HCS/SB 1092 - This act modifies provisions relating to professional licensure. TEMPORARY LICENSES (SECTION 324.004) Under this act, any person who has at least three years of work experience in an occupation or profession in another state or the District of Columbia that does not use a license to regulate that occupation or profession may submit an application for a license in Missouri to the relevant oversight body. A person shall submit proof of experience in the occupation or profession and proof of citizenship or lawful presence in the United States, except as provided. Within 45 days of receiving the application, the oversight body shall make a determination of qualification. The oversight body shall require an applicant to take and pass a profession-specific examination and may require an examination specific to Missouri laws. A license issued under this act shall be a one-time, non-renewable, two-year temporary license. If the applicant is not residing in Missouri, the oversight body shall conditionally approve the application. If an applicant fails to provide proof of domicile in Missouri within 60 days of receipt of temporary license, the oversight body may terminate the temporary license and the applicant may reapply for the temporary license. Upon expiration of the temporary license, individuals shall be required to apply for a permanent license, consistent with the licensure and application requirements of that license as set forth in statute and rule. A license issued under this act shall not be qualified for reciprocity with another state or as part of an interstate compact. The provisions of this act shall not apply to certain specified professions. This provision is identical to a provision in HCS/SB 1092 (2026) and is similar to a provision in HCS/HB 2300 (2026), in SS/SB 61 (2025) and in the perfected HB 478 (2025), SB 817 (2024), in HCS/SS#2/SCS/SB 88 (2023), and HB 1900 (2022). LICENSE RECIPROCITY - TELEHEALTH (SECTION 324.009) Those health care providers, who hold a current license issued by another jurisdiction and are licensed in Missouri with a waiver of examination, educational, or experience requirements, shall be deemed to be fully licensed to practice within the profession's scope of practice in Missouri and may provide telehealth services to the same extent and manner as health care providers who receive a license without a waiver. This provision is identical to a provision in HCS/SB 1019 (2026), in HCS/SS#2/SB 1233 (2026), SB 1691 (2026), in HCS/HB 2300 (2026), in HCS/HB 2372 (2026), and HCS/HB 2974 (2026). NONRENEWABLE TEMPORARY LICENSES FOR DIETITIANS (SECTION 324.218) This act establishes a temporary license for dietitians. Under the act, an applicant who has not previously taken or passed an examination recognized by the State Committee of Dietitians ("Committee") and who meets the qualifications for licensure as a dietitian may obtain without examination a nonrenewable temporary license by paying a temporary license fee and submitting to the Committee an agreement-to-supervise form that is signed by a licensed dietitian who has agreed to supervise the applicant and has active dietetics practice in this state for a minimum of one year. The temporary license shall expire the date the Committee is notified by the supervising dietitian that the temporary licensee's employment has ceased or within one hundred eighty days of its issuance, whichever occurs first. This act further provides that the supervising dietitian shall not be an immediate family member of the temporary licensee. Additionally, the act requires the supervising dietitian to submit a signed and notarized form attesting that the applicant shall begin employment at a location in this state within seven days of issuance of the temporary license. If the temporary licensee's employment ceases, the supervising dietitian shall notify the Committee within three days. Finally, this act provides that a supervising dietitian shall not supervise more than one temporary licensee at a time. This provision is identical to a provision in HCS/SS#2/SB 1233 (2026), in HB 1961 (2026), in the perfected HCS/HB 268 (2025), and in HB 397 (2025), and is substantially similar to a provision in SB 1339 (2026) SB 412 (2025), in SB 1053 (2024), HB 1666 (2024), in SCS/HB 2280 (2024), HB 845 (2023), and HB 873 (2023). DIETITIAN LICENSURE COMPACT (SECTIONS 324.1800 TO 324.1865) This act establishes the Dietitian Licensure Compact ("Compact"), which facilitates the interstate practice of dietetics and authorizes dietitians licensed in a participating state to practice in other participating states. The Compact sets forth the requirements to be met in order for a state to join and the requirements for a dietitian to obtain and exercise the ability to practice in other participating states. The Compact further provides that a dietitian with compact privilege shall function within the scope of practice authorized by the participating state in which they seek to practice and shall be subject to that state's regulatory authority. A dietitian whose privilege in a participating state is encumbered or removed is not eligible for compact privilege in other participating states until the encumbrance or removal has passed and all