Missouri 2026 Regular Session Status: In Committee

SB 1794 — Modifies provisions relating to long-term care facilities

Last action — Second Read and Referred S Families, Seniors and Health Committee

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the Senate. Introduced February 26, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Senate.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 14% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

SB 1794 - This act modifies several provisions relating to long-term care facilities. Under current law, a certificate of need is not required for transfer of ownership of an existing and operational health facility in its entirety. This act requires a certificate of need for any such transfer of an assisted living, intermediate care, residential, or skilled nursing facility. This act modifies requirements for licensure of long-term care facilities by requiring applications to disclose all facility owners, trustees, and companies that provide the facility or operator with administrative, clinical, and financial services, including real estate investment trusts. Finally, this act requires assisted living facilities to maintain, on a 24-hour basis, registered nurses on site providing care for a specified amount of time per day, as well as certified nursing assistants providing care for a specified amount of time per day. The facilities shall submit information to the Centers for Medicare and Medicaid Services (CMS) according to federal regulations. The Department of Health and Senior Services may impose appropriate sanctions and penalties on a facility administrator who fails to meet the minimum staffing standards two quarters in a row. An assisted living facility may be exempted from these minimum staffing requirements if a verifiable hardship exists, such as an insufficient workforce supply in the area, an inability to recruit and retain appropriate personnel, and documentation of the amount of financial resources that the facility expends on nurse staffing relative to revenue. A facility that has been cited for insufficient staffing resulting in actual harm, as described in the act, in the prior twelve months or that has failed to submit required data to CMS shall not be eligible for an exemption under this provision. Finally, the assisted facility shall designate a registered professional nurse as the director of nursing on a full-time basis and designate a registered professional nurse to serve as a charge nurse for each nursing shift. This act is identical to SB 733 (2025) and HB 789 (2025). SARAH HASKINS

Bill Text

Action History

  1. Second Read and Referred S Families, Seniors and Health Committee

  2. S First Read

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 198 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (198)

198 members have not signed on to this bill.

Show all 198 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare labor health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 1794 do?
SB 1794 - This act modifies several provisions relating to long-term care facilities. Under current law, a certificate of need is not required for transfer of ownership of an existing and operational health facility in its entirety. This act requires a certificate of need for any such transfer of an assisted living, intermediate care, residential, or skilled nursing facility. This act modifies requirements for licensure of long-term care facilities by requiring applications to disclose all facility owners, trustees, and companies that provide the facility or operator with administrative, clinical, and financial services, including real estate investment trusts. Finally, this act requires assisted living facilities to maintain, on a 24-hour basis, registered nurses on site providing care for a specified amount of time per day, as well as certified nursing assistants providing care for a specified amount of time per day. The facilities shall submit information to the Centers for Medicare and Medicaid Services (CMS) according to federal regulations. The Department of Health and Senior Services may impose appropriate sanctions and penalties on a facility administrator who fails to meet the minimum staffing standards two quarters in a row. An assisted living facility may be exempted from these minimum staffing requirements if a verifiable hardship exists, such as an insufficient workforce supply in the area, an inability to recruit and retain appropriate personnel, and documentation of the amount of financial resources that the facility expends on nurse staffing relative to revenue. A facility that has been cited for insufficient staffing resulting in actual harm, as described in the act, in the prior twelve months or that has failed to submit required data to CMS shall not be eligible for an exemption under this provision. Finally, the assisted facility shall designate a registered professional nurse as the director of nursing on a full-time basis and designate a registered professional nurse to serve as a charge nurse for each nursing shift. This act is identical to SB 733 (2025) and HB 789 (2025). SARAH HASKINS
Who sponsors SB 1794?
SB 1794 is sponsored by Stephen Webber.
What is the current status of SB 1794?
This bill is in committee in the Senate. Introduced February 26, 2026. It must pass committee before a floor vote.
Where can I track SB 1794?
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