Missouri 2026 Regular Session Status: In Committee

SB 1449 — Enacts provisions relating to insurance coverage of alternatives to opioid drugs

Last action — Second Read and Referred S Insurance and Banking Committee

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

This bill is in committee in the Senate. Introduced December 16, 2025. It must pass committee before a floor vote.

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

Prognosis

Stalled 14% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

SB 1449 - This act provides that an enrollee's health benefit plan shall not deny coverage of a nonopioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the nonopioid prescription drug, or require a higher level of cost-sharing for a nonopioid prescription drug than for an opioid drug. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This act is similar to SCS/SB 841 (2026), SB 902 (2026), HCS/SB 1019 (2026), SB 1350 (2026), SB 158 (2025), HCS/HB 2372 (2026), HCS/HBs 2642, 2296, 1966 & 1680 (2026), HB 804 (2025), and HCS/SS/SB 7 (2025). TAYLOR MIDDLETON

Bill Text

Action History

  1. Second Read and Referred S Insurance and Banking Committee

  2. S First Read

  3. Prefiled

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

What does SB 1449 do?
SB 1449 - This act provides that an enrollee's health benefit plan shall not deny coverage of a nonopioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the nonopioid prescription drug, or require a higher level of cost-sharing for a nonopioid prescription drug than for an opioid drug. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This act is similar to SCS/SB 841 (2026), SB 902 (2026), HCS/SB 1019 (2026), SB 1350 (2026), SB 158 (2025), HCS/HB 2372 (2026), HCS/HBs 2642, 2296, 1966 & 1680 (2026), HB 804 (2025), and HCS/SS/SB 7 (2025). TAYLOR MIDDLETON
Who sponsors SB 1449?
SB 1449 is sponsored by Nick Schroer.
What is the current status of SB 1449?
This bill is in committee in the Senate. Introduced December 16, 2025. It must pass committee before a floor vote.
Where can I track SB 1449?
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Last checked for changes 2 months ago · updated continuously

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