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MO HB1850
Bill
Status
Introduced
1/7/2026
Primary Sponsor
John Hewkin
Click for details
AI Summary
- Increases pharmacy audit notice requirements from 7 to 14 days, limits audits to 40 unique prescriptions and maximum 200 claims, and restricts audits to no more than twice per calendar year
- Prohibits audits during the first 5 business days of any month (increased from 3 days) and limits audit lookback period to 2 years from claim submission date
- Establishes "critical-access care pharmacy" protections requiring PBMs to reimburse at least actual cost plus $10.50 dispensing fee for pharmacies in counties under 50,000 residents or designated health professional shortage areas
- Requires PBMs to remit 100% of drug rebates, fees, and discounts to health plans quarterly beginning January 1, 2027, with full disclosure and enumeration
- Mandates PBMs disclose affiliated pharmacy relationships and pricing differentials to plan sponsors and the Department of Commerce and Insurance, which gains audit authority over PBMs
Legislative Description
Modifies provisions relating to pharmacy benefits managers
Last Action
HCS Reported Do Pass (H) - AYES: 16 NOES: 0 PRESENT: 0
3/12/2026
Committee Referrals
Health and Mental Health1/22/2026
Full Bill Text
No bill text available