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Missouri requires prior approval for long-term care insurance rate increases and public hearings

Original title: Establishes provisions related to long-term care insurance

Last action · February 5, 2026: Second Read and Referred S Insurance and Banking CommitteeSponsor: Nick Schroer

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Insurers must submit long-term care insurance premium rate schedules and historical rate increase data to the Department of Commerce and Insurance for prior approval before charging higher rates to policyholders. The director of the department must review these filings within ninety days, hold public hearings or solicit public comments, and deny any state rate increase that exceeds those approved in other states.

Why it matters

Policyholders face strict state oversight on long-term care insurance rate hikes, and the public gains formal opportunities to testify or submit written comments on proposed premium changes.

Background
  • Long-term care insurance covers care services such as nursing homes, assisted living, or in-home care that are typically not covered by traditional health insurance or Medicare. context
  • State insurance departments regulate insurance company solvency, policy forms, and premium rate increases to protect consumers from unfair pricing. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

long-term care insurance policyholders

Policyholders are subject to new public review processes and state approval requirements before their long-term care insurance premiums can be increased.

Directly affected

insurers

Insurers must submit detailed multistate rate increase data and secure prior written approval from the director of the Department of Commerce and Insurance before implementing new premium rates.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Do insurance companies need state approval before raising long-term care insurance rates?
Yes. Insurers must file rate schedules with the director of the Department of Commerce and Insurance and obtain prior approval before charging changed premiums to an insured.
Can the public participate in the review of proposed long-term care insurance rate increases?
Yes. The director is required to hold a public hearing or solicit public comments as part of the review process, and all persons present are given an opportunity to testify or offer written comments.
What happens if the state director does not act on a rate filing within ninety days?
If no action is taken by the director within ninety days to approve or disapprove the rates, they are deemed to be approved.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

3 actions
  1. Feb 5, 2026SenateFloor
    Second Read and Referred S Insurance and Banking Committee
  2. Jan 7, 2026SenateIntroduced
    S First Read
  3. Jan 6, 2026Senate
    Prefiled

Version history

Only one version on file - nothing to compare yet. The text on record is the 6243S.01I - Introduced version. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

cross reference95% confidence

Substantially Similar Previous Measure

The text notes that SB 1500 is substantially similar to HB 2612 from the 2026 legislative session.

Connected Entities

Department of Commerce and Insurance
OrganizationDepartment of Commerce and Insurance“Receives long-term care insurance premium rate filings and reviews them for appr”Map →

Sources

Open source document

www.senate.mo.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy50
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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