Environment
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified
Risks
- No material direct effect identified
Sandy Crawford
SB 1019 status: Enacted — Signed by Governor (updated Jul 13, 2026).

Official summary alongside an AI-generated read on where it stands and why.
Overall Score
Bill summary
HCS/SB 1019 - This act modifies several provisions relating to health care. HOSPITAL INVESTMENTS AND SERVICE AREAS (Sections 96.192, 96.196, 206.110, and 206.158) This act modifies the investment authority of boards of trustees of municipal hospitals in third class cities and hospital district hospitals. Current law permits investment of up to 25% of funds not required for operations of the hospital or other obligations. This act permits investment of up to 50% of funds not required for operations or other obligations in a manner described in the act, with the remaining portion to be invested into any investment in which the Treasurer is allowed to invest. Under this act, municipal hospitals in third class cities may operate in areas where hospital district hospitals and county hospitals operate. Hospital district hospitals may operate in areas where municipal hospitals in third class cities and county hospitals operate. These provisions are identical to provisions in the truly agreed to and finally passed SS/SCS/HCS/SB 2372 (2026), SS/SCS/SB 841 (2026), SCS/HCS/HB 943 (2025), SCS/SB 317 (2025), and HCS/SS/SB 7 (2025) and substantially similar to SB 244 (2025). LYME DISEASE (Section 192.026) This act establishes the "Missouri Lyme Disease Eradication Act." The Department shall compile an annual report on the incidence and prevalence of Lyme disease in Missouri, as described in the act. The Department shall collaborate with public four-year institutions of higher education to integrate Lyme disease surveillance data into existing tick-borne disease monitoring programs. This act also contains a repeal of this section as truly agreed to and finally passed in SS/SCS/HCS/HB 2372 (2026). This provision is substantially similar to a provision in SB 887 (2026). SARAH HASKINS
Modeled effects across six domains, estimated from bill text and comparable legislation.
No direct effect
Neutral — no direct effect identified.
Positive outlook
Mixed / Neutral
No direct effect
Neutral — no direct effect identified.
Mixed / Neutral
Mixed / Neutral
Sourcing already shown above, this is what the analysis found worth flagging.
Confidence
Medium
Information is useful, with some gaps.
Analysis basis
LegiScan summary
Source used for this bill's analysis.
Source note
LegiScan returned a PDF-only document. PDF extraction is not enabled in this build, so the pipeline used a safer fallback.
!Analysis scope
The source is a brief summary and does not include the full statutory language regarding investment asset categories.

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