Last verified against the sources below. Requirements change — confirm with your Board before you rely on this page. This is general information, not legal advice.

MD (medical doctor)

Hours
1 hour
How often
Every renewal
Who
Every licensee
Renewal cycle
Renews every 2 years; licenses expire at December 31 of the odd-numbered year (current period: January 1, 2026 to December 31, 2027); you then attest at license renewal, due by January 31.
Board
Missouri State Board of Registration for the Healing Arts
The rule
Confirm with your Board 20 CSR 2150-2.125(1), amended effective June 30, 2026: at least 1 of the 50 hours must pertain to the health benefits of nutrition. The rule took effect partway through the January 1, 2026 to December 31, 2027 reporting period; the rule text applies it to the 50 hours reported for that period, but the Board has not published separate guidance. Plan to complete it by December 31, 2027. Any accredited course in the accepted credit types counts; the rule does not limit providers.

DO (osteopathic physician)

Hours
1 hour
How often
Every renewal
Who
Every licensee
Renewal cycle
Renews every 2 years; licenses expire at December 31 of the odd-numbered year (current period: January 1, 2026 to December 31, 2027); you then attest at license renewal, due by January 31.
Board
Missouri State Board of Registration for the Healing Arts
The rule
Confirm with your Board 20 CSR 2150-2.125(1), amended effective June 30, 2026: at least 1 of the 50 hours must pertain to the health benefits of nutrition. The rule took effect partway through the January 1, 2026 to December 31, 2027 reporting period; the rule text applies it to the 50 hours reported for that period, but the Board has not published separate guidance. Plan to complete it by December 31, 2027. Any accredited course in the accepted credit types counts; the rule does not limit providers.

Facts marked “Confirm with your Board” are unsettled in the sources; the note says what to check.

What to do next

Other states that require it

Iowa, Louisiana, North Dakota, Texas, West Virginia. Every state that requires it

Sources

  1. Missouri State Board of Registration for the Healing Arts — board home page
  2. Missouri Code of State Regulations, 20 CSR 2150-2 (current through May 31, 2026) — includes 2150-2.001 definitions, 2.050 annual registration and 2.125 Continuing Medical Education as amended effective June 30, 2026
  3. Missouri Department of Commerce and Insurance — Proposed amendment to 20 CSR 2150-2.125 (one hour on the health benefits of nutrition), filed November 14, 2025
  4. RSMo 334.075 — Renewal of certificate, minimum continuing education requirement
  5. RSMo 334.080 — Licensees to renew registration

MD facts last verified October 7, 2026 · DO facts last verified October 7, 2026.