Missouri HB 2596 — Modifies provisions relating to health benefit plans
Missouri, 2026. HB 2596: Modifies provisions relating to health benefit plans
Latest action
July 13, 2026 — Delivered to Secretary of State (G)
Summary
No summary was supplied. Use the original legislative source for the bill text.
Sponsors
- Peggy McGaugh — primary sponsor
- Sherri Gallick
- Ann Kelley
- George Hruza
- Burt Whaley
- John Hewkin
Bill text
Introduced Read version ↗
House Committee Substitute Read version ↗
Perfected Read version ↗
Senate Substitute (Senate Floor Substitute) Read version ↗
Conference Committee Substitute Read version ↗
Truly Agreed and Finally Passed Read version ↗
Amendment SENATE AMENDMENTS (Distributed) Read version ↗
Amendment CCR (Distributed) Read version ↗
Recorded votes
Third Read and Passed (H) - AYES: 145 NOES: 0 PRESENT: 0
February 19, 2026 · House · pass
yes: 145 · no: 0 · other: 0 · excused: 13
Official vote source ↗ Official vote source ↗Individual member positions (158)
| Member | Vote |
|---|---|
| Patterson | excused |
| Wright | excused |
| Williams | excused |
| Wellenkamp | excused |
| Sharp (37) | excused |
| Rush | excused |
| Reed | excused |
| Lewis | excused |
| Haden | excused |
| Ealy | excused |
| Cupps | excused |
| Boggs | excused |
| Appelbaum | excused |
| Zimmermann | yes |
| Young | yes |
| Woods | yes |
| Wolfin | yes |
| Wilson | yes |
| Whaley | yes |
| West | yes |
| Weber | yes |
| Warwick | yes |
| Walsh Moore | yes |
| Voss | yes |
| Violet | yes |
| Vernetti | yes |
| Veit | yes |
| Van Schoiack | yes |
| Titus | yes |
| Thompson | yes |
| Thomas | yes |
| Terry | yes |
| Taylor (84) | yes |
| Taylor (48) | yes |
| Strickler | yes |
| Murphy | yes |
| Mosley | yes |
| Miller | yes |
| Meirath | yes |
| McGirl | yes |
| McGaugh | yes |
| Mayhew | yes |
| Matthiesen | yes |
| Martin | yes |
| Mansur | yes |
| Mackey | yes |
| Lucas | yes |
| Loy | yes |
| Laubinger | yes |
| Knight | yes |
| Kimble | yes |
| Kelley | yes |
| Keathley | yes |
| Kalberloh | yes |
| Justus | yes |
| Jordan | yes |
| Jones (88) | yes |
| Jones (12) | yes |
| Johnson | yes |
| Jobe | yes |
| Jamison | yes |
| Jacobs | yes |
| Irwin | yes |
| Ingle | yes |
| Hurlbert | yes |
| Hruza | yes |
| Hovis | yes |
| Hinman | yes |
| Hewkin | yes |
| Hein | yes |
| Hausman | yes |
| Hardwick | yes |
| Harbison | yes |
| Haley | yes |
| Hales | yes |
| Griffith | yes |
| Gragg | yes |
| Gallick | yes |
| Fuchs | yes |
| Fowler | yes |
| Fountain Henderson | yes |
| Fogle | yes |
| Farnan | yes |
| Falkner | yes |
| Elliott | yes |
| Durnell | yes |
| Douglas | yes |
| Doll | yes |
| Dolan | yes |
| Diehl | yes |
| Deaton | yes |
| Dean | yes |
| Davis | yes |
| Davidson | yes |
| Crossley | yes |
| Costlow | yes |
| Cook | yes |
| Collins | yes |
| Coleman | yes |
| Clemens | yes |
| Christensen | yes |
| Christ | yes |
| Chappell | yes |
| Caton | yes |
| Casteel | yes |
| Byrnes | yes |
| Butz | yes |
| Busick | yes |
| Bush | yes |
| Burton | yes |
| Brown | yes |
| Bromley | yes |
