Bill > SB848

This bill repeals Section 376.1186 of the Missouri Revised Statutes, which previously established strict limitations on the creation and operation of state-based health benefit exchanges in Missouri. The existing law, part of the state's response to the federal Affordable Care Act (ACA), prohibited establishing a state health insurance exchange without explicit legislative approval through a bill, initiative petition, or referendum. The law previously prevented the governor from creating such an exchange through executive order and restricted state agencies and political subdivisions from implementing, administering, or accepting federal funds for health benefit exchanges without specific statutory authorization. By repealing this entire section, the bill removes these prior restrictions, potentially allowing more flexible approaches to health insurance exchanges in Missouri. The repeal eliminates detailed provisions that previously required legislative approval for any state involvement with health benefit exchanges, whether state-based or federally facilitated, and removed provisions that allowed taxpayers or legislators to sue over potential violations of these restrictions.

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https://www.senate.mo.gov/26info/BTS_Web/Bill.aspx?SessionType=R&BillID=239