SB 1635 Missouri Senate · 2026 Regular Session

Modifies provisions relating to state health plans

Summary
SCS/SB 1635 - This act modifies provisions relating to state health plans. The board of the Missouri consolidated health care plan (MCHCP) shall implement any new health care benefit mandate enacted by the General Assembly, including but not limited to, requirements for the provision of specific health care services, specific diseases, or for certain health care providers. No later than July first of the year following the first full calendar year of coverage for a new health care benefit mandate and quarterly thereafter, the board of the MCHCP shall submit to the director of the Department of Commerce and Insurance a report as described in the act. No later than March first of the year following the second full calendar year of the coverage for a new health benefit mandate, the director of the Department of Commerce and Insurance shall submit to the President Pro Tem of the Senate and the Speaker of the House of Representatives a final report outlining the impact of the new health care benefit mandate on the MCHCP. Any new health care benefit mandate enacted after August 28, 2026 that requires a health carrier to provide coverage under a health benefit plan for specific health care services, specific diseases, or for certain health care providers shall only apply to the MCHCP. Coverage under MCHCP shall be effective for a period of thirty-six consecutive months and shall remain in effect until the General Assembly takes action or until the mandate sunsets in absence of legislative action. TAYLOR MIDDLETON
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 5, 2026 Last action Mar 10, 2026
Maddy AI version diff · 1 comparison

What changed between versions

7075S.01I - Introduced Senate Committee Substitute - Committee Version · 3 edits
MINOR
The bill was revised to remove the requirement for the legislature to review and vote on extending new health mandates before they expire, allowing them to end automatically. The reporting deadline for the state health plan was moved from July to March of the year following the second year of coverage. Additionally, the list of data required in the annual impact report was shortened, removing specific details about operational costs and per-person monthly costs.
Scope change
The bill's scope regarding the extension of health mandates changed from requiring legislative approval to an automatic expiration process.
REQUIREMENT

Removed the requirement for the General Assembly to conduct a review and take legislative action before extending a new health care benefit mandate.

Reduced the number of specific data points required in the annual report by removing operational costs and per-insured monthly cost details.

TIMELINE

Changed the deadline for submitting the impact report from July first to March first of the year following the second full calendar year of coverage.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
4
Key actions
2
Committee
2
Mar 10, 2026
Upper · Passed
SCS Voted Do Pass S Insurance and Banking Committee (7075S.02C)
upper
Feb 24, 2026
Upper · Passed
Hearing Conducted S Insurance and Banking Committee
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Kurtis Gregory
Kurtis Gregory
RRepublican
MO
21