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HB 1891
Missouri House•Introduced
Summary
HB 1891, which adds licensed occupational therapists to the definition of "other authorized health care practitioner" for purposes of physician's statements required for disabled license plates and placards, was introduced in the House on Dec 1, 2025 by Rep. Wendy Hausman (R). It was referred to Emerging Issues, and last saw action on May 15, 2026: Referred: Emerging Issues(H).
Record
Text
HB 1891 has no co-sponsors and has not gone to a roll call.
hb1891/introduced.txtSECOND REGULAR SESSIONHOUSE BILL NO. 1891103RD GENERAL ASSEMBLYINTRODUCED BY REPRESENTATIVE HAUSMAN.5417H.01I JOSEPH ENGLER, Chief ClerkAN ACTTo repeal section 301.142, RSMo, and to enact in lieu thereof one new section relating todisabled license plates and placards, with penalty provisions.Be it enacted by the General Assembly of the state of Missouri, as follows:Section A. Section 301.142, RSMo, is repealed and one new section enacted in lieu2 thereof, to be known as section 301.142, to read as follows:301.142. 1. As used in sections 301.141 to 301.143, the following terms mean:2(1) "Department", the department of revenue;3(2) "Director", the director of the department of revenue;4(3) "Other authorized health care practitioner" includes advanced practice registered5 nurses licensed pursuant to chapter 335, physician assistants licensed pursuant to chapter 334,6 chiropractors licensed pursuant to chapter 331, podiatrists licensed pursuant to chapter 330,7 assistant physicians, physical therapists licensed pursuant to chapter 334, occupational8 therapists licensed pursuant to chapter 324, and optometrists licensed pursuant to chapter9 336;10(4) "Physically disabled", a natural person who is blind, as defined in section 8.700,11 or a natural person with medical disabilities [which prohibits, limits, or severely impairs12 one's] that prohibit, limit, or severely impair the person's ability to ambulate or walk, as13 determined by a licensed physician or other authorized health care practitioner as follows:14(a) The person cannot ambulate or walk fifty or less feet without stopping to rest due15 to a severe and disabling arthritic, neurological, or orthopedic condition, or other severe and16 disabling condition; orEXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and isintended to be omitted from the law. Matter in bold-face type in the above bill is proposed language.HB 1891 217(b) The person cannot ambulate or walk without the use of, or assistance from, a18 brace, cane, crutch, another person, prosthetic device, wheelchair, or other assistive device; or19(c) Is restricted by a respiratory or other disease to such an extent that the person's20 forced respiratory expiratory volume for one second, when measured by spirometry, is less21 than one liter, or the arterial oxygen tension is less than sixty mm/hg on room air at rest; or22(d) Uses portable oxygen; or23(e) Has a cardiac condition to the extent that the person's functional limitations are24 classified in severity as class III or class IV according to standards set by the American Heart25 Association; or26(f) Except as otherwise provided in subdivision (3) of subsection 16 of this section, a27 person's age, in and of itself, shall not be a factor in determining whether such person is28 physically disabled or is otherwise entitled to disabled license plates and/or disabled29 windshield hanging placards within the meaning of sections 301.141 to 301.143;30(5) "Physician", a person licensed to practice medicine pursuant to chapter 334;31(6) "Physician's statement", a statement personally signed by a duly authorized person32 which certifies that a person is disabled as defined in this section;33(7) "Temporarily disabled person", a disabled person as defined in this section whose34 disability or incapacity is expected to last no more than one hundred eighty days;35(8) "Temporary windshield placard", a placard to be issued to persons who are36 temporarily disabled persons as defined in this section, certification of which shall be37 indicated on the physician's statement;38(9) "Windshield placard", a placard to be issued to persons who are physically39 disabled as defined in this section, certification of which shall be indicated on the physician's40 statement.412. Other authorized health care practitioners may furnish to a physically disabled or42 temporarily disabled person a physician's statement for only those physical health care43 conditions for which such health care practitioner is legally authorized to diagnose and treat.443. A physician's statement shall:45(1) Be on a form prescribed by the director of revenue;46(2) Set forth the specific diagnosis and medical condition which renders the person47 physically disabled or temporarily disabled as defined in this section;48(3) Include the physician's or other authorized health care practitioner's license49 number; and50(4) Be personally signed by the issuing physician or other authorized health care51 practitioner.524. If it is the professional opinion of the physician or other authorized health care53 practitioner issuing the statement that the physical disability of the applicant, user, or memberHB 1891 354 of the applicant's