MissouriHealth plans would cover longer supplies of hormonal contraceptives
Missouri health plans that cover hormonal contraceptives would reimburse longer supplies starting in 2026 and one-year supplies starting in 2027.
What it does
Multiple-employer self-insured health plans would hold employer payments in trust, use elected participant trustees, meet bonding and investment rules, and file state reports.
Multiple-employer self-insured health plans would have to keep reserves for losses and maintain a surplus of at least $600,000 or twice a specified risk measure, whichever is greater.
Health plans covering hormonal contraceptives would reimburse supplies lasting up to 90 days in 2026, or up to one year starting in 2027, without higher cost sharing.
Argument forPeople who use covered contraceptives could make fewer pharmacy visits because plans would reimburse larger supplies, subject to the plan's coverage.
Argument againstPlans could face larger upfront reimbursements when they pay for longer supplies, even though patients could not be charged higher cost sharing.
More detail
Multiple-employer self-insured health plans must hold employer payments in trust and follow stated management and reporting rules. The rules cover plans that are not fully insured and serve employees of at least two employers, or qualifying self-employed people and their dependents. Participating employers elect three to seven participant trustees, with no employer represented by more than one trustee. Trustees must be bonded for at least $150,000 and may be repaid for reasonable expenses but may not receive pay for serving. Plan investments must follow insurance investment limits and be managed by a Missouri-licensed bank or investment entity. Trustees must file required reports with the director of the Department of Commerce and Insurance. The supplied text does not state a separate start or end date for these rules.
A multiple-employer self-insured health plan must keep reserves for incurred losses and unearned premiums and maintain a surplus account. The requirements apply to multiple-employer self-insured health plans covered by the cited provisions. The surplus must equal whichever is greater: $600,000 or twice the authorized control-level risk-based capital amount. Loss reserves must cover both reported and unreported incurred losses. The supplied text does not state a separate start or end date for these requirements.
Health benefit plans that cover self-administered hormonal contraceptives must reimburse providers or dispensing entities for longer supplies. The provision covers self-administered hormonal contraceptives, but not emergency contraception or medicines approved to end an existing pregnancy. For plans issued, continued, or renewed in 2026, coverage must include supplies lasting up to 90 days, or up to 180 days for generic contraceptives. For plans issued, continued, or renewed beginning in 2027, coverage must include supplies lasting up to one year, including generic and brand-name contraceptives. The required coverage may not have a higher deductible or copayment than similar covered services. The 2026 supply rule applies on or after January 1, 2026, and ends after December 31, 2026; the one-year supply rule applies on or after January 1, 2027.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Jul 13Delivered to Secretary of State (G)Latest
- Jul 13Approved by Governor Mike Kehoe (G)Became Law
- May 28Delivered to Governor
- May 28Signed by President Pro Tem (S)
- May 28Signed by House Speaker (H)
- May 13Senate Message (S)
- Vote recorded Reported Do Pass (H) - AYES: 8 NOES: 0 PRESENT: 0. Result: pass.Lower
- Vote recorded Truly Agreed To and Finally Passed - AYES: 22 NOES: 10 PRESENT: 0. Result: pass.Lower