requirements are met. Additionally, the Compact creates the Dietitian Licensure Compact Commission ("Commission"), which is a joint government agency of the participating states tasked with administering and implementing the Compact. The Compact provides for its powers and duties, including the development and maintenance of a coordinated database and reporting system containing licensure, adverse actions, and investigative information on all licensees and applicants. Each participating state shall have one Commissioner, who shall be selected within sixty days by the licensing authority of the participating state. Additionally, there shall be an Executive Committee of the Commission, composed of nine members, to act on behalf of the Commission. Upon enactment, the Compact shall be reviewed by the Commission to determine if it is materially different from the Model Compact and whether the state qualifies for participation in the Compact. Any state that adopts the Compact subsequent to the Commission’s initial adoption of the rules and bylaws shall be subject to the rules and bylaws existing on the date on which the Compact becomes law. Any participating state may withdraw from the Compact by repealing the Compact, but such withdrawal shall not take effect until 180 days after the enactment of the repeal. Finally, the Compact shall be binding upon participating states and shall supersede any conflict with state law. These provisions are identical to provisions in HCS/SS#2/SB 1233 (2026), in HB 1961 (2026), in the perfected HCS/HB 268 (2025), in HB 397 (2025), and in HB 2477 (2024), and are substantially similar to a provision in SB 1339 (2026) and in SB 412 (2025). PRACTICE OF DENTISTRY IN CORRECTIONAL CENTERS (SECTION 332.081) Current law provides that no corporation shall practice dentistry unless that corporation is a nonprofit corporation or a professional corporation under Missouri law. This act provides that such provision shall not apply to entities contracted with the state to provide care in correctional centers. This provision is identical to a provision in SCS/SB 841 (2026), in HCS/SS#2/SB 1233 (2026), in SCS/HB 2591 (2026), HB 1710 (2026), HB 1847 (2026), in HCS/HB 2372 (2026), in HCS/SS/SB 7 (2025), in the perfected HB 56 (2025), HB 122 (2025), SB 143 (2025), in the perfected HCS/HB 268 (2025), in SCS/SB 317 (2025), SB 548 (2025), in SCS/HCS/HB 943 (2025), in HCS/HB 1505 (2025), in SS/SCS/HCS/HB 1659 (2024), SB 1287 (2024), and HB 2280 (2024). DENTIST AND DENTAL HYGIENIST COMPACT (SECTIONS 332.700 TO 332.760) This act establishes the Dentist and Dental Hygienist Compact ("Compact"), which facilitates the interstate practice of dentistry and dental hygiene and provides for dentists and dental hygienists licensed in a participating state the ability to practice in other participating states. The Compact sets forth the requirements to be met in order for a state to join and the requirements for a dentist or dental hygienist to obtain and exercise the ability to practice in other participating states. The Compact further provides that a dentist or dental hygienist with compact privilege shall function within the scope of practice authorized by the participating state in which they seek to practice and shall be subject to that state's regulatory authority. A dentist or dental hygienist whose privilege in a participating state is encumbered or removed is not eligible for compact privilege in other participating states until the encumbrance or removal has passed and all requirements are met. Additionally, the Compact creates the Dentist and Dental Hygienist Compact Commission ("Commission"), which is a joint government agency of the participating states tasked with administering and implementing the Compact. Each participating state shall have one Commissioner, who shall be selected within sixty days by the licensing authority of the participating state. Additionally, there shall be an Executive Board of the Commission, composed of seven Commissioners, to act on behalf of the Commission. The act provides for the powers and duties of the Commission, including the development and maintenance of a coordinated database and reporting system containing licensure, adverse actions, and investigative information on all licensees and applicants. The Commission may levy on and collect an annual assessment from each participating state and impose fees on licensees for the compact privilege in order to cover the cost of the operations and activities of the Commission and its staff. Upon enactment, the Compact shall be reviewed by the Commission to determine if it is materially different from the Model Compact and whether the state qualifies for participation in the Compact. Any state that adopts the Compact subsequent to the Commission’s initial adoption of the rules and bylaws shall be subject to the rules and bylaws existing on the date on which the Compact becomes law. Any participating state may withdraw from the Compact by repealing the Compact, but such withdrawal shall not take effect until 180 days after the enactment of the repeal. Finally, the Compact shall be binding upon participating states and shall supersede any conflict with state law. These provisions are identical to a provision in