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Missouri · 2026 Regular Session · Bill

SB 1449: Enacts provisions relating to insurance coverage of alternatives to opioid drugs

In committee Official data

  1. Introduced
  2. In committee
  3. Passed one chamber
  4. Passed both chambers
  5. Enacted

Last official action: ·Record last updated:

Plain-language summary

SB 1449 is a bill introduced in the Missouri Senate on December 16, 2025. According to its official title, it concerns: Enacts provisions relating to insurance coverage of alternatives to opioid drugs. Primary sponsor: Nick Schroer (Republican). Most recent recorded action (February 5, 2026): Second Read and Referred S Insurance and Banking Committee.

Generated automatically from the official title, sponsor list, and status record only. It does not characterize the bill’s purpose or effects. How summaries are written

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

SB 1449 - This act provides that an enrollee's health benefit plan shall not deny coverage of a nonopioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the nonopioid prescription drug, or require a higher level of cost-sharing for a nonopioid prescription drug than for an opioid drug. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This act is similar to SCS/SB 841 (2026), SB 902 (2026), HCS/SB 1019 (2026), SB 1350 (2026), SB 158 (2025), HCS/HB 2372 (2026), HCS/HBs 2642, 2296, 1966 & 1680 (2026), HB 804 (2025), and HCS/SS/SB 7 (2025). TAYLOR MIDDLETON

Sponsors

Sponsors by party (alphabetical): Republican 1

NameRolePartyChamberDistrict
Nick SchroerPrimary sponsorRepublicanSenate2

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

  1. Second Read and Referred S Insurance and Banking Committee
  2. S First Read
  3. Prefiled

Sources

  1. Open States / Plural (data from the official legislature website)
  2. Official legislature source