Creates provisions relating to cost-sharing under health benefit plans
This Bill Replaced with a Substitute Bill - Check Primary Bill - HB 1941 - 02/12/2026 - HCS Voted Do Pass (H)
Summary
The bill adds a new section to Missouri law directing health carriers and pharmacy‑benefit managers to include costs for medications without a generic substitute when calculating an enrollee's out‑of‑pocket maximum and other cost‑sharing amounts. It also prohibits insurers from adjusting those limits based on any cost‑sharing assistance the enrollee may receive for such drugs. The rule applies to plans entered into after August 28, 2026, except plans covered under the Labor Management Relations Act.
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