Enacts provisions relating to insurance coverage of alternatives to opioid drugs

Passed Legislature

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

Sponsor: Schroer, Nick; House handler: N/A
Last action: 2026-02-05
Official status: Second Read and Referred S Insurance and Banking Committee
Effective date: 2026-08-28

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

2026-02-05 S305
Second Read and Referred S Insurance and Banking Committee
2026-01-07 S93
S First Read
2025-12-16 Missouri House of Representatives and Missouri Senate
Prefiled

Official Summary Text

The following summaries of this bill are available:

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Introduced

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SB 1449 - This act provides that an enrollee's health benefit plan shall not deny coverage of a nonopioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the nonopioid prescription drug, or require a higher level of cost-sharing for a nonopioid prescription drug than for an opioid drug.

This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027.

This act is identical to SB 902 (2026) and SB 1350 (2026) and similar to SB 158 (2025), HB 804 (2025), and provisions in HCS/SS/SB 7 (2025).
TAYLOR MIDDLETON