SCS/SB 988 (2026) and are similar to HB 1847 (2026), HCS/SS/SB 7 (2025), provisions in HB 56 (2025), in HCS/SS/SB 61 (2025), SB 327 (2025), in HB 1031 (2025), in SCS/HCS/HB 943 (2025), in SS/SB 778 (2024), and HB 2075 (2024). PA LICENSURE COMPACT (SECTIONS 334.1800 TO 334.1860) This act establishes the PA Licensure Compact ("Compact"), which allows for the interstate licensure of physician assistants. The Compact sets forth the requirements to be met in order for a state to join and maintain membership in the Compact. Additionally, the Compact provides the requirements for a physician assistant to obtain and exercise the ability to practice in the remote participating states. A compact privilege expires when the licensee's qualifying license in the participating state from which the licensee applied for the compact privilege expires. A participating state in which a licensee is licensed shall have exclusive power to impose adverse actions against the license issued by that state. A remote state shall have the authority to take adverse action to remove the compact privilege within that state for a physician assistant. Participating states may also conduct joint investigations with other participating states. Participating states shall report licensure data along with any adverse action and significant investigative information to the data system established in the Compact. Additionally, the Compact creates the PA Licensure Compact Commission ("Commission"), which is a joint government agency of participating states with the power to administer and implement the Compact. Each participating state shall be entitled to one delegate, who shall be selected by the state's licensing authority for physician assistants and who shall either be a current physician assistant, physician, or member or administrator of the licensing board. The Commission shall meet at least once a year. Additionally, there shall be an Executive Committee to act on behalf of the Commission, including on day-to-day activities related to the administration of the Compact. The Executive Committee shall be composed of seven members from the current Commission and two of members from national professional and certification organizations. The Commission may levy and collect an annual assessment from each participating state and impose fees on licensees to whom it grants compact privileges to cover the costs of the operations and activities of the Commission and its staff. Commissioners, officers, executive directors, employees, and agents of the Commission shall be immune from liability, both personally and in their official capacity, for any claim for damages arising out of any acts or omissions that occurred within the scope of the Commission's employment, duties, or responsibilities, except for those damages caused by intentional or willful or wanton misconduct. The procurement of insurance by the Commission shall not limit such immunity. For any actions by or against the Commission, venue is proper in a court of competent jurisdiction where the principal office of the Commission is located. Upon enactment, the Compact shall be reviewed by the Commission to determine if it is materially different from the Model Compact and whether the state qualifies for participation in the Compact. Any state that adopts the Compact subsequent to the Commission’s initial adoption of the rules and bylaws shall be subject to the rules and bylaws existing on the date on which the Compact becomes law. Finally, the Compact shall be binding upon participating states and shall supersede any conflict with state law. These provisions are identical to provisions in HCS/SS#2/SB 1233 (2026), a provision in SCS/SB 1492 (2026) and HB 3129 (2026) and is similar to HB 1388 (2025). LENGTH OF SUPERVISION FOR SOCIAL WORK (SECTION 337.600) This act modifies the definitions of a "qualified advanced macro supervisor," "qualified baccalaureate supervisor," and "qualified clinical supervisor" to provide that such person is a licensed social worker who has practiced social work for which he or she is supervising the applicant for a minimum of three, instead of five, years. This provision is identical to a provision in HCS/SS#2/SB 1233 (2026), SB 1417 (2026), HB 1963 (2026), in HCS/HB 2300 (2026), SB 479 (2025), and SB 563 (2025) and is substantially similar to HB 886 (2025). SPEECH PATHOLOGISTS AND AUDIOLOGISTS (SECTION 345.050) This act modifies the requirements for licensure as a speech pathologist or audiologist by providing for completion of a clinical fellowship under the direct supervision of a licensed speech-language pathologist in good standing in any state, rather than under the direct supervision of a person licensed by the state of Missouri in the profession in which the applicant seeks to be licensed. This provision is identical to a provision in HCS/SB 1019 (2026), in HCS/SS#2/SB 1233 (2026), HCS/HB 2300 (2026) and SCS/HB 2591 (2026), and is substantially similar to a provision in SS/SB 895 (2026), in SS/SB 1083 (2026), SB 1405 (2026), in HCS/HB 2372 (2026), in HCS/SS/SB 7 (2025), in the perfected SS/SB 61 (2025), in the perfected HCS/HB 268 (2025), SB 431 (2025), in the perfected HB 478 (2025), in HB 765 (2025), and in SCS/HB 834 (2025). KATIE O'BRIEN