Healthcare (Medicaid)

in committee · Missouri · House May 15, 2026

HB 3059: Creates provisions relating to insurance coverage of prescription drugs for advanced, metastatic cancer

HB 3059 requires health insurance plans in Missouri to cover prescription drugs for advanced, metastatic cancer and related symptoms (like treatment side effects) without first demanding that patients try and fail other drugs. It directly affects cancer patients enrolled in health benefit plans, including MO HealthNet (Missouri's Medicaid program), by removing barriers to accessing necessary medications. The bill specifies coverage must apply to FDA-approved drugs that align with evidence-based medical guidelines and best practices for treating advanced cancer. This change ensures patients aren't forced to undergo ineffective treatments or provide proof of prior failures before receiving covered care.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for advanced cancer drugs without prior authorization, removing access barriers and expanding patient rights for critical treatments.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Missouri · House May 15, 2026

HB 2971: Creates provisions relating to services for persons with disabilities

HB 2971 requires Missouri's MO HealthNet division to create a public dashboard for individuals with intellectual or developmental disabilities (or their caregivers) to track application, review, and waiver status. It mandates a filterable provider directory for durable medical equipment, plain-language communications about waitlists, and quarterly guidance for case management entities. The bill also establishes a reporting system for incorrect waitlist information, with escalating penalties for repeated errors by service providers. These changes directly affect people seeking disability services through MO HealthNet and their families.

Topics ✓ HealthcareSupports HealthcareMandates transparency and accessibility improvements for disability healthcare services under MO HealthNet, enhancing patient access to waiver programs and medical equipment through dashboard tracking and plain-language communications.90% confidence

Sub-Topics Medicaid Tags People with Disabilities

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in committee · Missouri · House May 15, 2026

HB 2706: Instructs the department of social services to apply for a waiver to the USDA to allow SNAP to prioritize the purchase of healthy food and discourage the purchase of highly processed foods

HB 2706 directs Missouri's Department of Social Services to request a USDA waiver enabling the state to modify its SNAP program. The waiver would prioritize purchases of healthy, whole foods like fresh produce, lean proteins, dairy, whole grains, and legumes while discouraging highly processed foods and those high in added sugar. It also requires exploring strategies to incentivize SNAP participants to buy Missouri-grown fruits, vegetables, and dairy through existing state programs. This bill affects Missouri SNAP recipients and aims to reshape food purchasing within the federal program, pending USDA approval.

Topics ✓ HealthcareSupports HealthcareDirectly promotes public health by incentivizing healthy SNAP purchases, aligning with healthcare policies targeting diet-related illness prevention through nutrition access.90% confidence

Sub-Topics Medicaid

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vetoed · Missouri · House Jun 30, 2026

HB 2011: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Social Services

HB 2011 is a funding bill that allocates $420,419 to the Department of Social Services' (DSS) Office of the Director for administrative costs and $2.1 million for grant management during the 2026-2027 fiscal year. It specifically funds a new Medicaid application platform ($1.4 million) and health data system modernization ($1.5 million) to improve efficiency in processing assistance applications and support data sharing across state health agencies. These allocations come from Missouri’s General Revenue Fund and DSS-specific accounts, directly supporting DSS operations affecting Medicaid recipients and child welfare services. The bill does not create new policies but authorizes existing funding mechanisms for operational technology upgrades.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $2.1M for Medicaid application platform and health data modernization to improve service efficiency, directly funding essential public programs as per support indicators.92% confidence ✓ HealthcareSupports HealthcareFunds Medicaid application platform ($1.4M) and health data modernization ($1.5M) to improve processing efficiency and data sharing for healthcare services.95% confidence ✓ TechnologySupports TechnologyFunds health data system modernization ($1.5M) for improved data sharing and efficiency, directly advancing technology infrastructure.90% confidence

Sub-Topics Appropriations Revenue State Budget Medicaid

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in committee · Missouri · Senate Feb 11, 2026

