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HB 3010MISSOURISession 2026State Billpassed chamber
Passed

Missouri House Bill 3010 modifies MO HealthNet coverage, establishes childbirth education classes, and mandates kidney function screening

Original title: PRIOR AUTHORIZATION OF HEALTH CARE SERVICES

Last action · April 21, 2026: Public Hearing Held (S)Sponsors: Melanie Stinnett and 5 others

Bill progressHistory & official text ↓
Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

HB 3010 updates provisions by modifying reimbursement rules, adding coverage for childbirth education classes, excluding gender transition services from state payments, and requiring health carriers to provide coverage for annual kidney function screening services starting January 1, 2027.

Why it matters

Changes insurance coverage mandates and state health program rules for health carriers, medical providers, and participants by altering covered services, reimbursement guidelines, and screening requirements.

Background
  • HB 3010 is a legislative measure introduced in the Missouri House of Representatives during the 2026 session concerning health care, insurance, and MO HealthNet administration. 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

MO HealthNet participants

Participants experience changes in covered medical services, co-payment rules, and exclusions for specific treatments such as gender transition procedures.

Directly affected

Health insurance carriers

Carriers must update health benefit plans to provide coverage for childbirth education classes and annual kidney function screening services starting on specified dates.

Directly affected

MO HealthNet providers

Providers are subject to new electronic prior authorization systems, co-payment collection rules, and five-day notification requirements for audit interpretation changes.

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

What health services are newly required to be covered under health benefit plans starting in 2026 and 2027?
Health benefit plans must provide coverage for annual kidney function screening services starting on or after August 28, 2026, and health insurance policies providing maternity benefits must cover childbirth education classes starting on or after January 1, 2027.
Are payments permitted under MO HealthNet for gender transition procedures?
No payments shall be made under for gender transition surgeries, cross-sex hormones, or puberty-blocking drugs for the purpose of a gender transition.
What notice must MO HealthNet providers receive if audit interpretations change?
The Missouri Medicaid audit and compliance unit must notify all affected providers five business days before any change in the interpretation or application of reimbursement requirements takes effect.

What else do you want to know?

News Coverage

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

Check Your Understanding

1.According to Amendment 6673H02.02H, what does the bill require of applicable health carriers or health benefit plans regarding kidney screening?

2.According to Amendment 6673H02.02H, what must applicable health insurance and managed care entities that provide for maternity benefits include in their coverage for policies and contracts delivered, issued for delivery, continued, or renewed on or after January 1, 2027?

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Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

28 actions
  1. Apr 21, 2026Senate
    Public Hearing Held (S)
  2. Apr 16, 2026Senate
    Public Hearing Scheduled (S)
  3. Mar 31, 2026SenateCommittee
    Second read and referred: Insurance and Banking(S)
  4. Mar 19, 2026Senate
    Reported to the Senate and First Read (S)
  5. Mar 16, 2026House
    Delivered to the Senate
  6. Mar 12, 2026HouseFloor
    Third Read and Passed (H)
Show 22 earlier actions
  1. Mar 12, 2026House
    Taken Up for Third Reading (H)
  2. Mar 12, 2026House
    Placed on the Informal Third Reading Calendar (H)
  3. Mar 12, 2026HouseCommittee
    Reported Do Pass (H)
  4. Mar 12, 2026HouseCommittee
    Voted Do Pass (H)
  5. Mar 12, 2026House
    Executive Session Completed (H)
  6. Mar 11, 2026HouseCommittee
    Referred: Fiscal Review(H)
  7. Mar 10, 2026House
    Perfected (H)
  8. Mar 10, 2026House
    HCS Adopted (H)
  9. Mar 10, 2026House
    Title of Bill - Agreed To
  10. Mar 10, 2026House
    Taken Up for Perfection (H)
  11. Mar 10, 2026House
    Placed on the Informal Perfection Calendar (H)
  12. Mar 5, 2026HouseCommittee
    Reported Do Pass (H)
  13. Mar 4, 2026HouseCommittee
    Voted Do Pass (H)
  14. Mar 4, 2026House
    Executive Session Completed (H)
  15. Mar 2, 2026HouseCommittee
    Referred: Rules - Administrative(H)
  16. Feb 26, 2026HouseCommittee
    HCS Reported Do Pass (H)
  17. Feb 26, 2026HouseCommittee
    HCS Voted Do Pass (H)
  18. Feb 26, 2026House
    Executive Session Completed (H)
  19. Feb 19, 2026House
    Public Hearing Completed (H)
  20. Feb 17, 2026HouseCommittee
    Referred: Health and Mental Health(H)
  21. Jan 21, 2026HouseFloor
    Read Second Time (H)
  22. Jan 20, 2026HouseIntroduced
    Introduced and Read First Time (H)

