Missouri 2025 Regular Session

Missouri Senate Bill SB345 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2	EXPLANATION-Matter enclosed in bold-faced brackets [thus] in this bill is not enacted
3	3	and is intended to be omitted in the law.
4	4	FIRST REGULAR SESSION
5	5	SENATE BILL NO. 345
6	6	103RD GENERAL ASSEMBLY
7	7	INTRODUCED BY SENATOR MOSLEY.
8	8	0040S.01I KRISTINA MARTIN, Secretary
9	9	AN ACT
10	10	To repeal section 376.1222, RSMo, and to enact in lieu thereof one new section relating to
11	11	insurance coverage of prostheses.
12	12
13	13	Be it enacted by the General Assembly of the State of Missouri, as follows:
14	14	Section A. Section 376.1222, RSMo, is repealed and one 1
15	15	new section enacted in lieu thereof, to be known as section 2
16	16	376.1222, to read as follows:3
17	17	376.1222. 1. Any health insurance policy through the 1
18	18	Medicaid program pursuant to chapter 208, the children's 2
19	19	health insurance program pursuant to sections 208.631 to 3
20	20	208.660, and any health care plans issued to employees under 4
21	21	the Missouri consolidated health car e plan established 5
22	22	pursuant to chapter 103 that are delivered, issued for 6
23	23	delivery, continued or renewed in this state on or after 7
24	24	January 1, 2004, shall provide coverage for prostheses and 8
25	25	expenses for scalp hair prostheses worn for hair loss 9
26	26	suffered as a result of alopecia areata or alopecia totalis 10
27	27	for persons eighteen years of age or younger who are covered 11
28	28	under a policy, program or plan pursuant to this section. 12
29	29	The benefits required by this subsection shall expire when 13
30	30	the covered person r eaches eighteen years of age. 14
31	31	2. Any health benefit plan delivered, issued for 15
32	32	delivery, continued, or renewed in this state on or after 16
33	33	January 1, 2025, shall provide coverage for prostheses and 17 SB 345 2
34	34	expenses for scalp hair prostheses worn for hair los s 18
35	35	suffered as a result of cancer treatment. 19
36	36	3. For purposes of this section, the following terms 20
37	37	mean: 21
38	38	(1) "Health benefit plan", the same meaning as is 22
39	39	ascribed to such term in section 376.1350; 23
40	40	(2) "Prostheses", artificial appliance s used to 24
41	41	replace lost natural structures; 25
42	42	[(2)] (3) "Scalp hair prostheses", artificial 26
43	43	substitutes for scalp hair that are made specifically for a 27
44	44	particular individual. 28
45	45	[3.] 4. The coverage required by this section shall 29
46	46	not be more than a maximum benefit amount of two hundred 30
47	47	dollars per calendar year or exceed a lifetime maximum 31
48	48	benefit amount of three thousand two hundred dollars for 32
49	49	those persons who select a more permanent scalp hair 33
50	50	prosthesis. A person may request a one -time expenditure of 34
51	51	up to three thousand two hundred dollars. The benefits 35
52	52	required by this section shall expire when total benefits 36
53	53	paid reach three thousand two hundred dollars [or when such 37
54	54	person listed in subsection 1 of this section reaches 38
55	55	eighteen years of age]. 39
56	56	[4.] 5. The health care service required by this 40
57	57	section shall not be subject to any greater deductible or co - 41
58	58	payment than other similar health care services provided by 42
59	59	the policy, program, or plan. 43
60	60	[5.] 6. Nothing in this section shall prohibit a 44
61	61	health insurer or health benefit plan from providing 45
62	62	coverage that is greater than or more favorable to persons 46
63	63	than the coverage provided by this section. 47
64	64	