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Read. Follow. Verify.Missouri House Bill 1810 Prohibits Denying Trauma Center Status Based on Distance
Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsor: Pattie Mansur
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What This Bill Would Do
The Missouri Department of Health and Senior Services is prohibited from denying a hospital trauma center designation solely based on its distance or mileage from another trauma center. The measure also establishes standards for alternative national designations, periodic site reviews, data submission methods, and physician education requirements.
- House Bill 1810 was introduced during the 2026 Regular Session of the Missouri General Assembly by Representative Pattie Mansur. 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.
Hospitals
Hospitals applying for or maintaining trauma, STEMI, or stroke designations are subject to new proximity rules, alternative application pathways, and mandatory data reporting methods.
Department of Health and Senior Services
The department is restricted from denying trauma designations based on distance, required to conduct triennial site reviews, and limited in setting specific physician education mandates.
Emergency medicine physicians
Physicians who are board-certified or board-eligible through ABEM or AOBEM are exempt from additional department-established education requirements.
Key Facts
- The Department of Health and Senior Services is explicitly prohibited from denying a qualified hospital designation as a level I, II, or III trauma center based solely on distance or mileage between centers.
- Hospitals may apply for trauma, STEMI, or stroke center designation based on state levels corresponding to similar national designations set by department rules.
- The department must conduct a site review of every trauma, STEMI, and stroke center at least once every three years, except for those designated through alternative national certification routes.
- Hospitals designated as trauma, STEMI, or stroke centers must submit data either through a state registry or a national registry/data bank without being required to perform duplicative data entry.
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- The department is barred from establishing additional education requirements for emergency medicine physicians who are board-certified or board-eligible through ABEM or AOBEM.
- Hospitals designated under national or alternative verification must submit proof of certification, medical director names, and program manager contact info within thirty days of changes.
- Level III stroke centers designated under alternative pathways must have a formal agreement with a level I or level II stroke center for physician consultative services regarding thrombolytic therapy.
- Data collected by the department regarding healthcare professionals or individual patient identities is protected from public disclosure.
- Any person aggrieved by a department decision regarding trauma, STEMI, or stroke center designations may seek a determination from the administrative hearing commission under chapter 621.
Frequently Asked Questions
Can the state deny a hospital trauma center status because it is too close to another facility?
How often must hospitals undergo site reviews for their trauma, STEMI, or stroke designations?
Where are hospital data submissions sent?
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
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Elimination of Proximity Restrictions for Trauma Centers
The legislation removes the department's ability to reject trauma center applications based strictly on geographic proximity to existing centers.
Connected Entities
Sources
house.mo.gov
Analysis Score
0–100- Significance65How much this matters to a regular citizen
- Controversy35Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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