Missouri 2026 Regular Session Status: Enacted 6 R cosponsors

HB 2596 — Modifies provisions relating to health benefit plans

Last action — Delivered to Secretary of State (G)

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced December 29, 2025. Enacted.

Signed by Governor Mike Kehoe (Republican) on May 28, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (6 R).

  • Cleared a recorded vote

    Passed 10 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill modifies health benefit plan provisions.

This legislation changes certain rules related to health benefit plans. It aims to update the existing provisions governing these plans.

Bill Text

What changed in the latest version

11 added · 42 removed

Plain-language change summary

In the latest version of Bill HB 2596, the designation was updated from "5996H.02C" to "5996H.02P," indicating that this is a perfected version of the bill. This change means that the bill has gone through revisions to improve its content before final approval. It matters because it signals to lawmakers and the public that the bill is closer to being finalized and may reflect changes based on discussions or feedback.

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SECOND REGULAR SESSION [TRULY AGREED TO AND FINALLY PASSED] CONFERENCE COMMITTEE SUBSTITUTE FOR SENATE SUBSTITUTE FOR HOUSE COMMITTEE SUBSTITUTE FOR HOUSE BILL NO.
SECOND REGULAR SESSION [PERFECTED] HOUSE COMMITTEE SUBSTITUTE FOR HOUSE BILL NO.
2596 103RD GENERAL ASSEMBLY 5996H.04T 2026 AN ACT To repeal sections 376.1000, 376.1012, 376.1017, and 376.1240, RSMo, and to enact in lieu thereof five new sections relating to health benefit plans.
2596 103RD GENERAL ASSEMBLY 5996H.02P JOSEPH ENGLER, Chief Clerk AN ACT To repeal sections 376.1000, 376.1012, and 376.1017, RSMo, and to enact in lieu thereof three new sections relating to multiple employer self-insured health plans.
Sections 376.1000, 376.1012, 376.1017, and 376.1240, RSMo, are repealed and five new sections enacted in lieu thereof, to be known as sections 376.1000, 376.1012, 376.1017, 376.1240, and 1, to read as follows:
Sections 376.1000, 376.1012, and 376.1017, RSMo, are repealed and three new sections enacted in lieu thereof, to be known as sections 376.1000, 376.1012, and 376.1017, to read as follows:
EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law.
(1) A board of trustees elected by participating employers shall serve as fund managers on behalf of participants.
Matter in bold-face type in the above bill is proposed language.
CCS SS HCS HB 2596 2 (1) A board of trustees elected by participating employers shall serve as fund managers on behalf of participants.
Trustees may not receive remuneration but they may be reimbursed for actual and reasonable expenses incurred in connection with duties as trustee.
EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law.
Matter in bold-face type in the above bill is proposed language.
HCS HB 2596 2 Trustees may not receive remuneration but they may be reimbursed for actual and reasonable expenses incurred in connection with duties as trustee.
The plan shall also prepare and file a report with the director in compliance with section 375.1252 as it applies to health organizations, and the provisions of section 375.1267 shall apply to such reports.
The plan shall also prepare and file an RBC report with the director in compliance with section 375.1252 as it applies to health organizations, and the provisions of section 375.1267 shall apply to such RBC reports.
or CCS SS HCS HB 2596 3 (2) An amount equal to two times the authorized control level risk-based capital, as that term is defined in section 375.1250.
or (2) An amount equal to two times the authorized control level risk-based capital, as that term is defined in section 375.1250.
376.1240.
1.
For purposes of this section, terms shall have the same meanings as ascribed to them in section 376.1350, and the term "self-administered hormonal contraceptive" shall mean a drug that is composed of one or more hormones and that is approved by the Food and Drug Administration to prevent pregnancy, excluding emergency contraception.
Nothing in this section shall be construed to apply to medications approved by the Food and Drug Administration to terminate an existing pregnancy.
2.
(1) Any health benefit plan delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2026, that provides coverage for self-administered hormonal contraceptives shall provide coverage to reimburse a health care provider or dispensing entity for the dispensing of a supply of self-administered hormonal contraceptives intended to last up to ninety days, or intended to last up to one hundred eighty days for generic self- administered hormonal contraceptives.
The provisions of this subdivision shall no longer be in effect after December 31, 2026.
(2) Any health benefit plan delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027, that provides coverage for self-administered hormonal contraceptives shall provide coverage to reimburse a health care provider or dispensing entity for the dispensing of a supply of self-administered hormonal contraceptives, including generic and brand-name contraceptives, intended to last up to one year.
3.
The coverage required under this section shall not be subject to any greater deductible or co-payment than other similar health care services provided by the health benefit plan.
Section 1.
If any provision of sections 376.1000, 376.1012, 376.1017, and 376.1240 or the application thereof to any person or circumstance is held invalid, such determination shall not affect the provisions or applications of sections 376.1000, 376.1012, 376.1017, and 376.1240 which may be given effect without the invalid provision or application, and to that end the provisions of sections 376.1000, 376.1012, 376.1017, and 376.1240 are severable.
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Amendments

