SB 1178 Missouri Senate · 2026 Regular Session

Enacts requirements for certain reporting regarding the federal 340B drug program

SB 1178 requires Missouri hospitals participating in the federal 340B Drug Pricing Program to submit annual financial reports by April 1st. These reports detail drug acquisition costs, payments received, savings from the program, and how savings are used for charity care or community benefits. Hospitals must also report patient demographics and financial assistance policies, with data categorized by payer type (e.g., Medicaid, uninsured). The state health department will publish aggregated reports by November 15th and impose $1,000 daily penalties for late submissions. This bill increases transparency around how 340B program savings support low-income patient care in Missouri.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025 Last action Feb 4, 2026
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Full legislative history

Actions timeline

Total actions
4
Key actions
1
Committee
1
Feb 4, 2026
Upper · Passed
Hearing Conducted S Families, Seniors and Health Committee
upper
Dec 1, 2025
Introduced
Prefiled
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Travis Fitzwater
Travis Fitzwater
RRepublican
MO
10