review and disapproval powers of the general assembly.

Frequently Asked Questions

Who is responsible for reporting a positive Lyme disease case?

The health care provider treating the patient must submit the report within seven days of receiving a positive laboratory confirmation.

Who is responsible for reporting a positive alpha-gal syndrome test?

The laboratory that finalizes the positive test result is responsible for submitting the report.

What test result threshold triggers an alpha-gal syndrome report?

A report is required for an alpha-gal level of greater than or equal to 0.1 international units per milliliter or 0.1 kilounits per liter.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Follow the record

Votes, people, money & the original source

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

36 actions

May 7, 2026House
Placed on Informal Calendar
May 7, 2026SenateCommittee
Reported Do Pass (S)
May 7, 2026SenateCommittee
Voted Do Pass (S)
May 7, 2026Senate
Executive Session Held (S)
May 6, 2026SenateCommittee
Referred: Fiscal Oversight(S)
May 6, 2026SenateCommittee
Reported Do Pass (S)

Show 30 earlier actions

May 5, 2026SenateCommittee
Voted Do Pass (S)
May 5, 2026Senate
Executive Session Held (S)
Apr 22, 2026Senate
Public Hearing Held (S)
Apr 20, 2026Senate
Public Hearing Scheduled (S)
Apr 8, 2026SenateCommittee
Second read and referred: Families, Seniors and Health(S)
Apr 7, 2026Senate
Reported to the Senate and First Read (S)
Apr 2, 2026HouseFloor
Third Read and Passed (H)
Apr 2, 2026House
Taken Up for Third Reading (H)
Mar 31, 2026HouseCommittee
Reported Do Pass (H)
Mar 31, 2026HouseCommittee
Voted Do Pass (H)
Mar 31, 2026House
Executive Session Completed (H)
Mar 30, 2026House
Placed on the Informal Third Reading Calendar (H)
Mar 26, 2026HouseCommittee
Referred: Fiscal Review(H)
Mar 25, 2026House
Perfected with Amendments (H)
Mar 25, 2026House
HCS Adopted (H)
Mar 25, 2026House
Title of Bill - Agreed To
Mar 25, 2026House
Taken Up for Perfection (H)
Mar 23, 2026House
Placed on the Informal Perfection Calendar (H)
Mar 5, 2026HouseCommittee
Reported Do Pass (H)
Mar 5, 2026HouseCommittee
Voted Do Pass (H)
Mar 5, 2026House
Executive Session Completed (H)
Mar 2, 2026HouseCommittee
Referred: Rules - Legislative(H)
Feb 26, 2026HouseCommittee
HCS Reported Do Pass (H)
Feb 26, 2026HouseCommittee
HCS Voted Do Pass (H)
Feb 26, 2026House
Executive Session Completed (H)
Feb 19, 2026House
Public Hearing Completed (H)
Jan 29, 2026HouseCommittee
Referred: Health and Mental Health(H)
Jan 8, 2026HouseFloor
Read Second Time (H)
Jan 7, 2026HouseIntroduced
Read First Time (H)
Dec 1, 2025HouseIntroduced
Prefiled (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 →