Requires General Assembly and gubernatorial approval of proposed administrative rules with a fiscal note over $250,000

Modifies provisions relating to pharmaceutical drugs and devices

Modifies and creates new provisions relating to electric utilities

Modifies provisions relating to pharmacy benefits managers

Modifies provisions relating to public safety

Creates provisions relating to cost-sharing under health benefit plans

Creates the "Missouri Disabled Veterans' Dependents Tuition Waiver" to provide college tuition waivers for the children, stepchildren, and spouses of certain veterans

Creates provisions relating to foreign ownership of real estate

Creates new provisions governing autonomous vehicles

Creates provisions relating to nuclear energy projects

Establishes provisions relating to the civil and criminal liability of disclosure of intimate digital depictions

Modifies provisions relating to personal property assessments

Creates new provisions relating to digital assets

Enacts requirements for certain reporting regarding the federal 340B drug program

Provides that local taxes and fees on motor fuel shall expire five years after enactment unless reauthorized by a two-thirds vote of the political subdivision

Creates the position of a dementia services coordinator within the Department of Health and Senior Services

Authorizes an income tax deduction for certain research expenses

Ensures cloud computing capabilities on state information technology

Establishes provisions relating to construction contracts

Modifies provisions relating to determinations of fault in products liability claims

Establishes the Missouri Ireland Trade Commission

Modifies provisions relating to underground facilities

Modifies provisions relating to the Board of Police Commissioners

Recognizes and celebrates the special relationship between the United States and Ireland

Modifies provisions relating to tax credits

Creates provisions relating to the offense of sexual trafficking of a child

Modifies provisions relating to the General Assembly