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Omnibus health bill draws broad support and sharp insurer objections over 340B, transparency and telehealth language

Committee on Health and Mental Health · January 29, 2026
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Summary

Representative Peters presented a 51-page omnibus health bill packaging numerous measures — from pseudoephedrine limits and doula coverage to long-term care inspections and 340B provisions — prompting broad organizational support but vocal objections from insurers over 340B accounting, telehealth evaluation language, and anesthesia contracting rules.

Representative Terri Peters presented House Bill 2,372 as a consolidated health package intended to carry forward previously vetted provisions, ranging from awareness days and expanded pseudoephedrine limits to doula reimbursement through MO HealthNet, community paramedics, long-term care inspection adjustments, 340B-related changes and anesthesia-time protections.

"This is the big, beautiful health bill," Peters said, describing the measure as an effort to bundle noncontroversial, previously vetted items to expedite passage. Supporters included hospital and provider associations, the Missouri Nurses Association, Missouri State Medical Association, the Missouri Public Health Institute and community health centers. Testimony in favor cited improved access for rural areas, administrative flexibility to draw down federal grants, and technical fixes to existing programs.

Insurer and payer groups urged caution. Hampton Williams of the Missouri Insurance Coalition warned that the 340B provisions deserve separate, detailed review because recent federal analyses indicate the program has expanded beyond its original safety-net focus; he called for stronger guardrails and questioned language that would limit insurers’ ability to impose audit or accounting requirements on covered entities. Williams also raised concerns about telehealth evaluation language that could allow non-interactive submissions to satisfy an initial medical evaluation and asked for more clarity on anesthesia-time payment language.

Public commenters raised procedural concerns about omnibus packaging; one citizen argued single-subject bills would avoid constitutional challenges and improve public input.

The committee took testimony from supporting organizations and opponents and ended the hearing without a committee vote on the omnibus measure during this session. Sponsors said technical sub-amendments were expected to harmonize language with bills previously passed in other committees.