Missouri · Senate Bill 158 · 2025 Regular Session (103rd General Assembly)

Enacts provisions relating to insurance coverage of alternatives to opioid drugs

SB 158 Sponsored by Mike Henderson Died in committee

  1. Introduced Dec 1, 2024
  2. In committee Jan 23, 2025
  3. Died  
  4. Passed the House  
  5. To the governor  
  6. Became law  

What it does

The legislature's own summary of the bill, or its official long title.

SB 158 - This act provides that if an enrollee has an elevated risk of opioid misuse, as defined in the act, the enrollee's health benefit plan shall not deny coverage of a non-opioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the non-opioid prescription drug, or require a higher level of cost-sharing for a non-opioid prescription drug than for an opioid…

Read the full title (146 words)

SB 158 - This act provides that if an enrollee has an elevated risk of opioid misuse, as defined in the act, the enrollee's health benefit plan shall not deny coverage of a non-opioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the non-opioid prescription drug, or require a higher level of cost-sharing for a non-opioid prescription drug than for an opioid drug. No health benefit plan shall require submission of more documentation than the prescribing health care professional's clinical notes in order to determine whether an enrollee has an elevated risk of opioid misuse. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2026. This act is substantially similar to provisions in HCS/SS/SB 7 (2025), and identical to HB 804 (2025).

Every action

6 steps, oldest first, as the legislature records them.

  1. SenatePrefiled
  2. SenateS First Read
  3. CommitteeSecond Read and Referred S Insurance and Banking Committee · Senate Insurance and Banking
  4. CommitteeHearing Cancelled S Insurance and Banking Committee · Senate Insurance and Banking
  5. CommitteeHearing Conducted S Insurance and Banking Committee · Senate Insurance and Banking
  6. CommitteeVoted Do Pass S Insurance and Banking Committee · Senate Insurance and Banking

Roll calls

1 recorded vote: 0 on the floor, 1 in committee. Each shows how every member voted.

Committee votes

DateWhereQuestionResult
Mar 11, 2025 Senate Insurance and Banking Insurance and Banking: To pass the bill out - Regular
Members

Yes · 6

Absent · 1

 6–0

Sponsors

The member who introduced it.

From Missouri's official records (www.senate.mo.gov), checked Nov 2, 2026. Text links go to the official versions; LegiList does not copy bill text.