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Missouri bill requires health insurers to cover cancer-risk genetic screenings without cost-sharing starting in 2027

Original title: INSURANCE COVERAGE OF GENETIC SCREENINGS FOR CANCER RISK

Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsor: Renee Reuter

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

s in Missouri delivered, issued, continued, or renewed on or after January 1, 2027, must provide coverage for certified and genetic testing for individuals at increased cancer risk. Plans are prohibited from using these test results or counseling provisions for decisions, and cannot impose s for this coverage.

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

health benefit plan enrollees

Enrollees gain guaranteed insurance coverage for certified genetic counseling and cancer-risk genetic testing without cost-sharing, and protection against underwriting discrimination based on results.

Directly affected

health carriers

Health carriers must update their health benefit plans to cover certified genetic counseling and testing, eliminate cost-sharing for these services, and alter underwriting practices to exclude genetic test results.

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

When does the insurance coverage requirement take effect?
The requirement applies to s delivered, issued for delivery, continued, or renewed on or after January 1, 2027.
Can insurance companies raise my rates or deny coverage based on my genetic screening results?
No. s and health carriers are explicitly prohibited from using the results of genetic testing or in determining eligibility, establishing premiums, limiting coverage, or making other decisions.
Will I have to pay a copay or deductible for genetic screening?
s are barred from imposing any with respect to the required coverage, with specific exceptions applying to certain health savings account-qualified high deductible health plans before meeting the minimum deductible.

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

4 actions
  1. May 15, 2026HouseCommittee
    Referred: Emerging Issues(H)
  2. Jan 8, 2026HouseFloor
    Read Second Time (H)
  3. Jan 7, 2026HouseIntroduced
    Read First Time (H)
  4. Dec 1, 2025HouseIntroduced
    Prefiled (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

Joseph Engler, General Assembly, Renee Reuter and 1 more
PersonJoseph Engler“Chief Clerk of the House”Map →
OrganizationGeneral Assembly“Legislative body enacting the bill”Map →
PersonRenee Reuter“Representative for District 112”Map →
otherInternal Revenue Code of 1986“Federal code regarding health savings accounts”Map →

Sources

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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