household is permanent, it shall be noted on the statement. Otherwise, the55 physician or other authorized health care practitioner shall note on the statement the56 anticipated length of the disability, which shall determine the expiration date for the57 temporary windshield placard, and which period shall not exceed one hundred eighty days. If58 the physician or health care practitioner fails to record an expiration date on the physician's59 statement, the director shall issue a temporary windshield placard for a period of thirty days.605. A physician or other authorized health care practitioner who issues or signs a61 physician's statement so that disabled plates or a disabled windshield placard may be obtained62 shall maintain in such disabled person's medical chart documentation that such a certificate63 has been issued, the date the statement was signed, the diagnosis or condition which existed64 that qualified the person as physically disabled pursuant to this section, and [shall contain]65 sufficient documentation so as to objectively confirm that such condition exists.666. The medical or other records of the physician or other authorized health care67 practitioner who issued a physician's statement shall be open to inspection and review by such68 practitioner's licensing board, in order to verify compliance with this section. Information69 contained within such records shall be confidential unless required for prosecution,70 disciplinary purposes, or otherwise required to be disclosed by law.717. Owners of motor vehicles who are residents of the state of Missouri, and who are72 physically disabled, owners of motor vehicles operated at least fifty percent of the time by a73 physically disabled person, or owners of motor vehicles used to primarily transport physically74 disabled members of the owner's household may obtain disabled person license plates. Such75 owners, upon application to the director accompanied by the documents and fees provided for76 in this section, a current physician's statement which has been issued within ninety days77 [proceeding] preceding the date the application is made, and proof of compliance with the78 state motor vehicle laws relating to registration and licensing of motor vehicles, shall be79 issued motor vehicle license plates for vehicles, other than commercial vehicles with a gross80 weight in excess of twenty-four thousand pounds, upon which shall be inscribed the81 international wheelchair accessibility symbol and the word "DISABLED" in addition to a82 combination of letters and numbers. Such license plates shall be made with fully reflective83 material with a common color scheme and design, shall be clearly visible at night, and shall84 be aesthetically attractive, as prescribed by section 301.130. If at any time an individual who85 obtained disabled license plates issued under this subsection no longer occupies a residence86 with a physically disabled person, or no longer owns a vehicle that is operated at least fifty87 percent of the time by a physically disabled person, such individual shall surrender the88 disabled license plates to the department within thirty days of becoming ineligible for their89 use.HB 1891 4908. The director shall further issue, upon request, to such applicant one, and for good91 cause shown, as the director may define by rule and regulations, not more than two,92 removable disabled windshield hanging placards for use when the disabled person is93 occupying a vehicle or when a vehicle not bearing the permanent handicap plate is being used94 to pick up, deliver, or collect the physically disabled person issued the disabled motor vehicle95 license plate or disabled windshield hanging placard.969. No additional fee shall be paid to the director for the issuance of the special license97 plates provided in this section, except for special personalized license plates and other license98 plates described in this subsection. Priority for any specific set of special license plates shall99 be given to the applicant who received the number in the immediately preceding license100 period subject to the applicant's compliance with the provisions of this section and any101 applicable rules or regulations issued by the director. If determined feasible by the advisory102 committee established in section [301.129] 301.125, any special license plate issued pursuant103 to this section may be adapted to also include the international wheelchair accessibility104 symbol and the word "DISABLED" as prescribed in this section and such plate may be issued105 to any applicant who meets the requirements of this section and the other appropriate106 provision of this chapter, subject to the requirements and fees of the appropriate provision of107 this chapter.10810. Any physically disabled person, or the parent or guardian of any such person, or109 any not-for-profit group, organization, or other entity which transports more than one110 physically disabled person, may apply to the director of revenue for a removable windshield111 placard. The placard may be used in motor vehicles which do not bear the permanent112 handicap symbol on the license plate. Such placards must be hung from the front, middle113 rearview mirror of a parked motor vehicle and may not be