Missouri 2025 Regular Session

Missouri Senate Bill SB824 Compare Versions

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Old	New	Differences
1	1
2	2	FIRST REGULAR SESSION
3	3	SENATE BILL NO. 824
4	4	103RD GENERAL ASSEMBLY
5	5	INTRODUCED BY SENATOR MOSLEY.
6	6	1880S.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 824 2
32	32	2. Each health benefit plan delivered, issued for 18
33	33	delivery, continued or renewed on or after January 1, 2026, 19
34	34	shall provide coverage for genetic counseling and genetic 20
35	35	testing provided by an individual certified by an 21
36	36	accrediting body, recognized by the department of commerce 22
37	37	and insurance, to provide genetic counseling and genetic 23
38	38	testing. The coverage required under this section shall 24
39	39	include all costs associated with genetic counseling and, if 25
40	40	indicated after genetic counseling, a genetic laboratory 26
41	41	test of genes for individuals assessed to be at an increased 27
42	42	risk, based on a clinical risk assessment tool, of 28
43	43	potentially harmful mutations in genes due to a personal or 29
44	44	family history of cancer. 30
45	45	3. No health benefit plan or health carrier shall 31
46	46	consider, or request approval to consider, the results of 32
47	47	any genetic testing or the provision of genetic counseling 33
48	48	provided in accordance with this section in determining 34
49	49	eligibility for coverage, establishing premiums, limiting 35
50	50	coverage, renewing coverage, or any other underwriting 36
51	51	decision. A violation of this subsection shall constitute a 37
52	52	violation of section 375.1303. 38
53	53	4. No health benefit plan shall impose any cost - 39
54	54	sharing requirement with respect to coverage required under 40
55	55	this section. If application of this section would result 41
56	56	in health savings account ineligibility under Section 223 of 42
57	57	the Internal Revenue Code of 1986, as amended, this section 43
58	58	shall apply to health savings account -qualified high 44
59	59	deductible health plans with respect to any cost -sharing 45
60	60	under the plans only after an enroll ee has satisfied the 46
61	61	minimum deductible under Section 223, except with respect to 47
62	62	items or services that are preventive care under Section 48
63	63	223(c)(2)(C) of the Internal Revenue Code of 1986, as 49 SB 824 3
64	64	amended, in which case the requirements of this section 50
65	65	shall apply regardless of whether the minimum deductible 51
66	66	under Section 223 has been satisfied. 52
67	67	