MO HB3528

Establishes a pilot multicancer detection liquid biopsy screening program through the Department of Health and Senior Services to detect DNA fragments indicating cancer before symptoms appear

Prioritizes screening for at-risk populations including individuals living, attending school, or working near environmentally contaminated areas such as Coldwater Creek and Weldon Spring, as well as first responders with priority given to firefighters

Requires testing entities to use liquid biopsy tests that screen for more than 50 types of cancer, include signal of origin capability, and maintain peer-review processes and shared decision-making protocols with patients

Creates an 11-member advisory council appointed by the department director, including medical experts, patient advocates, environmental health specialists, and representatives from impacted communities

Mandates annual public reporting to the General Assembly on participation rates, cancer detection rates, stage of diagnosis, demographic data, and cost-effectiveness