Bill Commons

MO SB 1571

died on adjournment

SB 1571 - Under this act, the MO Healthnet program and health benefit plans shall include coverage for orthotic, prosthetic, and assistive devices, supplies, and services furnished under an order by a prescribing physician or licensed health care provider, including those customized to the enrollee's daily living needs and essential job-related activities, including wheelchairs. This coverage shall include repair and replacement, which may be subject to prior authorization, and any denial of coverage shall contain specified language regarding enrollee rights, as described in the act. MO Healthnet managed care plans and health benefit plans shall ensure access to medically necessary clinical care and to prosthetic, custom orthotic, and assistive devices and technology from at least two providers in the plan's provider network in this state or refer the participant to an out-of-network provider and fully reimburse the out-of-network provider at a mutually agreed-upon rate less participant cost sharing determined on an in-network basis. A health benefit plan may limit the benefits for, or alter the financial requirements for, out-of-network coverage of orthotic, prosthetic, and assistive devices, but the restrictions and requirements shall not be more restrictive than the out-of-network financial requirements that apply to other out-of-network coverage for basic health care services provided under the health benefit plan. Coverage shall not be subject to any limitations for preexisting conditions. Before October 1, 2027, each health carrier that issues a health benefit plan providing coverage required under this act shall report to the Director of the Department of Commerce and Insurance certain claims data regarding coverage under this act. The Director shall aggregate the data and submit a report to the General Assembly before December 1, 2027. The provisions of this act shall apply to a Medicare supplement policy. This act is substantially similar to HB 2034 (2026). TAYLOR MIDDLETON

Missouri · 2026 Regular Session · upper

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Quick answers

Did MO SB 1571 pass?

No. MO SB 1571 died when the 2026 Regular Session adjourned without final action on it. Bills that die this way are sometimes reintroduced in a later session. Latest recorded action (2026-02-05): Second Read and Referred S Families, Seniors and Health Committee

What is MO SB 1571 about?

MO SB 1571 is a bill in the 2026 Regular Session titled “SB 1571 - Under this act, the MO Healthnet program and health benefit plans shall include coverage for orthotic, prosthetic, and assistive devices, supplies, and services furnished under an order by a prescribing physician or licensed health care provider, including those customized to the enrollee's daily living needs and essential job-related activities, including wheelchairs. This coverage shall include repair and replacement, which may be subject to prior authorization, and any denial of coverage shall contain specified language regarding enrollee rights, as described in the act. MO Healthnet managed care plans and health benefit plans shall ensure access to medically necessary clinical care and to prosthetic, custom orthotic, and assistive devices and technology from at least two providers in the plan's provider network in this state or refer the participant to an out-of-network provider and fully reimburse the out-of-network provider at a mutually agreed-upon rate less participant cost sharing determined on an in-network basis. A health benefit plan may limit the benefits for, or alter the financial requirements for, out-of-network coverage of orthotic, prosthetic, and assistive devices, but the restrictions and requirements shall not be more restrictive than the out-of-network financial requirements that apply to other out-of-network coverage for basic health care services provided under the health benefit plan. Coverage shall not be subject to any limitations for preexisting conditions. Before October 1, 2027, each health carrier that issues a health benefit plan providing coverage required under this act shall report to the Director of the Department of Commerce and Insurance certain claims data regarding coverage under this act. The Director shall aggregate the data and submit a report to the General Assembly before December 1, 2027. The provisions of this act shall apply to a Medicare supplement policy. This act is substantially similar to HB 2034 (2026). TAYLOR MIDDLETON”.

Who sponsors MO SB 1571?

Lewis, Patty is the primary sponsor of MO SB 1571.

Description

SB 1571 - Under this act, the MO Healthnet program and health benefit plans shall include coverage for orthotic, prosthetic, and assistive devices, supplies, and services furnished under an order by a prescribing physician or licensed health care provider, including those customized to the enrollee's daily living needs and essential job-related activities, including wheelchairs. This coverage shall include repair and replacement, which may be subject to prior authorization, and any denial of coverage shall contain specified language regarding enrollee rights, as described in the act. MO Healthnet managed care plans and health benefit plans shall ensure access to medically necessary clinical care and to prosthetic, custom orthotic, and assistive devices and technology from at least two providers in the plan's provider network in this state or refer the participant to an out-of-network provider and fully reimburse the out-of-network provider at a mutually agreed-upon rate less participant cost sharing determined on an in-network basis. A health benefit plan may limit the benefits for, or alter the financial requirements for, out-of-network coverage of orthotic, prosthetic, and assistive devices, but the restrictions and requirements shall not be more restrictive than the out-of-network financial requirements that apply to other out-of-network coverage for basic health care services provided under the health benefit plan. Coverage shall not be subject to any limitations for preexisting conditions. Before October 1, 2027, each health carrier that issues a health benefit plan providing coverage required under this act shall report to the Director of the Department of Commerce and Insurance certain claims data regarding coverage under this act. The Director shall aggregate the data and submit a report to the General Assembly before December 1, 2027. The provisions of this act shall apply to a Medicare supplement policy. This act is substantially similar to HB 2034 (2026). TAYLOR MIDDLETON

Introduced
—
Latest action
2026-02-05 — Second Read and Referred S Families, Seniors and Health Committee
Bill type
bill
Last updated
—

Sponsors

  • Lewis, Pattyprimary

Committees

Not provided by source.

Action timeline

Newest first

  1. 2026-02-05

    Second Read and Referred S Families, Seniors and Health Committee

    reading-2,referral-committee

  2. 2026-01-20

    S First Read

    reading-1

Versions

Documents

Votes

Not provided by source.

Related bills

No related bills recorded for this bill.

Official source

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T05:25:15.077812Z

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