Sen. Nick Schroer

SB 1448 - This act provides that when calculating an enrollee's overall contribution to an out-of-pocket max or any cost-sharing requirement under a health benefit plan, a health carrier or pharmacy benefits manager shall include any amounts paid by the enrollee or paid on behalf of the enrollee for any medication for which a generic substitute is not available. Additionally, no health carrier or pharmacy benefits manager shall design benefits in a manner that takes into account the availability of any cost-sharing assistance program for any medication for which a generic drug substitute is not available. The provisions of this act shall apply to health benefit plans entered into, amended, extended, or renewed on or after August 28, 2026. This act is identical to SB 1327 (2026), SB 970 (2026), SB 840 (2026), HB 1941 (2026), HB 1681 (2026), and HB 79 (2025) and substantially similar to provisions in SCS/SB 970 (2026), HCS/HBs 1941, 2279, & 1681 (2026), SB 45 (2025), and similar to provisions in SB 187 (2025), SB 512 (2025), SB 1106 (2024), SB 844 (2024), SB 1190 (2024), HCS/HB 442 (2023), HB 1628 (2024), SB 269 (2023), and SB 1031 (2022). TAYLOR MIDDLETON

Maddy summarySB 1449 would require health insurance plans to cover non-opioid alternatives for pain management, such as physical therapy or certain medications. This bill directly affects insurance companies, which would need to provide this coverage, and patients seeking pain treatment without opioids. The key provision mandates that insurers treat these non-opioid options with the same coverage terms as opioid medications. The bill aims to expand access to safer pain management options through insurance coverage.

Maddy summarySB 1438 modifies laws related to motor vehicle liability insurance but does not specify the exact changes in the provided context. The bill's official abstract states it alters "provisions regarding motor vehicle liability insurance," though no concrete details about affected parties, key mechanisms, or specific policy changes are included. As a newly prefiled bill (with its first reading on January 7, 2026), no substantive provisions or impacts are described in the available information. Without further details on the modifications, a specific summary of its effects cannot be provided. For updates, users should monitor committee hearings or the bill's full text as it progresses.

Maddy summaryThe provided context does not include specific details about SB 1422's provisions, changes, or affected parties beyond its title and basic status. The abstract states it "modifies certain provisions" related to the Missouri Wine, Grape, and Spirits Board but does not describe the nature of these modifications. Without additional information on the bill's content, key mechanisms, or policy changes, a substantive summary cannot be generated. The prefiling and first reading dates indicate early legislative stage but do not clarify the bill's substance.

Maddy summarySB 1450, titled "Modifies provisions regarding the State Legal Expense Fund," is a procedural bill that adjusts administrative rules for the State Legal Expense Fund. The official abstract provides no specific details about the changes to the fund's provisions, such as eligibility, funding mechanisms, or affected entities. As a result, the bill's concrete policy impact or direct beneficiaries cannot be determined from the available information. This appears to be a routine administrative adjustment rather than a substantive policy change. For a complete summary, additional details about the specific modifications would be required.

Maddy summarySB 1412 would require websites featuring adult content to implement age verification systems to confirm users are of legal age. This bill directly affects adult entertainment websites and their operators by mandating new compliance measures. The key provision requires age verification methods (though specific mechanisms like ID checks are not detailed in the abstract). The bill is in early legislative stages, having been prefiled and scheduled for its first reading.

SB 1437 - This act modifies and creates provisions relating to charging and sentencing repeat offenders. Prosecuting attorneys are required to execute and enforce criminal laws regarding repeat offenders. This act also establishes guidelines for the charging and removal of a prosecutor that fails to charge, plead, or prove a defendant's eligibility for an enhancement, or fails to abide by plea restrictions also created by this act. The Attorney General has the authority to file a civil complaint against a prosecuting attorney to remove such prosecuting attorney from office. This act requires circuit judges to abide by enhancement provisions for eligible defendants or forfeit rights to their office. The Attorney General is authorized to initiate quo warranto proceedings against a circuit judge that forfeits rights to their office subject to this provision. Under this act, when a person is found guilty of an offense and sentenced to an extended imprisonment, their offense shall be recorded as an offense of the class of the extended sentence. This act establishes a prohibition of plea agreements for defendants that are charged with certain enumerated crimes, or are eligible for enhancement, unless there is insufficient evidence to prove the case, and the prosecutor provides a written statement regarding the good faith justification for the plea agreement. The current sentencing ranges for felony classes are modified as follows: • Class A felony increased to fifteen years to forty years, from ten years to thirty years; • Class B felony increased to ten years to twenty years, from five years to fifteen years; • Class C felony increased to five years to fifteen years, from three years to ten years; • Class D felony increased to three years to ten years, from a maximum of seven years; and • Class E felony increased to two to five years, from a maximum of four years. This act repeals the court's discretion to sentence a person convicted of a class D or E felony to less than one year in the county jail. Under this act, a prior felony offender that is found guilty of a class A felony shall be sentenced to the maximum term of imprisonment for a class A felony that is not life imprisonment. A persistent felony offender, as defined in the act, that is found guilty of a class A felony shall be sentenced to life imprisonment. Further, this act requires that a prior felony offender that has been found guilty of a class B, C, D, or E felony shall be sentenced to the maximum term of imprisonment, except life imprisonment, for the class that is one class higher than the offense for which they are found guilty. A persistent felony offender that is found guilty of a class B, C, D, or E felony shall be sentenced to the maximum term of imprisonment, including life imprisonment, for the class that is two classes higher than the offense for which they are found guilty. This act provides that a persistent misdemeanor offender, as defined in the act, who is found guilty of a class A, B, or C misdemeanor shall be sentenced to the maximum term of imprisonment for a class E felony. Under this act, a person that receives an enhanced sentence shall not serve a term of imprisonment less than the maximum term of imprisonment allowable under law. In addition, such person shall not be eligible to have their sentence suspended, waived, or reduced by any means, including by the Parole Board. This act has a severability clause and an emergency clause. TRISTAN BENSON, JR.

Maddy summaryThe provided context does not include the actual content, provisions, or scope of SB 1439. The bill's title ("Missouri Entrepreneurial Freedom Restoration Act") and abstract are identical, offering no description of its purpose, affected parties, or policy mechanisms. Without details on what the bill would change or how it would function, a factual summary cannot be created. This appears to be a prefiling with no substantive information available for review.

Maddy summaryThis bill (SB 1447) lacks specific policy details in its provided abstract and recent actions. The official title and abstract only state it "enacts provisions relating to health care provider participation in health insurance plans" without describing concrete requirements, affected groups, or mechanisms. No key provisions, such as insurer network standards, provider enrollment rules, or patient access changes, are specified in the available context. Therefore, a substantive summary of its policy changes cannot be provided based on the current information.

Maddy summarySB 1413 would repeal existing state laws that permitted government agencies to hire private attorneys under contingency fee contracts (where lawyers are paid only if they win a case). This directly affects state agencies that retain outside legal counsel, as it would eliminate their ability to use this payment structure. The bill removes specific provisions governing these contracts, requiring agencies to seek alternative payment methods for legal services. The change would take effect if enacted, altering how the state manages legal hiring for certain cases.