hung from the mirror during114 operation. These placards may only be used during the period of time when the vehicle is115 being used by a disabled person, or when the vehicle is being used to pick up, deliver, or116 collect a disabled person, and shall be surrendered to the department, within thirty days, if a117 group, organization, or entity that obtained the removable windshield placard due to the118 transportation of more than one physically disabled person no longer transports more than one119 disabled person. When there is no rearview mirror, the placard shall be displayed on the120 dashboard on the driver's side.12111. The removable windshield placard shall conform to the specifications, in respect122 to size, color, and content, as set forth in federal regulations published by the Department of123 Transportation. The removable windshield placard shall be renewed every four years. The124 director may stagger the expiration dates to equalize workload. Only one removable placard125 may be issued to an applicant who has been issued disabled person license plates. UponHB 1891 5126 request, one additional windshield placard may be issued to an applicant who has not been127 issued disabled person license plates.12812. A temporary windshield placard shall be issued to any physically disabled person,129 or the parent or guardian of any such person who otherwise qualifies except that the physical130 disability, in the opinion of the physician, is not expected to exceed a period of one hundred131 eighty days. The temporary windshield placard shall conform to the specifications, in respect132 to size, color, and content, as set forth in federal regulations published by the Department of133 Transportation. The fee for the temporary windshield placard shall be two dollars. Upon134 request, and for good cause shown, one additional temporary windshield placard may be135 issued to an applicant. Temporary windshield placards shall be issued upon presentation of136 the physician's statement provided by this section and shall be displayed in the same manner137 as removable windshield placards. A person or entity shall be qualified to possess and138 display a temporary removable windshield placard for six months and the placard may be139 renewed once for an additional six months if a physician's statement pursuant to this section is140 supplied to the director of revenue at the time of renewal.14113. A windshield placard shall be renewable only by the person or entity to which the142 placard was originally issued. Any placard issued pursuant to this section shall only be used143 when the physically disabled occupant for whom the disabled plate or placard was issued is in144 the motor vehicle at the time of parking or when a physically disabled person is being145 delivered or collected. A disabled license plate and/or a removable windshield hanging146 placard are not transferable and may not be used by any other person whether disabled or not.14714. At the time the disabled plates or windshield hanging placards are issued, the148 director shall issue a registration certificate which shall include the applicant's name, address,149 and other identifying information as prescribed by the director, or if issued to an agency, such150 agency's name and address. This certificate shall further contain the disabled license plate151 number or, for windshield hanging placards, the registration or identifying number stamped152 on the placard. The validated registration receipt given to the applicant shall serve as the153 registration certificate.15415. The director shall, upon issuing any disabled registration certificate for license155 plates and/or windshield hanging placards, provide information which explains that such156 plates or windshield hanging placards are nontransferable, and the restrictions explaining who157 and when a person or vehicle which bears or has the disabled plates or windshield hanging158 placards may be used or be parked in a disabled reserved parking space, and the penalties159 prescribed for violations of the provisions of this act.16016. (1) Except as otherwise provided in this subsection, every applicant for issuance161 of a disabled license plate or placard shall be required to present a new physician's statement162 dated no more than ninety days prior to such application, and for renewal applications aHB 1891 6163 physician's statement dated no more than ninety days prior to such application shall be164 required every eighth year.165(2) Notwithstanding any provision of law to the contrary, if the applicant has166 presented proof of disability in the form of a statement from the United States Department of167 Veterans Affairs verifying that the person is permanently disabled, the applicant shall not be168 required to provide a physician's statement for the purpose of issuance or renewal of disabled169 person license plates or windshield placards.170(3) Notwithstanding the provisions of paragraph (f) of subdivision (4) of subsection 1171 of this section, any person seventy-five years of age or older who provided a physician's172 statement with the original application shall not be required to provide a physician's statement173 for the purpose of renewal of disabled person license plates or