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Missouri Law Regarding Family Planning Funding Prioritization and Clinic Inspections (HB 427)

This law was last updated on Feb 5, 2015




HB 427


Failed to Pass


Jan 8, 2015


Primary Sponsors: 1
Total Sponsors: 1


Funding Restrictions for Family Planning, Targeted Regulation of Abortion Providers

Full Bill Text

HB 427 contains two provisions related to reproductive health care: (1) abortion clinic inspection requirement and (2) reprioritization of the distribution of public funds for abortion.

Clinic Inspection

HB 427 would modify provisions relating to inspection of abortion facilities to require that the Department of Health and Senior Services do an annual on-site inspection and investigation of any ambulatory surgical center operated for the purpose of performing or inducing any second or third trimester abortions or five or more first trimester abortions per month. The department would be required to make its inspection and investigation reports available to the public with redactions of information not subject to disclosure under the law.

HB 190 contains this same provision.

Distribution of Public Funds

reprioritize the distribution of public funds for family planning and reproductive health care in an effort to direct money away from abortion clinics (i.e., Planned Parenthood) and toward hospitals and other kinds of family planning clinics that didn’t provide abortions.

Specifically, the bill would establish the priority with respect to any expenditures or grants of public funds for family planning services by the state to be health care facilities owned or operated by the state, non-public hospitals and federally qualified health centers, rural health clinics and finally non-public health providers that had as their primary purpose the provision of primary health care services as designated under federal law.

According to Planned Parenthood Advocates in Missouri:

[HB 427] could prohibit patients who are seeking services at health centers that specialize in family planning services from receiving publicly funded care. The bill creates a flawed scheme of how state and federal family planning funds are allocated to specific providers, allowing patients at hospitals and other primary health care providers to get publicly funded care while those choosing to get care at popular providers such as private OB/GYNs, Planned Parenthood or other family planning centers would be denied publicly funded care. The bill could prevent patients at targeted health centers from receiving other types of federal or state funded services, such as treatment and prevention for sexually transmitted infections or cancer screenings and counseling.


The funding restriction provision is the same as in SB 660 and HB 1353, both of which failed to pass in 2014.

The clinic inspection provision is the same as in HB 190, which was also introduced in 2015.



Primary Sponsor