SB 1089 - This act provides that health benefit plans providing for maternity benefits shall provide coverage for a home blood pressure monitoring device and home blood pressure monitoring device services, as defined in the act, for pregnant and postpartum women. This act contains provisions identical to provisions in SB 539 (2025), substantially similar to provisions in HCS/HB 2371 (2026), HB 842 (2025), and similar to provisions in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), the truly agreed to and finally passed HCS/SS/SCS/SB 878 (2026), and SB 498 (2025). TAYLOR MIDDLETON
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.
SJR 100 is a Senate Joint Resolution that would prohibit state laws or public policies from infringing on an individual's right to refuse medical procedures or treatments. It applies broadly to all medical care decisions, without specifying exceptions or mechanisms for enforcement. Currently in early stages (prefiled, first reading), it does not detail how this prohibition would interact with existing healthcare regulations or legal standards. As a resolution, it would not become law unless passed by the legislature and approved by the governor.
HB 2373 prevents health care providers from denying minors medical services or terminating their care based on whether a child has received vaccines. It directly affects minor children, their parents or guardians, and medical providers who treat minors. The law prohibits providers from refusing health care services to a minor due to their vaccination status and bans dismissing a minor patient solely because parents refuse to consent to vaccinations for the child. This creates a clear standard for equitable access to pediatric care regardless of vaccination choices.
HB 1989 modifies Missouri law to expand prescribing authority for advanced practice registered nurses (APRNs). It allows APRNs with a certificate from the Missouri Board of Nursing to prescribe medications in Schedules III, IV, and V of controlled substances, and limited Schedule II drugs (like hydrocodone for hospice patients) in 120-hour supplies without refills. APRNs must either work under a collaborative practice agreement with a physician or qualify for an exemption from that requirement. This directly affects APRNs providing patient care in Missouri, particularly in settings where they previously faced restrictions on prescribing these medications.
HB 1820 creates a state registration system for doulas to enable health insurance reimbursement of their services in Missouri. The bill requires the state Department of Health to establish application criteria, review registration applications, approve or deny registrations, and maintain a public registry of approved doulas. It specifies that doulas providing non-medical support (not medical care) can register to seek reimbursement, though unregistered doulas may still practice. The department must consult community organizations like the Missouri Community Doula Council when setting registration rules. This bill does not mandate insurance coverage but provides the framework for insurers to reimburse registered doulas.
HB 1927 prohibits Missouri health insurance plans from requiring prior authorization (pre-approval) for inpatient psychiatric hospital services. This bill directly affects patients seeking psychiatric hospitalization and health insurers who currently must approve such care before coverage. The key provision removes the requirement for insurers to review and approve inpatient psychiatric care in advance, streamlining access to treatment. It applies specifically to inpatient psychiatric hospital services, not other types of care or outpatient treatment. The bill repeals existing prior authorization rules for this service under Missouri law.
HB 1717 would allow veterans aged 21+ with PTSD, major depression, substance use disorders, or end-of-life care needs to legally use psilocybin for therapeutic purposes under strict conditions. To qualify, veterans must enroll in a research study, provide physician documentation of their condition, identify a trained facilitator (a licensed mental health professional meeting specific criteria), and have psilocybin tested by a state-licensed lab. The bill prohibits state/local penalties for compliant use, requires a 150mg annual limit, and shields healthcare providers from professional discipline for participating. It also mandates a $2 million state grant for psilocybin research and annual reports on the program’s implementation. This bill is currently pending in committee and has not yet become law.
SB 1086 would allow Missouri residents to purchase ivermectin and hydroxychloroquine tablets (for human use) directly from pharmacies or retailers without needing a doctor's prescription or consulting a pharmacist. This policy change directly affects consumers who currently require a prescription to obtain these medications. The bill removes existing legal barriers by explicitly permitting their over-the-counter sale under state law, bypassing standard prescription requirements. The measure is still in early legislative stages, having been prefaced and referred to a committee.
HB 1679 prohibits healthcare providers from denying medical care to minor children based on whether the child has received vaccinations. The bill directly affects children seeking healthcare services and the providers who treat them, ensuring vaccination status cannot be used to withhold care. It adds a new provision requiring providers to offer all necessary health services to minors regardless of their vaccination history. This is a concrete policy change that would legally prevent discrimination in pediatric healthcare access. The bill is currently in early legislative stages, having been prefaced and read for the first time in 2026.
