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