This bill directs the Missouri Department of Social Services to submit a state plan amendment or seek federal waivers to allow MO HealthNet, the state's Medicaid program, to cover fertility treatments for eligible participants. The legislation specifically targets individuals enrolled in MO HealthNet who may need assisted reproductive services, requiring the department to formally request approval from the Centers for Medicare and Medicaid Services to expand coverage. By mandating this administrative process, the bill ensures that any new fertility treatment benefits comply with federal Medicaid regulations while enabling the state to pursue coverage options for reproductive health services. The measure does not establish new coverage on its own but creates a pathway for the department to seek the necessary federal authorization to include these treatments in the program.
This bill requires Missouri's MO HealthNet program to cover childbirth education classes for eligible low-income individuals. It achieves this by updating existing state health insurance statutes to include payment for prenatal and childbirth preparation courses as a covered benefit. The changes directly impact pregnant women enrolled in the state's Medicaid program by ensuring their insurance plans pay for these educational services. The legislation modifies current payment rules to explicitly allow reimbursement for these classes without adding new funding requirements.
HB 3269 updates Missouri's Pregnancy-Associated Mortality Review Board to improve data collection and analysis of maternal deaths. The bill expands the board to 22 members with mandatory diversity requirements, including representation from each congressional district and across racial, ethnic, and rural/urban groups. It requires the board to review all maternal deaths (defined as deaths during pregnancy or within one year postpartum, regardless of cause), identify factors like racial disparities and "maternity care deserts" (counties lacking adequate maternity services), and collect specific data on prenatal/postnatal care. The board must produce annual reports with disaggregated data by race, ethnicity, and location, and share recommendations to reduce maternal mortality with policymakers and the public.
HB 3169 requires Missouri's Medicaid program (MO HealthNet) to cover doula services for eligible pregnant women, including support during prenatal care, childbirth, and the postpartum year. It expands existing coverage by allowing doula attendance at scheduled cesarean sections and increasing covered support sessions from six to sixteen total. The bill also mandates that all private health insurance plans in Missouri must cover doula services starting January 1, 2027, with exceptions for supplemental policies like accident-only or short-term plans. This directly affects pregnant and postpartum individuals enrolled in MO HealthNet or private insurance, ensuring access to nonmedical support from trained doulas.
HB 3460 (the "Assistance for Rape Emergencies (CARE) Act") requires hospitals and affiliated health care facilities to provide specific medical care to sexual assault victims. It mandates that facilities: (1) verbally inform victims about emergency contraception, (2) immediately provide the full regimen if requested, and (3) offer sexually transmitted infection screening and treatment. The bill also establishes standards for forensic examinations, requiring trained providers or telehealth support for non-SANE staff, with limited waivers for technological barriers. This directly affects hospitals, health care facilities, and sexual assault victims across the state, standardizing emergency medical responses to sexual assault.
SB 1569 requires health insurance plans to cover treatment for certain menopause-related conditions, directly affecting insured individuals experiencing these health issues. The bill establishes new insurance coverage mandates, ensuring that specific treatments are included in standard coverage without additional out-of-pocket costs for patients. This policy change applies to all health insurance providers offering coverage within the state, aiming to improve access to medically necessary menopause care. The bill is currently under review by the Senate Insurance and Banking Committee.
HB 2824 requires licensed hospitals to offer FDA-approved emergency contraception to women reporting sexual assault within the previous five days. The bill defines emergency contraception as drugs that prevent pregnancy after sexual intercourse. This policy directly affects sexual assault victims seeking hospital care and the hospitals providing emergency services. It mandates that hospitals proactively provide this medical option as part of standard care for eligible patients.
HB 2735 requires health digital services (like apps tracking reproductive or sexual health) to obtain explicit user consent before sharing, selling, or using sensitive health data - including pregnancy status, birth control usage, or gender transition care details. It prohibits government entities from demanding this data for most investigations, except limited criminal cases unrelated to abortion, pregnancy outcomes, or gender transition care. The bill directly affects health apps, their users, and state/local law enforcement agencies. Key provisions mandate affirmative consent for each data use instance and restrict government access to protect privacy around reproductive and sexual health information.
HB 2670 requires hospitals, ambulatory surgical centers, abortion facilities, and laboratories to report data on specific health care-associated infections - such as MRSA and VRE - to Missouri's Department of Health and Senior Services. The data must include patient counts by facility type and will be used to track preventable infections and monitor antibiotic resistance trends, while maintaining patient confidentiality. The department must follow CDC guidelines and consider input from an infection control advisory panel when developing reporting systems and analyzing the data. This bill also aligns Missouri's requirements with federal data systems like the CDC's National Healthcare Safety Network to reduce duplicate reporting for facilities.
HB 2643, the "Hope for Missouri Patients Act," creates a legal framework for patients with life-threatening or severely debilitating conditions to access individualized investigational treatments based on their unique genetic profile. It directly affects eligible patients who have exhausted all FDA-approved treatments, received a physician recommendation for personalized therapy, and provided written informed consent. Key provisions require facilities to comply with federal human subjects protections and define "individualized investigational treatment" as drugs or devices produced exclusively for a patient using their genomic data (excluding those derived from abortion or embryonic stem cells). The bill mandates specific consent documentation detailing treatment alternatives and potential outcomes, without authorizing new drugs or altering FDA approval processes.
