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SB 1143

SB 1143 - 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 is identical to a provision of SB 733 (2025). SARAH HASKINS

2026 Regular Session Introduced by Adam Schnelting

SB 1143 modifies Missouri's Certificate of Need requirements for long-term care facilities, affecting regulatory approval processes for facility expansion and capital spending.

Second Read and Referred S Families, Seniors and Health Committee
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Bill Summary · SB 1143

Legislative bill overview

SB 1143 modifies Missouri's Certificate of Need (CON) requirements for long-term care facilities. CON programs require healthcare providers to obtain state approval before making significant capital expenditures or expanding services. This bill adjusts the regulatory framework governing how long-term care facilities must navigate this approval process.

Why is this important

Certificate of Need laws directly affect healthcare access and costs in a state. Changes to CON requirements for long-term care facilities can influence nursing home expansion, bed availability, care quality standards, and ultimately affect elderly residents' access to care and families' choices. Missouri's approach sets a precedent for how tightly the state regulates long-term care sector growth.

Potential points of contention

  • Market entry barriers: Stricter CON requirements can limit competition and new facility development, while looser requirements may reduce oversight of quality standards
  • Rural vs. urban access: CON modifications could disproportionately affect underserved rural areas that struggle to attract long-term care investment
  • Cost and quality tradeoffs: Stakeholders disagree whether CON regulations protect consumers through quality controls or inflate costs by reducing competition

Compiled from official sources — confirm details with the bill’s official record.

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