BENTON, Judge.
The Missouri State Medical Association and three physicians ("MSMA") challenge the constitutionality of House Bill 191 enacted by the 90th General Assembly. 1999 Mo. Laws 301-13. The circuit court denied relief. MSMA appeals. Mo. Const. art. V, sec. 3. Affirmed.
I.
House Bill 191 was introduced on December 22, 1998, with the title:
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