Missouri 2025 Regular Session

Missouri Senate Bill SB406 Compare Versions

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

Old	New	Differences
1	1
2	2	FIRST REGULAR SESSION
3	3	SENATE BILL NO. 406
4	4	103RD GENERAL ASSEMBLY
5	5	INTRODUCED BY SENATOR MOSLEY.
6	6	0041S.01I KRISTINA MARTIN, Secretary
7	7	AN ACT
8	8	To amend chapter 376, RSMo, by adding thereto one new section relating to insurance coverage
9	9	of genetic screenings for cancer risk.
10	10
11	11	Be it enacted by the General Assembly of the State of Missouri, as follows:
12	12	Section A. Chapter 376, RSMo, is a mended by adding thereto 1
13	13	one new section, to be known as section 376.1260, to read as 2
14	14	follows:3
15	15	376.1260. 1. As used in this section, the following 1
16	16	terms mean: 2
17	17	(1) "Cost-sharing requirement", any deductible, 3
18	18	coinsurance, co-payment, or maximum limitation on the 4
19	19	application of such deductible, coinsurance, co -payment, or 5
20	20	similar out-of-pocket expense; 6
21	21	(2) "Genetic counseling", the provision of services to 7
22	22	individuals, couples, families, and organizations by one or 8
23	23	more appropriately trained individuals to address the 9
24	24	physical and psychological issues associated with the 10
25	25	occurrence or risk of occurrence of a genetic disorder, 11
26	26	birth defect, or genetically influenced condition or disease 12
27	27	in an individual or a family; 13
28	28	(3) "Health benefit plan", the same meaning as is 14
29	29	ascribed to such term in section 376.1350; 15
30	30	(4) "Health carrier", the same meaning as is ascribed 16
31	31	to such term in section 376.1350. 17 SB 406 2
32	32	2. Each health benefit plan delivered, issued for 18
33	33	delivery, continued or renewed on or after January 1, 2025, 19
34	34	shall provide coverage for BRCA -related genetic counseling 20
35	35	and genetic testing provided by an individual certified by 21
36	36	an accrediting body, recognized by the department of 22
37	37	commerce and insurance, to provide geneti c counseling and 23
38	38	genetic testing. The coverage required under this section 24
39	39	shall include all costs associated with genetic counseling 25
40	40	and, if indicated after genetic counseling, a genetic 26
41	41	laboratory test of the BRCA1 and BRCA2 genes for individuals 27
42	42	assessed to be at an increased risk, based on a clinical 28
43	43	risk assessment tool, of potentially harmful mutations in 29
44	44	the BRCA1 or BRCA2 genes due to a personal or family history 30
45	45	of breast or ovarian cancer. 31
46	46	3. No health benefit plan or health carrier shall 32
47	47	consider, or request approval to consider, the results of 33
48	48	any genetic testing or the provision of genetic counseling 34
49	49	provided in accordance with this section in determining 35
50	50	eligibility for coverage, establishing premiums, limiting 36
51	51	coverage, renewing coverage, or any other underwriting 37
52	52	decision. A violation of this subsection shall constitute a 38
53	53	violation of section 375.1303. 39
54	54	4. No health benefit plan shall impose any cost - 40
55	55	sharing requirement with respect to coverage required under 41
56	56	this section. If application of this section would result 42
57	57	in health savings account ineligibility under Section 223 of 43
58	58	the Internal Revenue Code of 1986, as amended, this section 44
59	59	shall apply to health savings account -qualified high 45
60	60	deductible health plans with respect to any cost -sharing 46
61	61	under the plans only after an enrollee has satisfied the 47
62	62	minimum deductible under Section 223, except with respect to 48
63	63	items or services that are preventive care under Section 49 SB 406 3
64	64	223(c)(2)(C) of the Internal Revenue Code o f 1986, as 50
65	65	amended, in which case the requirements of this section 51
66	66	shall apply regardless of whether the minimum deductible 52
67	67	under Section 223 has been satisfied. 53
68	68	