| Boyko | yes |
| Boykin | yes |
| Bosley | yes |
| Black | yes |
| Billington | yes |
| Barnes | yes |
| Banderman | yes |
| Aune | yes |
| Anderson | yes |
| Amato | yes |
| Allen | yes |
| Stinnett | yes |
| Steinmeyer | yes |
| Steinmetz | yes |
| Steinhoff | yes |
| Smith (74) | yes |
| Smith (68) | yes |
| Smith (46) | yes |
| Simmons | yes |
| Shields | yes |
| Sharpe (4) | yes |
| Self | yes |
| Seitz | yes |
| Schulte | yes |
| Schmidt | yes |
| Sassmann | yes |
| Roberts | yes |
| Riley | yes |
| Riggs | yes |
| Reuter | yes |
| Reedy | yes |
| Proudie | yes |
| Price | yes |
| Pouche | yes |
| Pollitt | yes |
| Plank | yes |
| Phelps | yes |
| Peters | yes |
| Perkins | yes |
| Parker | yes |
| Owen | yes |
| Overcast | yes |
| Oehlerking | yes |
| Nolte | yes |
| Myers | yes |
| Murray | yes |
Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0
February 10, 2026 · House · pass
yes: 9 · no: 0 · other: 0 · absent: 2
Official vote source ↗ Official vote source ↗Individual member positions (11)
| Member | Vote |
|---|---|
| Taylor (48) | absent |
| Stinnett | absent |
| Smith (46) | yes |
| Shields | yes |
| Proudie | yes |
| Phelps | yes |
| Perkins | yes |
| Oehlerking | yes |
| Mackey | yes |
| Griffith | yes |
| Christ | yes |
Reported Do Pass (H) - AYES: 6 NOES: 1 PRESENT: 1
April 20, 2026 · House · pass
yes: 6 · no: 1 · other: 1 · absent: 0
Official vote source ↗ Official vote source ↗Individual member positions (8)
| Member | Vote |
|---|---|
| Cupps | other |
| Mayhew | no |
| Pouche | yes |
| Murphy | yes |
| Hein | yes |
| Gragg | yes |
| Fogle | yes |
| Casteel | yes |
HCS Reported Do Pass (H) - AYES: 15 NOES: 0 PRESENT: 0
January 29, 2026 · House · pass
yes: 15 · no: 0 · other: 0 · absent: 3
Official vote source ↗ Official vote source ↗Individual member positions (18)
| Member | Vote |
|---|---|
| Schmidt | absent |
| Doll | absent |
| Appelbaum | absent |
| Whaley | yes |
| Stinnett | yes |
| Peters | yes |
| Mansur | yes |
| Laubinger | yes |
| Kelley | yes |
| Hruza | yes |
| Harbison | yes |
| Haden | yes |
| Griffith | yes |
| Dolan | yes |
| Cook | yes |
| Caton | yes |
| Bush | yes |
| Bosley | yes |
Truly Agreed To and Finally Passed - AYES: 22 NOES: 10 PRESENT: 0
May 13, 2026 · Senate · pass
yes: 22 · no: 10 · other: 0 · absent: 2 · excused: 0
Official vote source ↗ Official vote source ↗Individual member positions (34)
| Member | Vote |
|---|---|
| Cierpiot | absent |
| Brown (16) | absent |
| Trent | no |
| Schroer | no |
| Schnelting | no |
| Nicola | no |
| Moon | no |
| Gregory (15) | no |
| Coleman | no |
| Carter | no |
| Brown (26) | no |
| Brattin | no |
| Williams | yes |
| Webber | yes |
| Washington | yes |
| Roberts | yes |
| O'Laughlin | yes |
| Nurrenbern | yes |
| Mosley | yes |
| McCreery | yes |
| May | yes |
| Luetkemeyer | yes |
| Lewis | yes |
| Hudson | yes |
| Hough | yes |
| Henderson | yes |
| Gregory (21) | yes |
| Fitzwater | yes |
| Crawford | yes |
| Burger | yes |
| Black | yes |
| Bernskoetter | yes |
| Beck | yes |
| Bean | yes |
