HB 2726 Missouri House · 2026 Regular Session

Creates provisions relating to insurance coverage of drugs

HB 2726 requires Missouri health insurance plans (effective January 1, 2027) to cover a prescribed drug without forcing patients to switch to an alternative drug, unless a patient's doctor provides written approval stating the switch is medically necessary. This directly affects patients prescribed specific medications and health insurers offering plans in Missouri. The bill prevents insurers from mandating drug substitutions solely for cost reasons, ensuring coverage for the doctor-recommended drug. Exceptions include existing step therapy protocols and interchangeable biological products, as specified in related laws.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 6, 2026 Last action May 15, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
May 15, 2026
Committee
Referred: Emerging Issues(H)
lower
Jan 6, 2026
Introduced
Prefiled (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of LaDonna Appelbaum
LaDonna Appelbaum
DDemocratic
MO
71