windshield placards.17417. The director of revenue upon receiving a physician's statement pursuant to this175 [subsection] section shall check with the state board of registration for the healing arts created176 in section 334.120, or the Missouri state board of nursing established in section 335.021, with177 respect to [physician's] physicians' statements signed by advanced practice registered nurses,178 or the Missouri state board of chiropractic examiners established in section 331.090, with179 respect to [physician's] physicians' statements signed by licensed chiropractors, or [with] the180 board of optometry established in section 336.130, with respect to [physician's] physicians'181 statements signed by licensed optometrists, or the state board of occupational therapy182 established in section 324.063, with respect to physicians' statements signed by licensed183 occupational therapists, or the state board of podiatric medicine [created] established in184 section 330.100, with respect to [physician's] physicians' statements signed by physicians of185 the foot or podiatrists to determine whether the physician is duly licensed and registered186 pursuant to law.18718. The boards shall cooperate with the director and shall supply information188 requested pursuant to this [subsection] section. The director shall, in cooperation with the189 boards which shall assist the director, establish a list of all Missouri physicians and other190 authorized health care practitioners and of any other information necessary to administer this191 section.19219. Where the owner's application is based on the fact that the vehicle is used at least193 fifty percent of the time by a physically disabled person, the applicant shall submit a194 statement stating this fact, in addition to the physician's statement. The statement shall be195 signed by both the owner of the vehicle and the physically disabled person. The applicant196 shall be required to submit this statement with each application for license plates. No person197 shall willingly or knowingly submit a false statement and any such false statement shall be198 considered perjury and may be punishable pursuant to section 301.420.HB 1891 719920. The director of revenue shall retain all physicians' statements and all other200 documents received in connection with a person's application for disabled license plates and/201 or disabled windshield placards.20221. The director of revenue shall enter into reciprocity agreements with other states or203 the federal government for the purpose of recognizing disabled person license plates or204 windshield placards issued to physically disabled persons.20522. When a person to whom disabled person license plates or a removable or206 temporary windshield placard or both have been issued dies, the personal representative of the207 decedent or such other person who may come into or otherwise take possession of the208 disabled license plates or disabled windshield placard shall return the same to the director of209 revenue under penalty of law. Failure to return such plates or placards shall constitute a class210 B misdemeanor.21123. The director of revenue may order any person issued disabled person license212 plates or windshield placards to submit to an examination by a chiropractor, osteopath, or213 physician, or to such other investigation as will determine whether such person qualifies for214 the special plates or placards.21524. If such person refuses to submit or is found to no longer qualify for special plates216 or placards provided for in this section, the director of revenue shall collect the special plates217 or placards, and shall furnish license plates to replace the ones collected as provided by this218 chapter.21925. In the event a removable or temporary windshield placard is lost, stolen, or220 mutilated, the lawful holder thereof shall, within five days, file with the director of revenue an221 application and an affidavit stating such fact, in order to purchase a new placard. The fee for222 the replacement windshield placard shall be four dollars.22326. Fraudulent application, renewal, issuance, procurement or use of disabled person224 license plates or windshield placards shall be a class A misdemeanor. It is a class B225 misdemeanor for a physician, chiropractor, podiatrist or optometrist to certify that an226 individual or family member is qualified for a license plate or windshield placard based on a227 disability, the diagnosis of which is outside their scope of practice or if there is no basis for228 the diagnosis.✔
Adds licensed occupational therapists to the definition of "other authorized health care practitioner" for purposes of physician's statements required for disabled license plates and placards
Sponsors
Rep. Wendy Hausman (R) sponsors HB 1891 alone.
Committees
HB 1891 went before 1 committee: Emerging Issues.
History
HB 1891 has taken 4 actions since Dec 1, 2025, the latest on May 15, 2026.
| Chamber | Action | |||
|---|---|---|---|---|
May 15, 2026 | House | Referred: Emerging Issues(H) | ||
Jan 8, 2026 | House | Read Second Time (H) | ||
Jan 7, 2026 | House | Read First Time (H) | ||
Dec 1, 2025 | House | Prefiled (H) |
Votes
HB 1891 has not gone to a roll call.
Source: house.mo.gov · legiscan.com