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Missouri House approves statute to clarify nonprofit pharmacies and expands pharmacists' scope through amendments

Missouri House of Representatives · April 8, 2026

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Summary

The House adopted a committee substitute for HB 30-09 to provide statutory guidance for pharmacies that serve low-income and underserved patients, and members approved amendments to align out-of-state distributor licensing with national accreditation and to expand scope-of-practice items for pharmacists.

The House on April 9 approved a House Committee Substitute for House Bill 30-09 to clarify the statutory status of nonprofit or otherwise nontraditional pharmacies that serve low-income and underserved patients.

The sponsor, identified as the lady from Saint Charles (speaker 10), said the measure "provides a clear statute guidance for pharmacies in Missouri" and is aimed at clearing legal uncertainty after emergency actions needed following the 2025 St. Louis tornado. She said the bill costs the state nothing and carries support from the pharmaceutical association.

Members offered and the House adopted multiple floor amendments. The gentleman from Saint Louis County (speaker 16) described a widely supported amendment to accept National Association of Boards of Pharmacy accreditation for out-of-state distributors (HB 1945 referenced), a change requested by the State Board of Pharmacy. The gentleman from Texas (speaker 14) offered an amendment broadening pharmacists' scope — including immunizations and provisions allowing pharmacists to dispense certain medicines under board-approved labeling — and said the change helps rural access to care.

After debate and the adoption of amendments, the House perfected and printed the committee substitute as amended and recorded the adoption on the floor; the transcript does not record a roll-call tally for the final vote.