Reported Do Pass (H) - AYES: 8 NOES: 0 PRESENT: 0
May 13, 2026 · House · pass
yes: 8 · no: 0 · other: 0 · absent: 0
Official vote source ↗ Official vote source ↗Individual member positions (8)
| Member | Vote |
|---|---|
| Pouche | yes |
| Murphy | yes |
| Mayhew | yes |
| Hein | yes |
| Gragg | yes |
| Fogle | yes |
| Cupps | yes |
| Casteel | yes |
House Adopts Conference Committee Report (H) - AYES: 120 NOES: 26 PRESENT: 0
May 13, 2026 · House · pass
yes: 120 · no: 26 · other: 0 · excused: 12
Official vote source ↗ Official vote source ↗Individual member positions (158)
| Member | Vote |
|---|---|
| Brown | excused |
| Boggs | excused |
| Appelbaum | excused |
| Wright | no |
| Wolfin | no |
| Whaley | no |
| West | no |
| Vernetti | no |
| Titus | no |
| Taylor (48) | no |
| Self | no |
| Seitz | no |
| Schmidt | no |
| Perkins | no |
| Overcast | no |
| Meirath | no |
| Loy | no |
| Laubinger | no |
| Jordan | no |
| Jones (88) | no |
| Gragg | no |
| Elliott | no |
| Durnell | no |
| Deaton | no |
| Davis | no |
| Cupps | no |
| Costlow | no |
| Coleman | no |
| Christensen | no |
| Patterson | yes |
| Zimmermann | yes |
| Young | yes |
| Woods | yes |
| Wilson | yes |
| Williams | yes |
| Wellenkamp | yes |
| Weber | yes |
| Warwick | yes |
| Walsh Moore | yes |
| Voss | yes |
| Violet | yes |
| Veit | yes |
| Van Schoiack | yes |
| Thompson | yes |
| Thomas | yes |
| Terry | yes |
| Taylor (84) | yes |
| Strickler | yes |
| Stinnett | yes |
| Steinmeyer | yes |
| Steinmetz | yes |
| Steinhoff | yes |
| Smith (74) | yes |
| Smith (68) | yes |
| Smith (46) | yes |
| Shields | yes |
| Schulte | yes |
| Sassmann | yes |
| Rush | yes |
| Roberts | yes |
| Riley | yes |
| Riggs | yes |
| Reuter | yes |
| Reedy | yes |
| Reed | yes |
| Proudie | yes |
| Price | yes |
| Pouche | yes |
| Cook | yes |
| Collins | yes |
| Clemens | yes |
| Christ | yes |
| Chappell | yes |
| Caton | yes |
| Casteel | yes |
| Byrnes | yes |
| Butz | yes |
| Busick | yes |
| Bush | yes |
| Burton | yes |
| Bromley | yes |
| Boyko | yes |
| Boykin | yes |
| Bosley | yes |
| Black | yes |
| Billington | yes |
| Barnes | yes |
| Banderman | yes |
| Aune | yes |
| Anderson | yes |
| Amato | yes |
| Allen | yes |
| Simmons | excused |
| Sharpe (4) | excused |
| Sharp (37) | excused |
| Murray | excused |
| Mosley | excused |
| Keathley | excused |
| Hardwick | excused |
| Ealy | excused |
| Davidson | excused |
| Pollitt | yes |
| Plank | yes |
| Phelps | yes |
| Peters | yes |
| Parker | yes |
| Owen | yes |
| Oehlerking | yes |
| Nolte | yes |
| Myers | yes |
| Murphy | yes |
| Miller | yes |
| McGirl | yes |
| McGaugh | yes |
| Mayhew | yes |
| Matthiesen | yes |
| Martin | yes |
| Mansur | yes |
| Mackey | yes |
| Lucas | yes |
| Lewis | yes |
| Knight | yes |
| Kimble | yes |
| Kelley | yes |
| Kalberloh | yes |
| Justus | yes |
| Jones (12) | yes |
| Johnson | yes |
| Jobe | yes |
| Jamison | yes |
| Jacobs | yes |
| Irwin | yes |
| Ingle | yes |
| Hurlbert | yes |
| Hruza | yes |
| Hovis | yes |
| Hinman | yes |
| Hewkin | yes |
| Hein | yes |
