Adair County
- Bus 63 Add lanes from Brewington to Rte. 6.
Audrain/Ralls/Pike Counties
- Highway 54 Scoping for adding lanes from Mexico to Louisiana.
Clark County
- Highway 61 Raise road at Alexandria.
Knox County
- Highway 6 Add turn lanes at schools and nursing home near Edina.
Knox/Shelby Counties
- Highway 15 Add rumble stripes from Edina to Shelbyville.
Lewis County
- Highway 6 Add turn lanes at Highland High School near Ewing.
Lincoln County
- Highway 47 Modify interchange configuration at Rte. 61 in Troy.
- Highway 47 Add shoulders from Troy to Hawk Point.
- Highway 61 Construct new outer road from South Lincoln Drive in Troy to Rte. C.
- Highway 61 Construct remaining new outer roads from South Lincoln Drive in Troy to St. Charles County on disconnected sections.
Macon County
- Highway 63 Interchange improvements at Rte. 36 in Macon.
Marion/Ralls Counties
- Highway 61 Update Hannibal Expressway study.
Monroe/Ralls Counties
- Highway 154 Add shoulders from Paris to Perry.
Montgomery County
- Highway 19 Add shoulders from I-70 to McKittrick.
- I-70 Add lanes at Mineola Hill.
Ralls County
- Highway 61 Safety improvements at Rte. A.
- Highway 19 Add turn lanes at Mark Twain Schools near Center.
Scotland/Knox Counties
- Highway 15 Add rumble stripes from Memphis to Edina.
Shelby/Marion Counties
- Highway 168 Add shoulders from Shelbyville to Hannibal.
Warren County
- Highway 47 Hydraulic study for causeway north of Washington.
- I-70 Add interchange at Stracks Church Road.
- I-70 Add railroad overpass near High Hill.
Source: MoDOT 2019 Missouri High-Priority Unfunded Needs Report