HB 2372

Summary

As amended 3/26/2026: - Requires the MO HealthNet program to cover doula services and extends postpartum medical assistance coverage for eligible mothers to 12 months. - Prohibits health carriers and pharmacy benefit managers from discriminating against 340B program participants, including by reimbursing for drugs at a lower rate. - Allows residential care and assisted living facilities to use accreditation reports from a professional accrediting agency in lieu of an annual state inspection. - Prohibits health benefit plans from requiring an enrollee to try an opioid medication before covering a prescribed non-opioid drug for acute pain. - Increases the annual, non-prescription purchase limit for pseudoephedrine products to 61.2 grams and creates a fee for manufacturers to fund the electronic tracking system. - Authorizes licensed military health providers to provide telehealth services without a waiver of requirements. - Removes notarization requirements for patient detention and evaluation applications at mental health centers. NOTE: 3/26/2026 amendments add several healthcare-related provisions: - Specifies that community paramedics shall practice in collaboration with the ambulance service administrator. - Authorizes patients to request investigational drugs and devices. - Requires labs to report cases of alpha-gal syndrome within 7 days to the Department of Health and Senior Services. - Allows ivermectin and hydroxychloroquine tablets to be purchased over-the-counter. - Requires MO HealthNet to reimburse the professional component of clinical pathology services. - Directs the Department of Social Services to seek a federal waiver to create a "Food is Medicine" program within MO HealthNet for participants with nutrition-related chronic diseases. - Authorizes the program to provide nutrition services, including case management, nutrition counseling, and medically tailored groceries, meals, and produce prescriptions. - Prioritizes, when feasible, the use of community-based organizations and local growers to support the purchase of locally grown food. - Limits the practice of pharmacy to exclude the ordering and administration of any vaccine that is not included in the joint rules of the board of pharmacy and the State board of registration for the healing arts. - Removes the exclusion on ordering and administering the chikungunya vaccine from the practice of pharmacy. - Specifies that the practice of pharmacy includes the ordering and administration of vaccines approved by the U.S. Food and Drug Administration as of January 1, 2026. - Authorizes pharmacists to prescribe medical devices furnished by home health agencies. - Authorizes pharmacists to dispense ivermectin and hydroxychloroquine without a prescription order from a licensed practitioner. - Authorizes the board of pharmacy to waive any rules or regulations regarding a Missouri pharmacy dispensing, shipping, or delivering drugs to another state experiencing a declared state of emergency or disaster. - Prohibits AI developers or deployers from advertising that the AI is able to act as a mental health professional or is capable of providing therapy services, psychotherapy services, or a mental health diagnosis.

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