MO SB443

Applies to city hospitals organized under Chapter 96 that have not accepted city appropriated funds for 20 years and are licensed for 250 or more beds

Prohibits these qualifying hospitals from selling, leasing, transferring assets, or merging with other entities unless they first convert to a public benefit corporation governed by Chapter 355

Allows conversion to public benefit corporation status through either a majority vote of the board of trustees (with 20-day public notice) or a public election initiated by petition signed by 5% of registered city voters

Articles of incorporation must prohibit asset sales, leases, transfers, or mergers with for-profit entities for 15 years; any such transactions after 15 years require majority voter approval

Conversion requires satisfaction of all outstanding revenue bonds, preservation of donated assets for continued health care services in the same geographic region, and attorney general approval with a 20-day waiting period