| Hausman | yes |
| Harbison | yes |
| Haley | yes |
| Hales | yes |
| Haden | yes |
| Griffith | yes |
| Gallick | yes |
| Fuchs | yes |
| Fowler | yes |
| Fountain Henderson | yes |
| Fogle | yes |
| Farnan | yes |
| Falkner | yes |
| Douglas | yes |
| Doll | yes |
| Dolan | yes |
| Diehl | yes |
| Dean | yes |
| Crossley | yes |
Senate Adopts Conference Committee Report (S) - AYES: 23 NOES: 8 PRESENT: 0
May 13, 2026 · Senate · pass
yes: 23 · no: 8 · other: 0 · absent: 3 · excused: 0
Official vote source ↗ Official vote source ↗Individual member positions (34)
| Member | Vote |
|---|---|
| Hough | absent |
| Cierpiot | absent |
| Brown (16) | absent |
| Trent | no |
| Schroer | no |
| Schnelting | no |
| Nicola | no |
| Moon | no |
| Coleman | no |
| Brown (26) | no |
| Brattin | no |
| Williams | yes |
| Webber | yes |
| Washington | yes |
| Roberts | yes |
| O'Laughlin | yes |
| Nurrenbern | yes |
| Mosley | yes |
| McCreery | yes |
| May | yes |
| Luetkemeyer | yes |
| Lewis | yes |
| Hudson | yes |
| Henderson | yes |
| Gregory (21) | yes |
| Gregory (15) | yes |
| Fitzwater | yes |
| Crawford | yes |
| Carter | yes |
| Burger | yes |
| Black | yes |
| Bernskoetter | yes |
| Beck | yes |
| Bean | yes |
Third Read and Passed with Amendments (S) - SA 1, SA 2, adopted - AYES: 26 NOES: 2 PRESENT: 0
April 15, 2026 · Senate · pass
yes: 26 · no: 2 · other: 0 · absent: 1 · excused: 5
Official vote source ↗ Official vote source ↗Individual member positions (34)
| Member | Vote |
|---|---|
| Schroer | excused |
| Roberts | excused |
| May | excused |
| Cierpiot | excused |
| Carter | excused |
| Fitzwater | absent |
| Moon | no |
| Brown (26) | no |
| Williams | yes |
| Webber | yes |
| Washington | yes |
| Trent | yes |
| Schnelting | yes |
| O'Laughlin | yes |
| Nurrenbern | yes |
| Nicola | yes |
| Mosley | yes |
| McCreery | yes |
| Luetkemeyer | yes |
| Lewis | yes |
| Hudson | yes |
| Hough | yes |
| Henderson | yes |
| Gregory (21) | yes |
| Gregory (15) | yes |
| Crawford | yes |
| Coleman | yes |
| Burger | yes |
| Brown (16) | yes |
| Brattin | yes |
| Black | yes |
| Bernskoetter | yes |
| Beck | yes |
| Bean | yes |
Third Read and Passed (H) - AYES: 119 NOES: 27 PRESENT: 0
May 13, 2026 · House · pass
yes: 119 · no: 27 · other: 0 · excused: 12
Official vote source ↗ Official vote source ↗Individual member positions (158)
| Member | Vote |
|---|---|
| Simmons | excused |
| Sharpe (4) | excused |
| Sharp (37) | excused |
| Murray | excused |
| Christensen | no |
| Billington | no |
| Patterson | yes |
| Zimmermann | yes |
| Young | yes |
| Woods | yes |
| Wilson | yes |
| Williams | yes |
| Wellenkamp | yes |
| Weber | yes |
| Warwick | yes |
| Walsh Moore | yes |
| Voss | yes |
| Violet | yes |
| Veit | yes |
| Van Schoiack | yes |
| Thompson | yes |
| Thomas | yes |
| Terry | yes |
| Taylor (84) | yes |
| Taylor (48) | yes |
| Strickler | yes |
| Stinnett | yes |
| Steinmeyer | yes |
| Steinmetz | yes |
| Steinhoff | yes |
| Smith (74) | yes |
| Smith (68) | yes |
| Smith (46) | yes |
