MO HB552

Repeals section 208.152 and enacts two new sections (208.152 and 338.400) relating to MO HealthNet coverage and blood clotting product dispensing standards.

Adds blood clotting products-related services to MO HealthNet benefits for persons with bleeding disorders, including home delivery of blood clotting products, ancillary infusion equipment and supplies, and home assessments by qualified healthcare professionals.

Requires the Missouri State Board of Pharmacy to establish rules for pharmacy standards of care when dispensing blood clotting therapies, incorporating standards from national hemophilia and von Willebrand disease patient organizations.

Mandates pharmacies meet specific operational requirements including: filling prescriptions within 2-3 business days, providing emergency access within 12 hours, maintaining 24/7 pharmacist availability, supplying all necessary infusion equipment, and notifying patients of product recalls within 24 hours.

Requires pharmacies to dispense all FDA-approved blood clotting products in multiple assay ranges and vial sizes as prescribed, provide designated patient contact numbers, and maintain proper hazardous waste disposal containers and instructions.