MO SB 1794
died on adjournmentSB 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
Missouri · 2026 Regular Session · upper
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Quick answers
Did MO SB 1794 pass?
No. MO SB 1794 died when the 2026 Regular Session adjourned without final action on it. Bills that die this way are sometimes reintroduced in a later session. Latest recorded action (2026-05-07): Second Read and Referred S Families, Seniors and Health Committee
What is MO SB 1794 about?
MO SB 1794 is a bill in the 2026 Regular Session titled “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 MO SB 1794?
Webber, Stephen is the primary sponsor of MO SB 1794.
Description
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
- Introduced
- —
- Latest action
- 2026-05-07 — Second Read and Referred S Families, Seniors and Health Committee
- Bill type
- bill
- Last updated
- —
Sponsors
- Webber, Stephenprimary
Committees
Not provided by source.
Action timeline
Newest first
2026-05-07
Second Read and Referred S Families, Seniors and Health Committee
reading-2,referral-committee
2026-02-26
S First Read
reading-1
Versions
- 7211S.01I - IntroducedCompare
Documents
Votes
Not provided by source.
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_bulk_csv, retrieved 2026-07-24T05:25:15.077812Z
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