Missouri 2026 Regular Session

Missouri Senate Bill SB846

Introduced
1/7/26  
Introduced
12/31/69  

Caption

Enacts provisions relating to insurance coverage of health care services

Note

As the bill progresses, it will be important to monitor discussions and potential amendments that address concerns from various stakeholders, ensuring that the goal of improving healthcare access without compromising quality or financial stability is met.

Impact

One of the notable impacts of SB846 is the change to prior authorization requirements. Beginning January 1, 2027, healthcare providers will not need to secure prior authorization for certain services unless their approval rates drop below 90%. This change aims to streamline access to necessary health services and reduce administrative burdens faced by providers. Additionally, the bill requires equal reimbursement for 340B drugs, aiming to protect entities involved in this federal drug pricing program from discriminatory practices by health carriers and pharmacy benefits managers.

Summary

Senate Bill 846 aims to amend Chapter 376 of the Revised Statutes of Missouri, introducing provisions related to insurance coverage for healthcare services. The bill specifically addresses practices regarding clinician-administered drugs, aiming to prevent health carriers and pharmacy benefits managers from imposing penalties or limitations on providers offering these medically necessary treatments. Key terms including 'health carrier', 'participating provider', and 'pharmacy benefits manager' are defined to ensure clarity regarding responsibilities and rights within healthcare service delivery.

Contention

Despite the bill's intent to enhance insurance coverage and protect healthcare providers, points of contention may arise concerning how health carriers will adapt to these regulations. Critics may argue that the legislation could lead to increased healthcare costs or challenge the financial models of insurance companies. Moreover, providers must be prepared for audits and compliance checks related to the new rules, which some may perceive as burdensome.

Companion Bills

No companion bills found.

Previously Filed As

MO SB13

Enacts provisions relating to insurance coverage of pharmacy services

MO SB260

Enacts provisions relating to health insurance coverage of maternity services

MO SB175

Enacts provisions relating to insurance coverage for prescription insulin drugs

MO SB567

Enacts provisions relating to insurance coverage for mental health treatments

MO SB550

Enacts provisions relating to insurance coverage for mental health treatments

MO SB158

Enacts provisions relating to insurance coverage of alternatives to opioid drugs

MO SB406

Enacts provisions relating to insurance coverage of genetic screenings for cancer risk

MO SB824

Enacts provisions relating to insurance coverage of genetic screenings for cancer risk

MO SB308

Enacts provisions relating to insurance coverage for cancer treatment

MO SB45

Enacts provisions relating to payments for prescription drugs

Similar Bills

KS HB2551

Enacting the Kansas pharmacy services administrative organization act.

MS HB558

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

NJ S2345

"Patient and Provider Protection Act."

AR SB475

To Establish The Pharmacy Services Administrative Organization Act; And To Regulate Pharmacy Services Administrative Organizations.

AZ HB2429

Pharmacy benefits; pharmacy management networks

AZ HB2813

Pharmacy benefits; workers' compensation