HB 2279 Missouri House · 2026 Regular Session

Creates provisions relating to cost-sharing under health benefit plans

HB 2279 requires Missouri health benefit plans to include costs for non-generic medications in an enrollee's out-of-pocket maximum. This means if a generic drug isn't available for a prescribed medication, the full cost paid by the enrollee (or on their behalf) counts toward their annual limit on out-of-pocket expenses. The bill also prohibits plans from adjusting cost-sharing requirements based on whether a patient qualifies for drug cost assistance programs. It applies to most health plans (excluding certain union plans) starting August 28, 2026, and affects all Missouri residents enrolled in health insurance plans covering prescription drugs.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 9, 2025 Last action Feb 12, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
8
Key actions
2
Committee
3
Feb 12, 2026
Lower · Passed
HCS Voted Do Pass (H)
lower
Feb 12, 2026
Lower · Passed
HCS Reported Do Pass (H) - AYES: 15 NOES: 2 PRESENT: 0
lower
Feb 2, 2026
Committee
Referred: Health and Mental Health(H)
lower
Dec 9, 2025
Introduced
Prefiled (H)
lower
1 primary · 1 co-sponsor

Sponsors