Missouri 2026 Regular Session Status: In Committee 1 D cosponsors

HB 2645 — Modifies provisions relating to payments for prescription drugs

Last action — Referred: Emerging Issues(H)

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

This bill is in committee in the House. Introduced January 02, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low 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

Stalled 16% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

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

This bill modifies how pharmacy benefits managers handle prescription drug payments.

The bill updates regulations for pharmacy benefits managers to limit costs for covered persons at the point of sale for prescriptions. It allows pharmacies to provide cost information and requires certain disclosures related to pharmacy benefits.

What this means for you
  • Consumers: Consumers may benefit from lower out-of-pocket costs for prescription drugs and better access to pricing information.

Bill Text

Action History

  1. Referred: Emerging Issues(H)

  2. Read Second Time (H)

  3. Read First Time (H)

  4. Prefiled (H)

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 198 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (198)

198 members have not signed on to this bill.

Show all 198 →

"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

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 2645?
HB 2645 is sponsored by Gregg Bush (Democratic).
What is the current status of HB 2645?
This bill is in committee in the House. Introduced January 02, 2026. It must pass committee before a floor vote.
Where can I track HB 2645?
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Last checked for changes about 1 month ago · updated continuously

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