MO HB427

Ambulatory surgical centers performing five or more first trimester abortions per month, or any second or third trimester abortions, must receive mandatory annual on-site inspections by the Department of Health and Senior Services

Public funds for family planning services must be distributed in priority order: (1) state/local government-owned facilities, (2) nonpublic hospitals and federally qualified health centers, (3) rural health clinics, (4) nonpublic providers whose primary purpose is primary health care services

Prosecuting attorneys or the attorney general may pursue legal action for recoupment, declaratory relief, or injunctive relief against anyone who intentionally violates the funding priority requirements

Entities eligible for public funds have standing to sue if funding violations reduce their available funds, with recouped monies reverting to the original appropriation source

Prevailing plaintiffs are entitled to reasonable attorney's fees; defendants may recover fees only if the court finds the lawsuit was frivolous and brought in bad faith