Missouri HB2279 establishes cost-sharing rules for health benefit plans, excluding certain preventive care and generic drugs.

Missouri HB2279 amends the state's health benefit plan regulations to include specific cost-sharing provisions. It mandates that health carriers and pharmacy benefits managers include payments for medications without generic substitutes in an enrollee's out-of-pocket maximum and cost-sharing requirements. The bill also prohibits varying these requirements based on cost-sharing assistance programs. Preventive care under federal law is exempt from these cost-sharing requirements. The provisions apply to health benefit plans entered into, amended, extended, or renewed on or after August 28, 2026.

Missouri HB2279 establishes cost-sharing rules for health benefit plans, excluding certain preventive care and generic drugs.

Missouri HB2279 amends the state's health benefit plan regulations to include specific cost-sharing provisions. It mandates that health carriers and pharmacy benefits managers include payments for medications without generic substitutes in an enrollee's out-of-pocket maximum and cost-sharing requirements. The bill also prohibits varying these requirements based on cost-sharing assistance programs. Preventive care under federal law is exempt from these cost-sharing requirements. The provisions apply to health benefit plans entered into, amended, extended, or renewed on or after August 28, 2026.