The civic record
Read. Follow. Verify.Missouri House Bill 1646 modifies evidence rules for collateral sources and medical care costs in personal injury cases
Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsor: Matthew Overcast
Track this bill to get notified when it advances a stage. One tap to stop, anytime.
What This Bill Would Do
House Bill 1646 permits any party in a personal injury, bodily injury, or death action to introduce evidence of the actual cost of medical care, defined as the amount paid plus remaining financial obligations after contractual discounts or write-offs. It prohibits introducing the initial billed amount for medical care if it has been discounted or satisfied for less than that amount. Additionally, the bill outlines rules allowing defendants to deduct pre-trial payments made for from a final judgment.
Personal injury plaintiffs and defendants face modified evidentiary standards regarding what medical expenses can be presented to a jury, potentially altering damage awards and the admissibility of discounted medical bills.
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.
Plaintiffs in personal injury, bodily injury, or death actions
Plaintiffs are subject to new evidentiary limits regarding what medical expenses and costs can be presented at trial.
Defendants in personal injury, bodily injury, or death actions
Defendants are entitled to introduce evidence of actual medical costs and receive judgment credits for pre-trial damage payments.
Insurers
Insurers making pre-trial payments on behalf of defendants are tied to the credit and offset provisions governing special damages.
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
Can a plaintiff introduce the full amount billed for medical care if it was discounted?
What is included in the definition of the actual cost of medical care under this bill?
What else do you want to know?
News Coverage
Follow the record
Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
4 actions- May 15, 2026HouseCommitteeReferred: Emerging Issues(H)
- Jan 8, 2026HouseFloorRead Second Time (H)
- Jan 7, 2026HouseIntroducedRead First Time (H)
- Dec 1, 2025HouseIntroducedPrefiled (H)
Version history
Only one version on file - nothing to compare yet. 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
Connected Entities
Sources
house.mo.gov
Analysis Score
0–100- Significance50How much this matters to a regular citizen
- Controversy60Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
Publisher tools