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HB1680 • 2026

Creates provisions relating to insurance coverage of alternatives to opioid drugs

Creates provisions relating to insurance coverage of alternatives to opioid drugs

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Seitz, Brian (156)
Last action
2026-01-29
Official status
This Bill Replaced with a Substitute Bill - Check Primary Bill - HB 2642
Effective date
2026-08-28

Plain English Breakdown

The official source material did not provide additional details beyond the summary and bill text, so some aspects of the candidate explanation remain as is but are noted in 'limits_and_unknowns'.

Insurance Coverage of Non-Opioid Pain Medications

This law requires health insurance plans to cover non-opioid medications for acute pain without requiring patients to try opioid drugs first or pay more for them.

What This Bill Does

  • Defines 'acute pain' as pain expected to last up to 30 days due to injury, illness, or other causes.
  • Requires health insurance plans to cover non-opioid medications prescribed by a healthcare provider without requiring patients to try opioid drugs first.
  • Prohibits health insurance plans from charging higher costs for non-opioid medications compared to opioids.

Who It Names or Affects

  • Health insurance plan members who need treatment for acute pain
  • Healthcare providers who prescribe non-opioid medications

Terms To Know

Acute Pain
Pain that results from disease, accidental or intentional trauma, or other causes, that a healthcare provider reasonably expects to last thirty days or fewer.
Enrollee
A person who has joined a health insurance plan.

Limits and Unknowns

  • The law applies only to health benefit plans delivered, issued for delivery, continued, or renewed on or after January 1, 2027.
  • It does not specify what happens if an enrollee prefers opioid drugs over non-opioid alternatives.

Bill History

  1. 2026-01-29 Missouri House of Representatives and Missouri Senate

    Executive Session Completed (H)

  2. 2026-01-29 Missouri House of Representatives and Missouri Senate

    HCS Voted Do Pass (H)

  3. 2026-01-29 Missouri House of Representatives and Missouri Senate

    HCS Reported Do Pass (H) - AYES: 15 NOES: 0 PRESENT: 0

  4. 2026-01-22 Missouri House of Representatives and Missouri Senate

    Public Hearing Completed (H)

  5. 2026-01-08 Missouri House of Representatives and Missouri Senate

    Read Second Time (H)

  6. 2026-01-08 Missouri House of Representatives and Missouri Senate

    Referred: Health and Mental Health(H)

  7. 2026-01-07 Missouri House of Representatives and Missouri Senate

    Read First Time (H)

  8. 2025-12-01 Missouri House of Representatives and Missouri Senate

    Prefiled (H)

Official Summary Text

Creates provisions relating to insurance coverage of alternatives to opioid drugs

Current Bill Text

Read the full stored bill text
SECOND REGULAR SESSION
HOUSE BILL NO. 1680
103RD GENERAL ASSEMBL Y
INTRODUCED BY REPRESENT A TIVE SEITZ.
4971H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
T o amend chapter 376, RSMo, by adding thereto one new section relating to insurance
coverage of alternatives to opioid drugs.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be
2 known as section 376.1280, to read as follows:
376.1280. 1. As used in this section, the following terms mean:
2 (1) "Acute pain", pain that results fr om disease, accidental or intentional
3 trauma, or other causes, that a health car e pr ovider re asonably expects to last thirty
4 days or fewer;
5 (2) "Enro llee", the same meaning given to the term in section 376.1350;
6 (3) "Health benefit plan", the same meaning given to the term in section
7 376.1350;
8 (4) "Health care pr ofessional", the same meaning given to the term in section
9 376.1350.
10 2. Notwithstanding any prov ision of law to the contrary , when a licensed health
11 car e pr ofessional acting within the scope of his or her license pr escribes a nonopioid
12 medication for the tr eatment of acute pain to an enrol lee, it shall be unlawful for a
13 health benefit plan to:
14 (1) Deny coverage of the nonopioid prescrip tion drug in favor of an opioid
15 pr escription drug;
16 (2) Requir e the enr ollee to try an opioid pr escription drug before pr oviding
17 coverage of the nonopioid prescrip tion drug; or
EXPLANA TION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
intended to be omitted from the law . Matter in bold-face type in the above bill is proposed language.
18 (3) Require a higher level of cost-sharing for the nonopioid pr escription drug
19 than for an opioid pr escription drug.
20 3. This section shall apply to health benefit plans deliver ed, issued for delivery ,
21 continued, or renew ed on or after January 1, 2027.
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HB 1680 2