The state made significant investments in the child care subsidy program, totaling $107 million. In his State of the State address, the governor prioritized paying for subsidy prospectively and based on enrollment, beginning in July. The legislature voted in HB 2 to do this, along with increasing the child care subsidy to reflect the 2024 market rate survey.
In HB 5, the legislature approved $5 million dollars for a child care cost share program, in which the state, the employer, and the employee contribute to the cost of child care. The governor, however, vetoed half of the funding, leaving only $2.5 million appropriated.
This legislation also renews $900,000 for the development and implementation of community plans to improve access to quality childcare and early education.
SB 150 allows the Office of Childhood to offer a temporary license for child care facilities that are adding slots or are expanding to a second location. This license is only for licensed facilities in good standing that have already passed all other inspections and are waiting for the final inspection from the OOC for licensing. The temporary license is good for up to one year.
Executive Order 25-15 charges Missouri’s Office of Childhood (OOC) with updating child care licensing rules, improving the readability, eliminating duplicated, outdated, or unnecessarily burdensome regulations, and increase availability by reducing the regulatory requirements on child care licensing by at least 10 percent. It orders OOC to collect input from a diverse group of stakeholders across the state. HB 2 also includes $10 million in child care “innovation grants” for the expansion of existing child care facilities or the creation of new programs, and require a local community match.
In HB 11, the legislature allocated $200,000 for legal support for informal kinship caregivers in the Kansas City region and mid-Missouri. In 2024, the legislature allocated $55,000 to start a legal support pilot in a four-county region in and surrounding Kansas City. This program will continue and a second program will begin in a five-county region in mid-Missouri.
The legislature passed a health care bill that adds a third prenatal test for syphilis, hepatitis B & C, and HIV to the list of tests required during pregnancy. Currently, a test is provided in the first trimester and at delivery. This bill adds a third test at 28 weeks of gestation. There there has been a significant increase in babies born with congenital syphilis, with the number of cases in Missouri rising 593 percent between 2017 and 2022. The disease is reversible if detected early enough during pregnancy.