MO HB3457

Requires Missouri hospitals with emergency departments to implement electronic alerts/flags in their health record systems for medically complex pediatric patients (children under 18 with chronic conditions lasting 12+ months requiring specialty care, multiple medications, or care coordination)

Alerts must be immediately visible to emergency staff, provide one-click access to the patient's care plan, and not delay triage or treatment

Parents or legal guardians may voluntarily request their child's inclusion in the alert system and submit care plans, which must be entered in coordination with a licensed health care provider

Hospitals are not required to purchase new electronic health record systems, develop separate technology platforms, or create new full-time positions to comply

Provides liability protection for hospitals and providers acting in good-faith reliance on care plans accessed through the system; officially designated as "Maddie's Law: The Rare Pediatric Disease Care and Protocol Protection Act"