HB 1966 Missouri House · 2026 Regular Session

Creates provisions relating to insurance coverage of alternatives to opioid drugs

HB 1966 requires health insurance plans in Missouri to cover nonopioid medications for acute pain (pain expected to last 30 days or less) on the same terms as opioids. It prohibits insurers from denying coverage for nonopioid drugs, forcing patients to try opioids first, or charging higher out-of-pocket costs for nonopioid options. The law directly affects patients (enrollees) and health insurance plans, ensuring equal treatment for nonopioid alternatives when prescribed by licensed providers. It takes effect for all new or renewed health benefit plans on or after January 1, 2027.
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