Bill > HB1879

This bill requires health insurance plans in Missouri to provide coverage for genetic counseling and genetic testing for individuals at increased risk of cancer, starting January 1, 2027. The bill defines key terms like "genetic counseling" (professional services that help individuals understand genetic risks) and "cost-sharing requirement" (out-of-pocket expenses like deductibles or co-pays). Specifically, the bill mandates that health insurance plans cover genetic counseling by certified professionals and subsequent genetic laboratory tests for individuals with a personal or family history suggesting higher cancer risk. Importantly, the legislation prohibits health insurers from using genetic testing results or counseling information to make decisions about coverage eligibility, premium rates, or policy renewals. The bill also stipulates that insurers cannot impose any cost-sharing requirements for these genetic screening services, with a nuanced exception related to high-deductible health savings account plans. This legislation aims to make genetic cancer risk screenings more accessible and affordable for Missouri residents by removing financial barriers to these important preventive healthcare services.

https://house.mo.gov/Bill.aspx?bill=HB1879&year=2026&code=R