HB 2372

Summary

As enrolled: - Recognizes the last full week of April as Infertility Awareness Week. - Requires the MO HealthNet program to cover doula services and reimburse doulas. - 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. - 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. - Removes notarization requirements for patient detention and evaluation applications at mental health centers. - Requires hospitals to display signs in the waiting rooms for the emergency department as well as the labor and delivery department that assaulting a health care professional is a crime. - Authorizes the head of the MO HealthNet division to issue a medical standing order for prenatal vitamins. NOTE: 5/18/2026 amendments add the following healthcare-related provisions: - Requires providers, laboratories, and local health departments to report all confirmed cases of Lyme disease within 7 days of diagnosis. - Directs the pregnancy-related mortality review board in identifying maternity care deserts in the state and identifying strategies to reduce racial inequities in maternal death. NOTE: 5/18/2026 amendments remove the following healthcare-related provisions - Requires PBMs to give pharmacies 14 days' notice before conducting a pharmacy audit and to specify which prescriptions will be audited. - Exempts PBMs from the notice requirement if the pharmacy is suspected of committing fraud. - Authorizes pharmacies to submit amended claims within 30 days of discovering an error in lieu of recoupment. - Limits pharmacy audits to 40 unique subscriptions and 200 separately adjudicated claims. - Limits pharmacy audits to twice a year per pharmacy, unless the pharmacy is suspected of fraud. - Prohibits PBMs from charging pharmacies fees for adjudicating claims. - Prohibits prescription claims processors from charging patients more than the copayment amount or the cash equivalent for a prescription drug. - Prohibits PBMs and prescription claims processors from charging patients above a pharmacy's contracted reimbursement rate. - Requires PBMs to provide plan sponsors with documentation on any benefit design that encourages or requires patients to full prescriptions at affiliated pharmacies. - Requires PBMs to disclose to plan sponsors the amounts they charge affiliated and non-affiliated pharmacies. - Authorizes the Department of Commerce and Insurance to audit PBMs for compliance with the mandatory plan sponsor disclosures. - Prohibits health benefit plans from requiring an enrollee to try an opioid medication before covering a prescribed non-opioid drug for acute pain. - 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. NOTE: 5/13/2026 amendments add several healthcare-related provisions: - Designates the first full week in September as "June's Week" and "Rare Pediatric Disease Week." - Creates a Pediatric Disease Task Force and directs it to submit an annual report that covers rare pediatric disease research initiatives and outcomes. - Authorizes the state EMS medical director to expand advanced emergency medical technician's scope of practice. - Authorizes local medical directors to expand paramedics' scope of practice. - Prohibits hospitals from collecting debt from patients or their guarantors if the hospital was materially out of compliance with price transparency laws when the item or service was furnished. - Requires healthcare entities to respond to state inquiries about medicaid claims within 60 days. - Requires healthcare entities to accept authorization made by the state for Medicaid items and services. - Authorizes members of a multidisciplinary adult protection team to make available to team members all information and records that are appropriate to conduct activities for the benefit of eligible adults. - Requires managed care organizations (MCOs) and health carriers to maintain an online process for prescription drug authorization and implement a prior authorization application programming interface. - Requires MCOs and health carriers to publish statistics online on prior authorization approvals and denials. - Requires MCOs to report to DHHS all the services and drugs for which prior authorization is required. - Directs health carriers to reduce the scope of claims subject to prior authorization. - Requires insurance coverage of a home blood pressure monitoring device for pregnant women and women who have given birth within the last 12 months. - Eliminates current statutory law restricting the establishment of a state-based health benefit exchange. - Requires physicians or nurse practitioners to request a child's past medical records within 72 hours of being admitted into custody for abuse or neglect. - Requires pharmacies to store non-prescription ivermectin and hydroxychloroquine tablets behind the counter and requires that either a pharmacist or a supervised pharmacy technician dispense them. - Requires insurance coverage of contrast-enhanced mammographies. - Requires health plans that cover self-administered hormonal contraceptives to reimburse health care providers or dispensing entities for dispensing the contraceptives. - Expands the definition of "anesthesia time" in connection to provisions prohibiting health plans from imposing anesthesia time pay limits to include anesthesia delivered by an anesthesiologist assistant or certified registered nurse anesthetist. - Clarifies scope of practices for EMTs under the EMS personnel licensure interstate compact. NOTE: 5/13/2026 amendments remove the following provisions: - Authorizes licensed military health providers to provide telehealth services without a waiver of requirements. - 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. NOTE: 4/29/2026 amendments remove provisions requiring private insurance coverage for doula services. 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 without a prescription. - 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. - Requires licensed social workers to supervise an applicant for a minimum of three years.

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