Missouri Senate Bill SB400

Missouri 2025 Regular Session

• Introduced: 1/8/25
• Refer: 2/17/25

Caption

Repeals certain provisions relating to county health ordinances

Impact

The bill primarily impacts local government authority by defining the scope of regulations that health commissions and boards in counties can enforce. With the new regulations, counties can establish fees related to public health services, ensuring that these fees do not impede access to health services for individuals unable to pay. Revenue generated from these fees must be used to support public health activities, which may enhance the ability of counties to manage public health crises more effectively.

Summary

Senate Bill 400 aims to repeal and replace section 192.300 of the Revised Statutes of Missouri, which pertains to the ability of county health commissions and health center boards to promulgate regulations related to public health. The new section allows county commissions and health center boards to establish ordinances and rules to enhance public health and address infectious diseases. However, these regulations cannot conflict with existing state-wide health rules and must not impose stricter requirements on agricultural operations than what state law prescribes.

Contention

Notable points of contention surrounding SB400 include concerns about local autonomy versus state oversight. Proponents argue that a standardized approach is essential for effective disease management across counties, preventing conflicts and confusion. Conversely, opponents may fear that this could limit the ability of local health boards to respond to unique public health challenges within their communities, undermining their authority to legislate according to local needs.