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MO SB1449

Bill

Status

Introduced

1/7/2026

Primary Sponsor

Nick Schroer

Click for details

Origin

Senate

2026 Regular Session

AI Summary

  • Health benefit plans are prohibited from denying coverage of nonopioid medications prescribed for acute pain treatment in favor of opioid drugs
  • Insurers cannot require enrollees to try an opioid prescription drug first before covering a nonopioid alternative (step therapy prohibition)
  • Cost-sharing for nonopioid pain medications cannot exceed the cost-sharing required for opioid prescriptions
  • Acute pain is defined as pain expected to last 30 days or fewer resulting from disease, trauma, or other causes
  • Requirements apply to health benefit plans delivered, issued, continued, or renewed on or after January 1, 2027

Legislative Description

Enacts provisions relating to insurance coverage of alternatives to opioid drugs

Last Action

Second Read and Referred S Insurance and Banking Committee

2/5/2026

Committee Referrals

Insurance and Banking2/5/2026

Full Bill Text

No bill text available