Creates provisions relating insurance coverage of medically necessary health care services
HB 871 requires Missouri insurance companies and state health programs (like MO HealthNet and Medicaid managed care) to cover medically necessary health care services. Specifically, these insurers cannot deny coverage for a service if two health care professionals determine it is medically necessary to diagnose, treat, prevent, or relieve a health condition. The law applies to all health benefit plans sold or renewed in Missouri after January 1, 2026. It does not specify which services qualify as "medically necessary" but mandates this two-professional review process for coverage decisions. The bill affects all private insurers and state-sponsored health plans offering coverage for health care services in Missouri.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 14, 2025
Last action May 15, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
3
Key actions
0
Committee
1
May 15, 2025
Committee
Referred: Emerging Issues(H)
lower
Jan 14, 2025
Introduced
Introduced and Read First Time (H)
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Jaclyn Zimmermann
DDemocratic
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