Missouri Governor Signs Healthcare Law Requiring State Tracking of Alpha-Gal Syndrome

Missouri Governor Mike Kehoe signed several healthcare and economic development bills into law on July 13, 2026. A key measure, House Bill 2372, mandates that laboratories report confirmed cases of Alpha-gal syndrome—a tick-borne red meat allergy with over 34,000 state cases since 2021—to the Department of Health and Senior Services. Other signed bills establish the Born-Alive Abortion Survivors Protection Act, expand telehealth and doula services, and create new economic development incentives.

Missouri healthcare legislation signing

• ▪Missouri Governor Mike Kehoe signed eight bills into law on July 13, 2026, including six bills related to healthcare, one related to economic development, and one on sovereign immunity
• ▪Governor Mike Kehoe signed a wide-ranging healthcare bill that expands access to doula services for pregnant women, including increasing Medicaid-covered doula visits for low-income mothers
• ▪The newly signed healthcare legislation adds free childbirth education classes for women enrolled in Missouri’s Show-Me Healthy Babies program

Alpha-gal syndrome state tracking

• ▪State health records show that more than 34,000 cases of Alpha-gal syndrome have been reported in Missouri since 2021
• ▪The new law requires laboratories to report confirmed cases of Alpha-gal syndrome to the Missouri Department of Health and Senior Services, which will provide an annual de-identified report to the Centers for Disease Control and Prevention
• ▪Alpha-gal syndrome is a tick-borne allergy to mammal products, including red meat and dairy, caused by a Lone Star tick bite
• ▪House Bill 2372, sponsored by Representative Tara Peters and Senator Mike Bernskoetter, authorizes the Missouri Department of Health and Senior Services to begin tracking and reporting cases of Alpha-gal syndrome

Born-Alive Abortion Survivors Protection Act

• ▪The Born-Alive Abortion Survivors Protection Act requires life-saving care be provided to a baby born alive after an attempted abortion, and anyone who violates the act could face first-degree murder charges
• ▪Senate Bill 999, sponsored by Senator Brad Hudson and Representative Brian Seitz, creates the Born-Alive Abortion Survivors Protection Act
• ▪Senate Bill 999 expands the Pregnancy-Associated Mortality Review Board and tasks the board with tracking mortality patterns within maternity care deserts

Telehealth access expansion

• ▪House Bill 2372 reduces barriers for ambulance services to provide primary and preventative care in underserved communities via community paramedics
• ▪House Bill 2372 allows patients to establish relationships with physicians through telehealth interactions to increase healthcare access

Healthcare provider licensure reciprocity

• ▪House Bill 2974, sponsored by Representative Melanie Stinnett and Senator Jamie Burger, modifies provisions relating to licensure reciprocity, including waivers for healthcare professionals providing telehealth services
• ▪House Bill 2974 allows physician assistants to practice across participating states without obtaining additional licenses

Missouri economic development incentives

• ▪House Bill 3231 creates a new incentive within the Missouri Works program to encourage new capital investment over $50 million
• ▪House Bill 3231 reauthorizes the Missouri Downtown Economic Stimulus Act and creates the Missouri Innovation Zone program to encourage investment in downtowns, central business districts, and main streets
• ▪House Bill 3231, sponsored by Representative Brad Christ and Senator Kurtis Gregory, establishes the Missouri Innovation, Public Safety and Accountability Act