HB 1675 Missouri House · 2026 Regular Session

Creates provisions relating to prior authorization of health care services

HB 1675 limits when health insurance companies (health carriers) can require doctors and hospitals (health care providers) to get prior authorization for medical services. Specifically, insurers cannot demand prior approval unless they approved less than 90% of similar requests from that provider in the previous six-month period (either January-June or July-December). The bill requires insurers to notify providers within 25 days after each period, provide appeal options, and maintain an online portal showing all authorization decisions. It applies to most health plans but excludes Medicaid managed care organizations and providers who haven’t participated in a plan for a full six-month period. The law does not change what services are covered or allow providers to exceed their licensed scope.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025 Last action May 15, 2026
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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
May 15, 2026
Committee
Referred: Emerging Issues(H)
lower
Dec 1, 2025
Introduced
Prefiled (H)
lower
1 primary · 4 co-sponsors

Sponsors