Missouri 2026 Regular Session Status: Passed House Bipartisan · 2 R · 1 D cosponsors

HB 2465 — Modifies the definitions of eligible employee and small employer for purposes of the Small Employer Health Insurance Availability Act

Last action — Public Hearing Held (S)

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

This bill has passed the House. Introduced December 16, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate 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 68% · high confidence

  • Passed House

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (2 R · 1 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 3 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.

Bill Text

What changed in the latest version

3 added · 2 removed

Plain-language change summary

The amendment to Bill HB 2465 adds the word "PERFECTED" to the text, refining the language related to insurance provisions. This change may indicate that there is a more finalized or specific approach to how insurance coverage should be applied in certain situations. Clarity in such regulations is important as it ensures that all parties understand their rights and responsibilities under the law, potentially preventing future disputes.

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SECOND REGULAR SESSION HOUSE COMMITTEE SUBSTITUTE FOR HOUSE BILL NO.
SECOND REGULAR SESSION [PERFECTED] HOUSE COMMITTEE SUBSTITUTE FOR HOUSE BILL NO.
2465 103RD GENERAL ASSEMBLY 4405H.02C JOSEPH ENGLER, Chief Clerk AN ACT To repeal section 379.930, RSMo, and to enact in lieu thereof one new section relating to the small employer health insurance availability act.
2465 103RD GENERAL ASSEMBLY 4405H.02P JOSEPH ENGLER, Chief Clerk AN ACT To repeal section 379.930, RSMo, and to enact in lieu thereof one new section relating to the small employer health insurance availability act.
(4) "Board" means the board of directors of the program established pursuant to sections 379.942 and 379.943;
HCS HB 2465 2 (5) "Bona fide association", an association which:
HCS HB 2465 2 (4) "Board" means the board of directors of the program established pursuant to sections 379.942 and 379.943;
(5) "Bona fide association", an association which:
b.
HCS HB 2465 3 b.
HCS HB 2465 3 d.
d.
(e) Workers' compensation or similar insurance;
HCS HB 2465 4 (e) Workers' compensation or similar insurance;
HCS HB 2465 4 (g) Credit-only insurance;
(g) Credit-only insurance;
(j)If provided under a separate policy, certificate or contract of insurance, any of the following:
(j) If provided under a separate policy, certificate or contract of insurance, any of the following:
(a) Health status;
HCS HB 2465 5 (a) Health status;
HCS HB 2465 5 (c) Claims experience;
(c) Claims experience;
or (c) Insurance covering medical care referred to in paragraphs (a) and (b) of this subdivision;
or HCS HB 2465 6 (c) Insurance covering medical care referred to in paragraphs (a) and (b) of this subdivision;
HCS HB 2465 6 (25) "Network plan", health insurance coverage offered by a health insurance issuer under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the issuer;
(25) "Network plan", health insurance coverage offered by a health insurance issuer under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the issuer;
Except as otherwise specifically provided, the provisions of sections 379.930 to 379.952 that apply to a small employer shall continue to apply at least until the plan anniversary following the date the small employer no longer meets the requirements of this definition.
Except as otherwise specifically provided, the provisions of sections 379.930 to 379.952 that HCS HB 2465 7 apply to a small employer shall continue to apply at least until the plan anniversary following the date the small employer no longer meets the requirements of this definition.
In the case of HCS HB 2465 7 an employer which was not in existence throughout the preceding calendar year, the determination of whether the employer is a small or large employer shall be based on the average number of employees that it is reasonably expected that the employer will employ on business days in the current calendar year.
In the case of an employer which was not in existence throughout the preceding calendar year, the determination of whether the employer is a small or large employer shall be based on the average number of employees that it is reasonably expected that the employer will employ on business days in the current calendar year.
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Action History

  1. Public Hearing Held (S)

  2. Public Hearing Scheduled (S) - AMENDED: Wednesday, April 29, 2026, 8:00 a.m., Senate Committee Room 1 - 1st Floor

  3. Second read and referred: Families, Seniors and Health(S)

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

  5. Third Read and Passed (H) - AYES: 149 NOES: 0 PRESENT: 0

  6. Taken Up for Third Reading (H)

  7. Placed on the Informal Third Reading Calendar (H)

  8. Perfected (H)

  9. HCS Adopted (H)

  10. Title of Bill - Agreed To

  11. Taken Up for Perfection (H)

  12. Placed on the Informal Perfection Calendar (H)

  13. Reported Do Pass (H) - AYES: 12 NOES: 0 PRESENT: 0

  14. Voted Do Pass (H)

  15. Executive Session Completed (H)

  16. Referred: Rules - Legislative(H)

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

  18. HCS Voted Do Pass (H)

  19. Executive Session Completed (H)

  20. Public Hearing Completed (H)

  21. Referred: Commerce(H)

  22. Read Second Time (H)

  23. Read First Time (H)

  24. Prefiled (H)

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 196 not signed on

Sponsors (1)

Co-sponsors (2)

Not signed on (196)

196 members have not signed on to this bill.

Show all 196 →

"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 labor 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 2465?
HB 2465 is sponsored by John Hewkin (Republican), Steve Butz (Democratic), and Mike Jones (Republican).
What is the current status of HB 2465?
This bill has passed the House. Introduced December 16, 2025. It now moves to the second chamber.
Where can I track HB 2465?
Track HB 2465 free on One Click Politics — get push/email alerts when it moves.

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