Missouri
Missouri's driving rule for epilepsy sounds flexible - no set period is written into the law - but the Medical Advisory Board typically requires six months, and you spend your first year on a conditional license. There's also no Seizure Safe Schools law. Here's what all of that means for you.
Representation
Josh Hawley, U.S. Senator (R-MO) | (202) 224-6154
Eric Schmitt, U.S. Senator (R-MO) | (202) 224-5721
Go Here To Find Your Congressional Representative
Driving Laws
The Missouri Department of Revenue's Driver's License Bureau has no fixed seizure-free period written into statute. In practice, the Board normally requires that a person be seizure-free for at least six months. The Medical Advisory Board evaluates each case on an individual basis and relies on a physician's opinion about whether the applicant can drive safely.
A person who qualifies is typically granted a conditional license for one year. At the end of that year, the Bureau verifies that the individual has remained seizure-free.
A person's license may be revoked if they refuse or neglect to provide a physician's report, or provide a report that recommends against licensing. Periodic examinations may be required for persons with conditions that may impair driving. A family member can submit a report that triggers a medical review.
Medical professionals are explicitly not prevented from making a report due to their physician-patient relationship. Missouri permits voluntary physician reporting, and provides no explicit statutory immunity to physicians who do so.
Confirm current requirements with the Missouri Department of Revenue's Driver's License Bureau and the Epilepsy Foundation's Missouri driving law page.
School Laws
Missouri introduced a Seizure Safe Schools bill in 2022, but it did not pass. As of August 2026, the Epilepsy Foundation lists no enacted state law for Missouri.
Missouri is on the list of states where the federal bill matters more, not less. Without a state law, Missouri families are working with Section 504 and IDEA — both federal, both usable. Put requests in writing. Ask which staff have received seizure training and when. Ask for a Seizure Action Plan in writing. A district can be required to create one under federal law even without a state mandate.
Support
Epilepsy Foundation Missouri & Kansas serves both states with support groups, education, independent living services for St. Louis City and County residents, and case management.
The organization operates from a regional affiliate model and covers both the St. Louis and Kansas City metros.
Epilepsy Care
If your seizures aren't controlled after 12 months with a general neurologist — or after two medications have failed — national guidelines say you should be at a Level 3 or Level 4 center. Most people who meet that bar were never told it existed.
Check out the NAEC to find a Level 3 or4 Epilepsy Center near you.
Confirmed NAEC Level 4 centers include Washington University/Barnes-Jewish Hospital in St. Louis, one of the major comprehensive epilepsy programs in the Midwest, operating both adult and pediatric programs.
Additional Level 3 and Level 4 centers operate in the St. Louis and Kansas City areas. If you're in western Missouri, the University of Kansas Medical Center also operates a comprehensive epilepsy program and may be closer.
Use the comments section to add additional resources for Missouri, review the resources listed above, or give a shout-out to people in your state.