- Vote recorded Senate Adopts Conference Committee Report (S) - AYES: 23 NOES: 8 PRESENT: 0. Result: pass.Upper
- Vote recorded Third Read and Passed (H) - AYES: 119 NOES: 27 PRESENT: 0. Result: pass.Lower
- Vote recorded House Adopts Conference Committee Report (H) - AYES: 120 NOES: 26 PRESENT: 0. Result: pass.Lower
- Vote recorded Truly Agreed To and Finally Passed - AYES: 22 NOES: 10 PRESENT: 0. Result: pass.Upper
- May 13Truly Agreed To and Finally Passed - AYES: 22 NOES: 10 PRESENT: 0Major
- May 13Senate Adopts Conference Committee Report (S) - AYES: 23 NOES: 8 PRESENT: 0
- May 13Senate Submits Conference Committee Report (S)
- May 13Conferees to Exceed Differences (S) - in Section 1 of SS HCS HB 2596
- May 13House Message (H)
- May 13House Message (H)
- May 13Third Read and Passed (H) - AYES: 119 NOES: 27 PRESENT: 0Major
- May 13House Adopts Conference Committee Report (H) - AYES: 120 NOES: 26 PRESENT: 0
- May 13Conferees to Exceed Differences (H) - in Section 1 of SS HCS HB 2596
- May 13House Submits Conference Committee Report (H)
- May 13Reported Do Pass (H) - AYES: 8 NOES: 0 PRESENT: 0Minor
- May 13Voted Do Pass (H)Minor
- May 13Executive Session Completed (H)
- May 12Referred: Fiscal Review(H)Minor
- May 12House Distributes Conference Committee Report (H)
- May 7House Message (H)
- May 7House Conference Committee Appointed (H) - REPRESENTATIVES MCGAUGH, MILLER, DIEHL, MACKEY, BUSH
- Apr 27Senate Message (S)
- Apr 27Senate Conference Committee Appointed (S) - CRAWFORD, GREGORY(21), TRENT, MCCREERY, LEWIS
- Apr 27Senate Message (S)
- Apr 27Senate Refuses to Recede, Grants Conference (S)
- Apr 20House Message (H)
- Vote recorded Reported Do Pass (H) - AYES: 6 NOES: 1 PRESENT: 1. Result: pass.Lower
- Apr 20House Refuses to Adopt, Requests Senate to Recede or Grant Conference (H)
- Apr 20Taken Up
- Apr 20Reported Do Pass (H) - AYES: 6 NOES: 1 PRESENT: 1Minor
- Apr 20Voted Do Pass (H)Minor
- Apr 20Executive Session Completed (H)
- Apr 16Referred: Fiscal Review(H)Minor
- Apr 16Reported to the House with... (H) - SS, as amended
- Apr 15Third Read and Passed with Amendments (S) - SA 1, SA 2, adopted - AYES: 26 NOES: 2 PRESENT: 0Passed Senate
- Vote recorded Third Read and Passed with Amendments (S) - SA 1, SA 2, adopted - AYES: 26 NOES: 2 PRESENT: 0. Result: pass.Upper
- Apr 15SS Adopted (S)
- Apr 15SS OfferedMinor
- Apr 15Taken Up for Third Reading (S)Minor
- Apr 8Reported Do Pass (S)Minor
- Apr 7Voted Do Pass (S)Minor
- Apr 7Executive Session Held (S)
- Mar 10Public Hearing Held (S)
- Mar 5Public Hearing Scheduled (S) - Tuesday, March 10, 2026, 12:00 p.m., Senate Lounge - 3rd Floor
- Feb 26Second read and referred: Insurance and Banking(S)
- Feb 19Reported to the Senate and First Read (S)Minor
- Vote recorded Third Read and Passed (H) - AYES: 145 NOES: 0 PRESENT: 0. Result: pass.Lower
- Feb 19Third Read and Passed (H) - AYES: 145 NOES: 0 PRESENT: 0Passed House
- Feb 19Taken Up for Third Reading (H)Minor
- Feb 17Perfected (H)
- Feb 17HCS Adopted (H)
- Feb 17Title of Bill - Agreed To
- Feb 17Taken Up for Perfection (H)
- Feb 16Placed on the Informal Perfection Calendar (H)
- Feb 10Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0Minor
- Vote recorded Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0. Result: pass.Lower
- Feb 10Voted Do Pass (H)Minor
- Feb 10Executive Session Completed (H)
- Feb 3Referred: Rules - Administrative(H)Minor
- Jan 29HCS Reported Do Pass (H) - AYES: 15 NOES: 0 PRESENT: 0Minor
- Vote recorded HCS Reported Do Pass (H) - AYES: 15 NOES: 0 PRESENT: 0. Result: pass.Lower
- Jan 29HCS Voted Do Pass (H)Minor
- Jan 29Executive Session Completed (H)
- Jan 22Public Hearing Completed (H)
- Jan 15Referred: Health and Mental Health(H)Minor
- Jan 8Read Second Time (H)Minor
- Jan 7Read First Time (H)
- 2025
- Dec 29Prefiled (H)Introduced
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