HB 1680 Missouri House · 2026 Regular Session

Creates provisions relating to insurance coverage of alternatives to opioid drugs

HB 1680 requires health insurance plans to cover nonopioid medications equally to opioids for treating acute pain (short-term pain from injury or illness expected to last 30 days or less). It prohibits insurers from denying coverage for nonopioid drugs, forcing patients to try opioids first, or charging higher copays for nonopioid options compared to opioids. This directly affects health insurance plans and their enrollees (policyholders) who need pain treatment. The law applies to all health benefit plans issued or renewed on or after January 1, 2027. The bill aims to expand access to nonopioid pain management by removing financial and procedural barriers in insurance coverage.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025 Last action Jan 29, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
8
Key actions
2
Committee
3
Jan 29, 2026
Lower · Passed
HCS Reported Do Pass (H) - AYES: 15 NOES: 0 PRESENT: 0
lower
Jan 29, 2026
Lower · Passed
HCS Voted Do Pass (H)
lower
Jan 8, 2026
Committee
Referred: Health and Mental Health(H)
lower
Dec 1, 2025
Introduced
Prefiled (H)
lower
1 primary · 1 co-sponsor

Sponsors