2 amendments

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Action History

  1. Delivered to Governor

  2. Signed by President Pro Tem (S)

  3. Signed by House Speaker (H)

  4. Senate Message (S)

  5. Truly Agreed To and Finally Passed - AYES: 22 NOES: 10 PRESENT: 0

  6. Senate Adopts Conference Committee Report (S) - AYES: 23 NOES: 8 PRESENT: 0

  7. Senate Submits Conference Committee Report (S)

  8. Conferees to Exceed Differences (S) - in Section 1 of SS HCS HB 2596

  9. House Message (H)

  10. House Message (H)

  11. Third Read and Passed (H) - AYES: 119 NOES: 27 PRESENT: 0

  12. House Adopts Conference Committee Report (H) - AYES: 120 NOES: 26 PRESENT: 0

  13. Conferees to Exceed Differences (H) - in Section 1 of SS HCS HB 2596

  14. House Submits Conference Committee Report (H)

  15. Reported Do Pass (H) - AYES: 8 NOES: 0 PRESENT: 0

  16. Voted Do Pass (H)

  17. Executive Session Completed (H)

  18. Referred: Fiscal Review(H)

  19. House Distributes Conference Committee Report (H)

  20. House Message (H)

  21. House Conference Committee Appointed (H) - REPRESENTATIVES MCGAUGH, MILLER, DIEHL, MACKEY, BUSH

  22. Senate Message (S)

  23. Senate Conference Committee Appointed (S) - CRAWFORD, GREGORY(21), TRENT, MCCREERY, LEWIS

  24. Senate Message (S)

  25. Senate Refuses to Recede, Grants Conference (S)

  26. House Message (H)

  27. House Refuses to Adopt, Requests Senate to Recede or Grant Conference (H)

  28. Taken Up

  29. Reported Do Pass (H) - AYES: 6 NOES: 1 PRESENT: 1

  30. Voted Do Pass (H)

  31. Executive Session Completed (H)

  32. Referred: Fiscal Review(H)

  33. Reported to the House with... (H) - SS, as amended

  34. Third Read and Passed with Amendments (S) - SA 1, SA 2, adopted - AYES: 26 NOES: 2 PRESENT: 0

  35. SS Adopted (S)

  36. SS Offered

  37. Taken Up for Third Reading (S)

  38. Reported Do Pass (S)

  39. Voted Do Pass (S)

  40. Executive Session Held (S)

  41. Public Hearing Held (S)

  42. Public Hearing Scheduled (S) - Tuesday, March 10, 2026, 12:00 p.m., Senate Lounge - 3rd Floor

  43. Second read and referred: Insurance and Banking(S)

  44. Reported to the Senate and First Read (S)

  45. Third Read and Passed (H) - AYES: 145 NOES: 0 PRESENT: 0

  46. Taken Up for Third Reading (H)

  47. Perfected (H)

  48. HCS Adopted (H)

  49. Title of Bill - Agreed To

  50. Taken Up for Perfection (H)

  51. Placed on the Informal Perfection Calendar (H)

  52. Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0

  53. Voted Do Pass (H)

  54. Executive Session Completed (H)

  55. Referred: Rules - Administrative(H)

  56. HCS Reported Do Pass (H) - AYES: 15 NOES: 0 PRESENT: 0

  57. HCS Voted Do Pass (H)

  58. Executive Session Completed (H)

  59. Public Hearing Completed (H)

  60. Referred: Health and Mental Health(H)

  61. Read Second Time (H)

  62. Read First Time (H)

  63. Prefiled (H)

Sponsors

Sponsorship breakdown

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1 sponsors · 5 co-sponsors · 193 not signed on

Sponsors (1)

Co-sponsors (5)

Not signed on (193)

193 members have not signed on to this bill.

Show all 193 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HB 2596?
HB 2596 is sponsored by John Hewkin (Republican), Burt Whaley (Republican), George Hruza (Republican), Ann Kelley (Republican), Sherri Gallick (Republican), and Peggy McGaugh (Republican).
What is the current status of HB 2596?
This bill has been enacted into law. Introduced December 29, 2025. Enacted.
Where can I track HB 2596?
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