RD Compact Tracker
Member state

Missouri

Missouri is in.

18
18th state to join

Enacted 2026. One of 19 member states.

Status
Member state. Compact legislation enacted.
Bill
HB 2974 ↗ · 2026 session
Enacted
2026
Academy affiliate
Missouri Academy of Nutrition and Dietetics ↗
Confidence
Verified against a primary source.

Detail

Codified at RSMo 324.218 and 324.1800 to 324.1865, effective August 28, 2026. The standalone Senate vehicle, SB 1339, never left committee.

What to ask for in Missouri

Thank them, then ask them to fund putting it into effect and to encourage neighboring states to join.

Your state is already in. Now you're asking them to fund putting it into effect and to encourage neighboring states to join.

Write to a Missouri legislator →

Missouri’s neighbors

A compact privilege depends on where you live, not where your patients are. These neighbors decide whether there’s a member state right across the line from Missouri.

See all 52 jurisdictions →

Sources

Before you rely on this

This page is compiled from public reporting and can be out of date the day a legislature acts. Confirm current status with the Missouri legislature and your state licensing board, and with the official compact site. If you find an error here, please tell us. That's how this stays useful.