| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.186 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVECLEMENS. |
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| 5 | 5 | | 1371H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter376,RSMo,byaddingtheretotwonewsectionsrelatingtothecostof |
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| 8 | 8 | | insulin. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter376,RSMo,isamendedbyaddingtheretotwonewsections,tobe |
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| 11 | 11 | | 2knownassections376.687and376.689,toreadasfollows: |
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| 12 | 12 | | 376.687.1.Asusedinthissection,"prescriptioninsulindrug"meansa |
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| 13 | 13 | | 2prescriptiondrugthatcontainsinsulinandisusedtocontrolbloodglucoselevelsto |
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| 14 | 14 | | 3treatdiabetesbutdoesnotincludeaninsulindrugthatisadministeredtoapatient |
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| 15 | 15 | | 4intravenously. |
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| 16 | 16 | | 5 2.Thissectionappliestoanygrouporindividualpolicyofaccidentandhealth |
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| 17 | 17 | | 6insuranceamended,delivered,issued,orrenewedonorafterAugust28,2025. |
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| 18 | 18 | | 7 3.Aninsurerthatprovidescoverageforprescriptioninsulindrugsunderthe |
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| 19 | 19 | | 8termsofahealthcoverageplantheinsureroffersshalllimitthetotalamountthatan |
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| 20 | 20 | | 9insuredisrequiredtopayforathirty-daysupplyofcoveredprescriptioninsulindrugs |
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| 21 | 21 | | 10atanamountnottoexceedonehundreddollars,regardlessofthequantityortypeof |
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| 22 | 22 | | 11coveredprescriptioninsulindrugusedtofilltheinsured'sprescription. |
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| 23 | 23 | | 12 4.OnJanuaryfirstofeachyear,thelimitontheamountthataninsuredis |
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| 24 | 24 | | 13requiredtopayforathirty-daysupplyofacoveredprescriptioninsulindrugshall |
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| 25 | 25 | | 14increasebyapercentageequaltothepercentagechangefromtheprecedingyearinthe |
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| 26 | 26 | | 15medicalcarecomponentoftheConsumerPriceIndexoftheBureauofLaborStatistics |
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| 27 | 27 | | 16oftheUnitedStatesDepartmentofLabor. |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 5.Thedirectorofthedepartmentofcommerceandinsurancemaypromulgate |
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| 30 | 30 | | 18allnecessaryrulesandregulationsfortheadministrationofthissection.Anyruleor |
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| 31 | 31 | | 19portionofarule,asthattermisdefinedinsection536.010,thatiscreatedunderthe |
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| 32 | 32 | | 20authoritydelegatedinthissectionshallbecomeeffectiveonlyifitcomplieswithandis |
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| 33 | 33 | | 21subjecttoalloftheprovisionsofchapter536and,ifapplicable,section536.028.This |
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| 34 | 34 | | 22sectionandchapter536arenonseverableandifanyofthepowersvestedwiththe |
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| 35 | 35 | | 23generalassemblypursuanttochapter536toreview,todelaytheeffectivedate,orto |
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| 36 | 36 | | 24disapproveandannularulearesubsequentlyheldunconstitutional,thenthegrantof |
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| 37 | 37 | | 25rulemakingauthorityandanyruleproposedoradoptedafterAugust28,2025,shallbe |
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| 38 | 38 | | 26invalidandvoid. |
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| 39 | 39 | | 376.689.1.BeforeNovember2,2025,thedepartmentofcommerceand |
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| 40 | 40 | | 2insurance,inconjunctionwiththedepartmentofhealthandseniorservicesandthe |
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| 41 | 41 | | 3departmentofsocialservices,shallmakeavailabletothepublicareportthatdetails |
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| 42 | 42 | | 4eachdepartment'sfindingsforthefollowing: |
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| 43 | 43 | | 5 (1)Asummaryofinsulinpricingpracticesandvariablesthatcontributetothe |
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| 44 | 44 | | 6pricingofhealthcoverageplans; |
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| 45 | 45 | | 7 (2)Publicpolicyrecommendationstocontrolandpreventoverpricingof |
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| 46 | 46 | | 8prescriptioninsulindrugsmadeavailabletoMissouriconsumers;and |
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| 47 | 47 | | 9 (3)Anyotherinformationthatthedepartmentofcommerceandinsurancefinds |
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| 48 | 48 | | 10necessary. |
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| 49 | 49 | | 11 2.TheprovisionsofthissectionshallterminateonJanuary1,2026. |
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| 50 | 50 | | âś” |
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| 51 | 51 | | HB186 2 |
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