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Bill

HB 3422

Requires insurance coverage of kidney function screening services

2026 Regular Session Introduced by LaKeySha Bosley

Missouri bill mandates insurance coverage of kidney function screening services without patient cost-sharing to enable early disease detection.

Referred: Emerging Issues(H)
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Bill Summary · HB 3422

Legislative bill overview

HB 3422 mandates that health insurance plans in Missouri cover kidney function screening services. The bill requires insurers to include these preventive services in their coverage without imposing cost-sharing barriers such as copayments, coinsurance, or deductibles.

Why is this important

Kidney disease often develops silently without symptoms, making early screening critical for preventing progression to end-stage renal disease requiring dialysis or transplant. Removing financial barriers to screening could enable earlier detection, particularly among at-risk populations (those with diabetes, hypertension, or family history), potentially reducing costly emergency interventions and improving health outcomes.

Potential points of contention

  • Insurance cost concerns: Insurers may argue that mandated coverage increases premiums for all policyholders, even those at low risk for kidney disease
  • Screening scope and frequency: Unclear whether the bill specifies which screening tests qualify (urinalysis, creatinine, eGFR) and how often screenings can be performed, potentially leading to disputes over coverage
  • Federal alignment: Similar coverage already exists under the Affordable Care Act's preventive services for certain populations; clarification on whether state mandate duplicates or expands federal requirements may be needed

Compiled from official sources — confirm details with the bill’s official record.

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