| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.1080 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEREUTER. |
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| 5 | 5 | | 2494H.01I JOSEPHENGLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter376,RSMo,byaddingtheretoonenewsectionrelatingtoinsurance |
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| 8 | 8 | | coverageofgeneticscreeningsforcancerrisk. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter376,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection376.1260,toreadasfollows: |
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| 12 | 12 | | 376.1260.1.Asusedinthissection,thefollowingtermsmean: |
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| 13 | 13 | | 2 (1)"Cost-sharingrequirement",anydeductible,coinsurance,co-payment,or |
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| 14 | 14 | | 3maximumlimitationontheapplicationofsuchdeductible,coinsurance,co-payment,or |
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| 15 | 15 | | 4similarout-of-pocketexpense; |
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| 16 | 16 | | 5 (2)"Geneticcounseling",theprovisionofservicestoindividuals,couples, |
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| 17 | 17 | | 6families,andorganizationsbyoneormoreappropriatelytrainedindividualstoaddress |
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| 18 | 18 | | 7thephysicalandpsychologicalissuesassociatedwiththeoccurrenceorriskof |
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| 19 | 19 | | 8occurrenceofageneticdisorder,birthdefect,orgeneticallyinfluencedconditionor |
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| 20 | 20 | | 9diseaseinanindividualorafamily; |
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| 21 | 21 | | 10 (3)"Healthbenefitplan",thesamemeaningasisascribedtosuchtermin |
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| 22 | 22 | | 11section376.1350; |
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| 23 | 23 | | 12 (4)"Healthcarrier",thesamemeaningasisascribedtosuchterminsection |
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| 24 | 24 | | 13376.1350. |
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| 25 | 25 | | 14 2.Eachhealthbenefitplandelivered,issuedfordelivery,continued,orrenewed |
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| 26 | 26 | | 15onorafterJanuary1,2026,shallprovidecoverageforgeneticcounselingandgenetic |
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| 27 | 27 | | 16testingprovidedbyanindividualcertifiedbyanaccreditingbody,recognizedbythe |
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| 28 | 28 | | 17departmentofcommerceandinsurance,toprovidegeneticcounselingandgenetic |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18testing.Thecoveragerequiredunderthissectionshallincludeallcostsassociatedwith |
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| 31 | 31 | | 19geneticcounselingand,ifindicatedaftergeneticcounseling,ageneticlaboratorytestof |
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| 32 | 32 | | 20genesforindividualsassessedtobeatanincreasedrisk,basedonaclinicalrisk |
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| 33 | 33 | | 21assessmenttool,ofpotentiallyharmfulmutationsingenesduetoapersonalorfamily |
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| 34 | 34 | | 22historyofcancer. |
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| 35 | 35 | | 23 3.Nohealthbenefitplanorhealthcarriershallconsider,orrequestapprovalto |
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| 36 | 36 | | 24consider,theresultsofanygenetictestingortheprovisionofgeneticcounseling |
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| 37 | 37 | | 25providedinaccordancewiththissectionindeterminingeligibilityforcoverage, |
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| 38 | 38 | | 26establishingpremiums,limitingcoverage,renewingcoverage,oranyotherunderwriting |
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| 39 | 39 | | 27decision.Aviolationofthissubsectionshallconstituteaviolationofsection375.1303. |
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| 40 | 40 | | 28 4.Nohealthbenefitplanshallimposeanycost-sharingrequirementwithrespect |
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| 41 | 41 | | 29tocoveragerequiredunderthissection.Ifapplicationofthissectionwouldresultin |
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| 42 | 42 | | 30healthsavingsaccountineligibilityunderSection223oftheInternalRevenueCodeof |
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| 43 | 43 | | 311986,asamended,thissectionshallapplytohealthsavingsaccount-qualifiedhigh |
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| 44 | 44 | | 32deductiblehealthplanswithrespecttoanycost-sharingundertheplansonlyafteran |
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| 45 | 45 | | 33enrolleehassatisfiedtheminimumdeductibleunderSection223,exceptwithrespectto |
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| 46 | 46 | | 34itemsorservicesthatarepreventivecareunderSection223(c)(2)(C)oftheInternal |
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| 47 | 47 | | 35RevenueCodeof1986,asamended,inwhichcasetherequirementsofthissectionshall |
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| 48 | 48 | | 36applyregardlessofwhethertheminimumdeductibleunderSection223hasbeen |
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| 49 | 49 | | 37satisfied. |
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| 50 | 50 | | âś” |
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| 51 | 51 | | HB1080 2 |
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