HB 1894 Missouri House · 2026 Regular Session

Creates provisions relating to health care provider participation in health insurance plans

HB 1894 prohibits health insurance plans and issuers from discriminating against healthcare providers based on their license type when determining participation or reimbursement. It requires equal reimbursement rates for the same service within a provider's scope of practice, while allowing varying rates based on quality measures. The bill applies to group health plans and individual insurance coverage but excludes physicians licensed under Chapter 334 of Missouri law. The Department of Commerce and Insurance will enforce these provisions, implementing federal nondiscrimination protections from Section 2706 of the Public Health Service Act.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Dec 2025

Committee Review

Floor Vote

Governor

Introduced Dec 1, 2025 Last action Apr 1, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → House Committee Substitute · 3 edits

MINOR

The bill was renumbered from an introduced version to a House Committee Substitute, indicating it has been amended by the committee. The most significant substantive change is the addition of a clause stating that health plans are not required to accept willing providers into their networks. Additionally, the requirement for equal reimbursement rates was clarified to apply only when services are within a provider's scope of practice under state law.

Scope change

The bill's scope was expanded to explicitly exempt health plans from being forced to include willing providers in their networks, while clarifying that equal reimbursement rates apply only to services within a provider's legal scope of practice.

REQUIREMENT

Added a new provision stating that nothing in the section requires a group health plan or health insurance issuer to accept any willing provider into a network.

DEFINITION

Modified the equal reimbursement requirement to specify that it applies only when the service is within the provider's scope of practice under state law.

TECHNICAL

Updated the bill header from 'Introduced' to 'House Committee Substitute' and changed the bill number from 5004H.01I to 5004H.02C.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 1, 2026

Committee

Referred: Rules - Administrative(H)

lower

Mar 31, 2026

Lower · Passed

HCS Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0

lower

Mar 24, 2026

Lower · Passed

HCS Voted Do Pass (H)

lower

Feb 12, 2026

Committee

Referred: Insurance(H)

lower

Dec 1, 2025

Introduced

Prefiled (H)

lower

0 primary · 1 co-sponsor