Missouri was active in recent legislative sessions and introduced various bills aimed at lowering healthcare costs. In 2019, the state joined many others in attempting to pass a work requirement for Medicaid beneficiaries, though these bills did not pass both chambers.
During the 2018 legislative session, Governor Eric Greitens signed SB 982 which protects emergency room patients from facing surprise medical bills. HB 1617 expanded access to telehealth services for Medicaid enrollees and clarified the Medicaid payment policy for telehealth services. The bill specifies that the Medicaid program will reimburse providers for telehealth services if the providers can ensure that the services meet the same standard of care as those provided in person. Additionally, SB 826 modifies certain healthcare provisions, including allowing pharmacists to prescribe generically equivalent drugs and inform consumers of lower costs.
In the 2017 legislative session, Missouri introduced, but did not pass legislation that requires greater price transparency. In addition, Missouri has collected inpatient and outpatient charge and utilization data since 1993, although there is no consumer website available to facilitate comparisons between providers and facilities.
2020 Legislative Session: 1/8/2020 - 5/30/2020 (2020 term). *Current session bill updates are ongoing. Check back weekly for updates.
Missouri’s fiscal year begins on July 1 and ends on June 30 of the following year. The Missouri legislature enacted its FY 2020 Budget during the 2019 regular legislative session. The approved FY 2020 appropriation bill for the Department of Health (HB 10) can be found here.
REGULATION & ENFORCEMENT
- Consumers Council of Missouri v. Department of Health and Human Services: In August 2015, the U.S. District Court for the Eastern District of Missouri Oct. 1, 2014, the Consumer Council of Missouri filed a federal complaint against the HHS’s Centers for Medicare and Medicaid Services alleging that federal law (principally, the Freedom of Information Act) requires that the agency make rate information public so consumers have the chance to challenge the costs they pay for health insurance. In response to the complaint, in March 2015 HHS fully responded to Plaintiff’s FOIA request. The district court found that because HHS released the information to the Consumers Council, the case was rendered moot.