VOYCE works to improve the quality of long-term care for all Missourians through our systemic advocacy. We seek to be a catalyst for change by lifting the voices of vulnerable long-term care residents and ensuring they have a seat at the table of legislative decisions.  VOYCE’s Mission, Vision, and Values guide our legislative priorities. VOYCE believes that we can promote quality living across the long-term care continuum when we all come together.

We’ve provided updates on bills that we are following and advocating for in both the Missouri House of Representatives and the Senate.

House Bills


HB 1382

Summary: Washington (D-Jackson). Requires long-term care facilities to have one person on staff trained in suicide assessment, treatment, and management. The ability to assess and prevent suicide in long-term care is essential for overall positive outcomes of long-term care communities. This bill is intended to promote efforts in minimizing access to suicide among long-term residents with recognizable suicide risk.

Bill Status: Did not pass

HB 1387

Summary: Murphy (R- St. Louis County), Cosponsored by McDaniel (R- Pemiscot). Establishes the “Authorized Electronic Monitoring in Long-Term Care Facilities Act.” This bill allows residents of long-term care to install cameras in their bedroom, with consent from a roommate. Families may monitor the care their loved one is receiving while living in a long-term care facility. This bill is intended to prevent/deter resident abuse and neglect. Supporters of this bill argue that, if passed, camera installation could:

  • Fill current gaps in security and protection from abuse, theft, and neglect
  • Ensure that a resident is receiving appropriate levels of care
  • Confirm (or deny) allegations of suspected abuse and neglect
  • Promote facility reputation and increase accountability of LTC facilities

Bill Status: Voted Truly Agreed and Finally Passed. This bill is now law in the state of Missouri.

HB 1451

Summary: Schroer (R- O’Fallon). The intention of HB 1451 is to better protect vulnerable adults living in Missouri. The bill increases penalties for abuse, neglect, or financial exploitation of an elderly person or person with a disability. Under current state statute, these offenses are Class A Misdemeanors, the highest class of misdemeanor. The passage of this bill serves to classify these offenses as a Class E Felony, a low-level felony. This change will likely lead to harsher punishments for anyone convicted of abuse, neglect, or financial exploitation. Supporters believe this bill is necessary due to an increase in financial exploitation among the older adult population.

Bill Status: Did not pass.

HB 1683

Summary: Wood (R-Morgan). Establishes an “Alzheimer’s State Plan Task Force.” The task force is designed to assess all state programs working to address Alzheimer’s and update the current state plan (created 10 years ago) aimed at overcoming Alzheimer’s. Members included on the task force should include, at least:

  1. A person living with early-stage Alzheimer’s or a related dementia
  2. A family caregiver of a person with Alzheimer’s or a related dementia
  3. A member of the Office of the Long-Term Care Ombudsman Program
  4. A representative of long-term care communities

Bill Status: Did not pass

Senate Bills


SB 823

Summary: Wallingford (R- Cape Girardeau). This bill is identical to the above HB 1683 sponsored by Representative Wood establishing an Alzheimer’s State Plan Task Force but has been separately filed in the State Senate.

Bill Status: Did not pass

SB 909

Summary: Wallingford (R- Cape Girardeau). This bill is identical to the above HB 1387 sponsored by Representative Murphy permitting Electronic Monitoring in resident rooms but has been separately filed in the State Senate.

Bill Status: Passed as HB 1387