SCS/SB 1635 - This act modifies provisions relating to state health plans. The board of the Missouri consolidated health care plan (MCHCP) shall implement any new health care benefit mandate enacted by the General Assembly, including but not limited to, requirements for the provision of specific health care services, specific diseases, or for certain health care providers. No later than July first of the year following the first full calendar year of coverage for a new health care benefit mandate and quarterly thereafter, the board of the MCHCP shall submit to the director of the Department of Commerce and Insurance a report as described in the act. No later than March first of the year following the second full calendar year of the coverage for a new health benefit mandate, the director of the Department of Commerce and Insurance shall submit to the President Pro Tem of the Senate and the Speaker of the House of Representatives a final report outlining the impact of the new health care benefit mandate on the MCHCP. Any new health care benefit mandate enacted after August 28, 2026 that requires a health carrier to provide coverage under a health benefit plan for specific health care services, specific diseases, or for certain health care providers shall only apply to the MCHCP. Coverage under MCHCP shall be effective for a period of thirty-six consecutive months and shall remain in effect until the General Assembly takes action or until the mandate sunsets in absence of legislative action. TAYLOR MIDDLETON

2026 Regular Session Introduced by Kurtis Gregory

SB 1635 modifies Missouri state health plan provisions, with full impact details pending as the bill enters the legislative process.

SCS Voted Do Pass S Insurance and Banking Committee (7075S.02C)

Legislative bill overview

SB 1635 is a Missouri state bill introduced by Senator Kurtis Gregory that modifies provisions relating to state health plans. The bill is currently in early stages of the legislative process, having received its first reading on February 5, 2026. Specific details about the nature and scope of modifications are not yet publicly available in the legislative record.

Why is this important

State health plan modifications can affect coverage for public employees, retirees, and potentially their dependents—often representing thousands of individuals and millions in state expenditures. Changes to health plans typically influence premium costs, covered services, provider networks, and overall healthcare accessibility for state workers. Without knowing the specific modifications, the real-world impact cannot be fully assessed, but such legislation generally affects both state budgets and employee benefits.

Potential points of contention

Lack of public detail: The bill's specific provisions are not yet described in available legislative materials, making early assessment of stakeholder concerns difficult

Cost implications: Any modifications to state health plans raise questions about premium increases, benefit reductions, or state budget impacts

Employee and union concerns: Public employee unions and affected workers typically scrutinize health plan changes affecting their coverage and costs