HB 3169 requires Missouri's Medicaid program (MO HealthNet) to cover doula services for eligible pregnant women, including support during prenatal care, childbirth, and the postpartum year. It expands existing coverage by allowing doula attendance at scheduled cesarean sections and increasing covered support sessions from six to sixteen total. The bill also mandates that all private health insurance plans in Missouri must cover doula services starting January 1, 2027, with exceptions for supplemental policies like accident-only or short-term plans. This directly affects pregnant and postpartum individuals enrolled in MO HealthNet or private insurance, ensuring access to nonmedical support from trained doulas.
HB 3418 requires health insurance plans to notify patients at least 30 days in advance if they will remove a specific prescription drug from their coverage list (except for generic substitutions). It specifically protects patients who have been taking the same medication for over one year by preventing insurers from forcing them to switch drugs to maintain coverage. The bill applies directly to health plans and pharmacy benefit managers, ensuring patients receive clear communication about coverage changes affecting their current medications. This aims to reduce unexpected disruptions in treatment for individuals on long-term prescriptions.
SB 1737 requires Missouri health insurance plans to cover annual kidney function screenings for enrollees starting August 28, 2026. It directly affects residents with health insurance in Missouri who may be at risk for chronic kidney disease. The law mandates coverage for specific tests including glomerular filtration rate (GFR) testing, basic metabolic panels, and urine tests for albumin and creatinine levels. This policy change ensures these preventive screenings are included without cost-sharing for insured individuals.
HB 3215, titled the "Missouri Family Building and Fertility Access Act," creates a state program to improve access to fertility treatment for individuals in rural or medically underserved areas. The program provides travel assistance, lodging stipends, and telehealth subsidies for those who cannot access certified fertility clinics, while also supporting telemedicine infrastructure in shortage areas. Health insurance companies must publish plain-language summaries of fertility coverage on their websites and submit annual reports on treatment usage, which the state will aggregate and publish to track access trends. The bill establishes a dedicated "Infertility Access Fund" to finance these efforts and requires biennial reports on barriers to care, including cost and geographic challenges.
HB 3255 creates Missouri's "Universal Health Assurance Program," a statewide public insurance system providing comprehensive health, mental health, and dental care - including preventive screenings - to all state residents. The program establishes a board of governors (with diverse representation) and six regional advisory councils to develop health plans, set fees, and manage the Missouri Health Care Trust Fund. Key provisions include requiring uniform payments, streamlined administration through a single public insurer, and annual reporting to state leaders on program operations and policy recommendations. The bill aims to improve timely access to quality care, ensure adequate funding, and reduce overall health care spending.
HB 3452 requires health insurance plans sold in the state to cover specific preventative health services without cost-sharing (like copays or deductibles) starting January 1, 2026. It mandates coverage for evidence-based services rated A or B by the U.S. Preventive Services Task Force, CDC-recommended immunizations, and preventative care outlined in Health Resources and Services Administration guidelines. The law allows limited exceptions, such as applying high-deductible plan requirements to certain services or imposing cost-sharing for out-of-network providers. This directly affects health insurers and policyholders by ensuring no out-of-pocket costs for these recommended preventative services.
SB 1708 makes Missouri's Ticket to Work Health Assurance Program permanent by removing its expiration date. This program helps working Missourians with disabilities maintain health coverage while earning income, without losing Medicaid benefits. It does not change existing eligibility rules, income limits, or premium calculations for participants - only extends the program indefinitely. The bill directly affects Missourians with disabilities who are employed and meet the program’s income and asset criteria.
SB 1644 bans specific restrictive clauses in health care provider network contracts, directly affecting health insurance plans (as "general contracting entities") and health care providers. It prohibits "anti-steering" clauses (limiting provider recommendations), "anti-tiering" clauses (restricting network structure), "gag" clauses (hiding price/quality data), and "most-favored-nation" clauses (forcing rate parity). Existing contracts containing these clauses are void and unenforceable, while other contract terms remain valid. The bill also requires insurers to act in enrollees' best interest when designing networks or offering incentives, improving price transparency and choice for patients.
HB 3422 requires health insurance plans sold in the state to cover annual kidney function screening tests starting August 28, 2026. This affects all health carriers offering plans in the state after that date, directly benefiting individuals at risk for chronic kidney disease by ensuring access to preventive screenings. The bill mandates coverage for specific tests including kidney function (glomerular filtration rate), basic metabolic panels, and urine tests for albumin/creatinine. It excludes certain supplemental policies like Medicare supplements, short-term plans, and long-term care coverage. The law aims to promote early detection of chronic kidney disease through mandated insurance coverage.
HB 3244 requires most health insurance plans covering over 25 employees to include infertility treatment coverage starting January 1, 2027. This includes in vitro fertilization (IVF), embryo transfer, artificial insemination, and egg freezing for cancer patients. Plans must cover these services only after less expensive infertility treatments are tried, limit IVF cycles to four retrievals (with exceptions), and require clinics to meet medical standards. Religious organizations and entities with religious objections are exempt from these coverage requirements. The bill directly affects insurers, employers, and patients seeking infertility care.
