Missouri legislation · 2026 Regular Session
Missouri HB3457: Creates provisions relating to medically complex pediatric patients
Status: In committee, April 30, 2026
What the bill says
To amend chapter 197, RSMo, by adding thereto one new section relating to medically complex pediatric patients. Section A. Chapter 197, RSMo, is amended by adding thereto one new section, to be known as section 197.181, to read as follows: 197.181. 1. This section shall be known and may be cited as "Maddie's Law: The Rare Pediatric Disease Care and Protocol Protection Act". 2. As used in this section, the following terms mean: (1) "Care plan", a patient-specific electronic document that may include diagnoses, baseline clinical status, medications and allergies, medical devices, emergency treat.
From the amended text:
To amend chapter 197, RSMo, by adding thereto one new section relating to medically complex pediatric patients. Section A. Chapter 197, RSMo, is amended by adding thereto one new section, to be known as section 197.181, to read as follows: 197.181. 1. This section shall be known and may be cited as "Maddie's Law: The Rare Pediatric Disease Care and Protocol Protection Act". 2. As used in this section, the following terms mean: (1) "Care plan", a patient-specific electronic document that may include diagnoses, baseline clinical status, medications and allergies, medical devices, emergency treatment recommendations, treating providers, and communication needs and that is developed by the primary physician providing care to the patient; (2) "Department", the department of health and senior services; (3) "Emergency department", an emergency department in a hospital licensed under this chapter; (4) "Medically complex pediatric patient", a person under eighteen years of age who has one or more chronic medical conditions expected to last at least twelve months and who requires multiple medication updates, medical technology, or care coordination across multiple providers. 3. (1) Each hospital that operates an emergency department in this state may implement, within its existing electronic health record system, a clearly visible electronic alert or flag for a medically complex pediatric patient. (2) The alert shall: EXPLANATION -- Matter enclosed in bold-faced …