Version history & redline

5 versions on file
Comparing Perfected → Amendment 6673H02.02H (Distributed)
removed addedOfficial text
removed: SECOND REGULAR SESSION [PERFECTED] HOUSE COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 3010 103RD GENERAL ASSEMBLY 6673H.02P JOSEPH ENGLER, Chief Clerk AN ACT To repeal sections 376.1363 and 376.1364, RSMo, and to enact in lieu thereof eight new sections relating to prior authorization of health care services. Be it enacted by the General Assembly of the state of Missouri, as follows: Section A. Sections 376.1363 and 376.1364, RSMo, are repealed and eight new 2 sections enacted in lieu thereof, to be known as sections 376.1363, 376.1364, 376.1366, 3 376.2100, 376.2102, 376.2104, 376.2106, and 376.2108, to read as follows: 376.1363. 1. A health carrier shall maintain written procedures for making utilization 2 review decisions and for notifying enrollees and providers acting on behalf of enrollees of its 3 decisions. For purposes of this section, "enrollee" includes the representative of an enrollee. 4 2. For determinations, a health carrier shall make the determination within thirty-six 5 hours, which shall include one working day, of obtaining all necessary information regarding 6 a proposed admission, procedure or service requiring a review determination. For purposes 7 of this section, "necessary information" includes the results of any face-to-face clinical 8 evaluation or second opinion that may be required: 9 (1) In the case of a determination to certify an admission, procedure or service, the 10 carrier shall notify the provider rendering the service by telephone or electronically within 11 twenty-four hours of making the certification, and provide written or electronic confirmation 12 of a telephone or electronic notification to the enrollee and the provider within two working 13 days of making the certification; 14 (2) In the case of an adverse determination, the carrier shall notify the provider 15 rendering the service by telephone or electronically within twenty-four hours of making the 16 adverse determination; and shall provide written or electronic 20,968 more removed characters - read the previous versionadded: 6673H02.02H HB 3010 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 13 AMEND House Committee Substitute for House Bill No. 3010, Page 1, Section A, Line 3, by inserting after said section and line the following: "208.152. 1. MO HealthNet payments shall be made on behalf of those eligible needy persons as described in section 208.151 who are unable to provide for it in whole or in part, with any payments to be made on the basis of the reasonable cost of the care or reasonable charge for the services as defined and determined by the MO HealthNet division, unless otherwise hereinafter provided, for the following: (1) Inpatient hospital services, except to persons in an institution for mental diseases who are under the age of sixty-five years and over the age of twenty-one years; provided that the MO HealthNet division shall provide through rule and regulation an exception process for coverage of inpatient costs in those cases requiring treatment beyond the seventy-fifth percentile professional activities study (PAS) or the MO HealthNet children's diagnosis length-of-stay schedule; and provided further that the MO HealthNet division shall take into account through its payment system for hospital services the situation of hospitals which serve a disproportionate number of low-income patients; (2) All outpatient hospital services, payments therefor to be in amounts which represent no more than eighty percent of the lesser of reasonable costs or customary charges for such services, determined in accordance with the principles set forth in Title XVIII A and B, Public Law 89-97, 1965 amendments to the federal Social Security Act (42 U.S.C. Section 301, et seq.), but the MO HealthNet division may evaluate outpatient hospital services rendered under this section and deny 37,103 more added characters - read this version
Redline computed from the official version text (record lane).View this version →

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

Melanie StinnettHouse · District 133RepublicanSponsor
Jeremy DeanHouse · District 132DemocraticCosponsor
Ron FowlerHouse · District 31RepublicanCosponsor
George HruzaHouse · District 89RepublicanCosponsor
Carolyn CatonHouse · District 33RepublicanCosponsor
Show 1 more sponsor
Jamie Ray GraggHouse · District 140RepublicanCosponsor

Discoveries

1 pattern noticed across the record

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

policy shift95% confidence

Expansion of Preventative Screening Mandates

The bill establishes explicit statutory requirements for annual kidney function screening services and childbirth education class coverage across health benefit plans.

Department of Social ServicesMO HealthNet Division

Connected Entities

Department of Mental Health, Jeremy Dean, Jamie Ray Gragg and 7 more
OrganizationDepartment of Mental Health“State department operating or designating community mental health facilities.”Map →
PersonJeremy Dean“Democratic Representative, District 132, cosponsor of HB 3010.”Map →
PersonJamie Ray Gragg“Republican Representative, District 140, cosponsor of HB 3010.”Map →
PersonGeorge Hruza“Republican Representative, District 89, cosponsor of HB 3010.”Map →
PersonMelanie Stinnett“Republican Representative, District 133, primary sponsor of HB 3010.”Map →
OrganizationCenters for Medicare and Medicaid Services“Federal agency determining compliance of state plan provisions.”Map →
OrganizationDepartment of Social Services“State department overseeing MO HealthNet and the Show-Me Healthy Babies Program.”Map →
PersonRon Fowler“Republican Representative, District 31, cosponsor of HB 3010.”Map →
OrganizationMO HealthNet Division“Division administering MO HealthNet payments and services in Missouri.”Map →
PersonCarolyn Caton“Republican Representative, District 33, cosponsor of HB 3010.”Map →

Sources

Open source document

house.mo.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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