Creates provisions relating to veterinary professionals

Provides that the practice of optometry shall include the use of injectable agents and surgical procedures for certain purposes

Modifies provisions relating to foreign ownership of agricultural land

Modifies provisions relating to compensation for services rendered in veteran benefits matters

Modifies provisions relating to ambulance districts

Modifies provisions relating to candidate committees

Modifies provisions relating to retirement, including Tier 2011 and deferred compensation

Conveys certain state property

Establishes the Designated Health Care Decision-Maker Act, which authorizes certain persons to make health care decisions for certain incapacitated persons

Authorizes certain third class cities to impose a transient guest tax

Modifies provisions relating to a hydrant inspection program

Authorizes a tax credit for contributions to prevention resource centers

Modifies provisions relating to vehicle registration

Modifies provisions relating to annexation by certain cities

Modifies provisions relating to grants to deaf-blind individuals and families

Creates new provisions relating to campaign finance

Appropriates money for the expenses, grants, refunds, and distributions of the State Board of Education and Department of Elementary and Secondary Education

Appropriates money for the expenses, grants, refunds, and distributions of the Department of Higher Education and Workforce Development

Appropriates money for the expenses, grants, refunds, and distributions of the Department of Revenue and Department of Transportation

Appropriates money for the expenses, grants, refunds, and distributions of the Office of Administration, the Department of Transportation, the Department of Conservation, the Department of Public Safety, and the Chief Executive's Office

Appropriates money for the expenses, grants, refunds, and distributions of the Department of Agriculture, the Department of Natural Resources, and the Department of Conservation

Appropriates money for the expenses, grants, refunds, and distributions of the Department of Economic Development, the Department of Commerce and Insurance, and the Department of Labor and Industrial Relations

Appropriates money for the expenses, grants, refunds, and distributions of the Department of Public Safety and the Department of National Guard

Appropriates money for the expenses, grants, refunds, and distributions of the Department of Corrections

Appropriates money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Department of Health and Senior Services, and the Missouri Health Facilities Review Committee

Appropriates money for the expenses, grants, refunds, and distributions of the Department of Social Services

Appropriates money for the expenses, grants, refunds, and distributions of statewide elected officials, the Judiciary, the Office of the State Public Defender, and the General Assembly

Appropriates money for real property leases and related services

Appropriates supplemental funds

Appropriates money for capital improvements

Appropriates money for the expenses, grants, refunds, and distributions of the several departments and offices of state government

Appropriates money for the expenses, grants, refunds, and distributions of the several departments and offices of state government

Appropriates money for the expenses, grants, refunds, and distributions of the several departments and offices of state government

Modifies provisions relating to the consolidation of ambulance districts

Modifies provisions relating to annexation procedures for cities, towns, and villages