HB 840 Missouri House · 2025 Regular Session

Creates provisions relating to payments for prescription drugs

HB 840 protects patients' choice of pharmacy by prohibiting pharmacy benefits managers (PBMs) from restricting where insured individuals can fill prescriptions. It requires PBMs to allow patients to obtain prescription services, consultations, or advice from any contracted pharmacy without penalty, and limits patient out-of-pocket costs to the lower of their copay, cash price, or the pharmacy’s reimbursement amount. The bill also bans PBMs from charging hidden fees for claim processing, mandates disclosure of conflicts of interest, and defines key terms like "generic drug" and "rebate" for consistency. It directly affects patients with insurance (referred to as "covered persons"), pharmacies, PBMs, and health benefit plans, while excluding Medicare Part D and self-funded employer plans.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2025 Last action Mar 12, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
7
Key actions
2
Committee
3
Mar 12, 2025
Lower · Passed
HCS Reported Do Pass (H) - AYES: 11 NOES: 0 PRESENT: 2
lower
Mar 11, 2025
Lower · Passed
HCS Voted Do Pass (H)
lower
Jan 30, 2025
Committee
Referred: Health and Mental Health(H)
lower
Jan 9, 2025
Introduced
Introduced and Read First Time (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Bennie Cook
Bennie Cook
RRepublican
MO
143