SJR 103: Modifies provisions relating to MO HealthNet

This constitutional amendment would expand Missouri's MO HealthNet Medicaid program to cover adults aged 19-64 with incomes at or below 133% of the federal poverty level, directly affecting low-income working adults who previously may not have qualified. It requires the state to submit necessary federal plan amendments by March 2021 and mandates that eligibility rules for this group cannot be more restrictive than for other Medicaid recipients, though it explicitly allows future implementation of work or community engagement requirements for able-bodied adults. The amendment must be approved by voters in the 2026 election to take effect. It does not change current coverage but establishes new eligibility parameters and options for the state.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage to low-income adults (19-64) at 133% FPL, increasing access to healthcare services and directly strengthening public health coverage programs.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands Medicaid coverage for low-income working adults, directly providing health benefits that support employment stability and reduce financial barriers to work.85% confidence

Sub-Topics Medicaid

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in committee · Missouri · Senate Feb 4, 2026

SB 1178: Enacts requirements for certain reporting regarding the federal 340B drug program

SB 1178 requires Missouri hospitals participating in the federal 340B Drug Pricing Program to submit annual financial reports by April 1st. These reports detail drug acquisition costs, payments received, savings from the program, and how savings are used for charity care or community benefits. Hospitals must also report patient demographics and financial assistance policies, with data categorized by payer type (e.g., Medicaid, uninsured). The state health department will publish aggregated reports by November 15th and impose $1,000 daily penalties for late submissions. This bill increases transparency around how 340B program savings support low-income patient care in Missouri.

Topics ✓ HealthcareSupports HealthcareRequires hospitals to report 340B savings usage for charity care/community benefits, ensuring program funds directly support healthcare access and community health services.90% confidence

Sub-Topics Hospitals Medicaid Prescription Drugs

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in committee · Missouri · House May 15, 2026

HB 1949: Creates provisions relating to maternal health care services

HB 1949 creates new provisions to improve access to maternal health care by allowing state health officials and licensed physicians to issue standing orders for services like prenatal vitamins and doula recommendations without requiring individual patient authorization each time. These standing orders must be posted online, expire after one year unless renewed, and terminate if the issuing professional leaves their position. The bill also provides legal immunity from criminal, disciplinary, or civil liability for professionals issuing orders in compliance with the law. This directly affects Missouri's Medicaid program (MO HealthNet) and eligible patients seeking maternal health services.

Topics ✓ HealthcareSupports HealthcareCreates standing orders for maternal care services without individual authorization, improving access to prenatal vitamins and doula recommendations while streamlining provider workflows.95% confidence

Sub-Topics Medicaid Women's Health

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in committee · Missouri · House May 15, 2026

HB 1675: 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.

Topics ✓ HealthcareSupports HealthcareLimits insurer prior authorization requirements, improving provider access to care and reducing administrative barriers for patients.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Missouri · Senate Jan 27, 2026

SB 1236: Requires physicians to make certain disclosures to patients of benefits received from manufacturers

SB 1236 requires physicians to disclose to their patients any free products, payments, or other benefits they receive from drug or medical device manufacturers. This directly affects physicians who accept such benefits and their patients during medical consultations. The key mechanism is a mandatory disclosure requirement at the point of care, ensuring patients are informed about potential financial ties. The bill aims to increase transparency in physician-patient relationships regarding manufacturer influences.

Topics ✓ HealthcareSupports HealthcareRequires physicians to disclose manufacturer benefits to patients, enhancing transparency and protecting patient rights in healthcare decisions.85% confidence

Sub-Topics Hospitals Medicaid Medical Licensing

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in committee · Missouri · House Mar 5, 2026

HB 2570: Creates provisions relating to insurance coverage of anesthesia services

HB 2570 requires health insurers and health benefit plans (including MO HealthNet and Medicaid managed care) to pay for anesthesia services based on defined "anesthesia time" units without imposing time limits or restricting how that time is calculated. The bill prohibits insurers from setting arbitrary time caps on anesthesia payment or excluding all anesthesia time when determining reimbursement. It specifically affects anesthesia providers (like anesthesiologists and nurse anesthetists) by mandating payment based on standardized time units and prevailing medical billing standards. The law passed as an emergency measure to ensure timely payment for these medically necessary services.

Topics ✓ HealthcareSupports HealthcareBill mandates insurers cover anesthesia services without arbitrary time limits, improving reimbursement for providers and patient access to care.95% confidence

Sub-Topics Healthcare Workforce Insurance Medicaid

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