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Missouri · 2026 Regular Session · Bill

SB 840: Creates provisions relating to cost-sharing under health benefit plans

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 840 is a bill introduced in the Missouri Senate on December 1, 2025. According to its official title, it concerns: Creates provisions relating to cost-sharing under health benefit plans. Primary sponsor: Mike Bernskoetter (Republican). Most recent recorded action (January 8, 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 840 - This act provides that when calculating an enrollee's overall contribution to an out-of-pocket max or any cost-sharing requirement under a health benefit plan, a health carrier or pharmacy benefits manager shall include any amounts paid by the enrollee or paid on behalf of the enrollee for any medication for which a generic substitute is not available. Additionally, no health carrier or pharmacy benefits manager shall design benefits in a manner that takes into account the availability of any cost-sharing assistance program for any medication for which a generic drug substitute is not available. The provisions of this act shall apply to health benefit plans entered into, amended, extended, or renewed on or after August 28, 2026. This act is identical to SB 1448 (2026), SB 1327 (2026), HB 2279 (2026), HB 1941 (2026), HB 1681 (2026), HB 79 (2025) and substantially similar to provisions in HCS/HB 1941, 2279, & 1681 (2026), SB 45 (2025), and similar to provisions in SB 187 (2025), SB 512 (2025), SB 1106 (2024), SB 844 (2024), SB 1190 (2024), HCS/HB 442 (2023), HB 1628 (2024), SB 269 (2023), and SB 1031 (2022). TAYLOR MIDDLETON

Sponsors

Sponsors by party (alphabetical): Republican 1

NameRolePartyChamberDistrict
Mike BernskoetterPrimary sponsorRepublicanSenate6

“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