| Shields | yes |
| Schulte | yes |
| Sassmann | yes |
| Rush | yes |
| Roberts | yes |
| Riley | yes |
| Riggs | yes |
| Reuter | yes |
| Reedy | yes |
| Reed | yes |
| Proudie | yes |
| Price | yes |
| Pouche | yes |
| Pollitt | yes |
| Plank | yes |
| Phelps | yes |
| Peters | yes |
| Parker | yes |
| Owen | yes |
| Oehlerking | yes |
| Nolte | yes |
| Myers | yes |
| Murphy | yes |
| Miller | yes |
| McGirl | yes |
| McGaugh | yes |
| Mayhew | yes |
| Matthiesen | yes |
| Martin | yes |
| Mansur | yes |
| Mackey | yes |
| Lucas | yes |
| Lewis | yes |
| Knight | yes |
| Kimble | yes |
| Kalberloh | yes |
| Justus | yes |
| Jones (12) | yes |
| Johnson | yes |
| Cook | yes |
| Collins | yes |
| Clemens | yes |
| Christ | yes |
| Chappell | yes |
| Caton | yes |
| Casteel | yes |
| Byrnes | yes |
| Butz | yes |
| Busick | yes |
| Bush | yes |
| Burton | yes |
| Bromley | yes |
| Boyko | yes |
| Boykin | yes |
| Bosley | yes |
| Black | yes |
| Barnes | yes |
| Banderman | yes |
| Aune | yes |
| Anderson | yes |
| Amato | yes |
| Allen | yes |
| Mosley | excused |
| Keathley | excused |
| Hardwick | excused |
| Ealy | excused |
| Davidson | excused |
| Brown | excused |
| Boggs | excused |
| Appelbaum | excused |
| Wright | no |
| Wolfin | no |
| Whaley | no |
| West | no |
| Vernetti | no |
| Titus | no |
| Self | no |
| Seitz | no |
| Schmidt | no |
| Perkins | no |
| Overcast | no |
| Meirath | no |
| Loy | no |
| Laubinger | no |
| Kelley | no |
| Jordan | no |
| Jones (88) | no |
| Gragg | no |
| Elliott | no |
| Durnell | no |
| Deaton | no |
| Davis | no |
| Cupps | no |
| Costlow | no |
| Coleman | no |
| Jobe | yes |
| Jamison | yes |
| Jacobs | yes |
| Irwin | yes |
| Ingle | yes |
| Hurlbert | yes |
| Hruza | yes |
| Hovis | yes |
| Hinman | yes |
| Hewkin | yes |
| Hein | yes |
| Hausman | yes |
| Harbison | yes |
| Haley | yes |
| Hales | yes |
| Haden | yes |
| Griffith | yes |
| Gallick | yes |
| Fuchs | yes |
| Fowler | yes |
| Fountain Henderson | yes |
| Fogle | yes |
| Farnan | yes |
| Falkner | yes |
| Douglas | yes |
| Doll | yes |
| Dolan | yes |
| Diehl | yes |
| Dean | yes |
| Crossley | yes |
Legislative history
- Delivered to Secretary of State (G)
- Approved by Governor (G)
- Delivered to Governor
- Signed by President Pro Tem (S)
- Signed by House Speaker (H)
- Senate Message (S)
- Truly Agreed To and Finally Passed - AYES: 22 NOES: 10 PRESENT: 0
- Senate Adopts Conference Committee Report (S) - AYES: 23 NOES: 8 PRESENT: 0
- Senate Submits Conference Committee Report (S)
- Conferees to Exceed Differences (S) - in Section 1 of SS HCS HB 2596
- House Message (H)
- House Message (H)
- Third Read and Passed (H) - AYES: 119 NOES: 27 PRESENT: 0
- House Adopts Conference Committee Report (H) - AYES: 120 NOES: 26 PRESENT: 0
- Conferees to Exceed Differences (H) - in Section 1 of SS HCS HB 2596
- House Submits Conference Committee Report (H)
- Reported Do Pass (H) - AYES: 8 NOES: 0 PRESENT: 0
- Voted Do Pass (H)
- Executive Session Completed (H)
- Referred: Fiscal Review(H)
- House Distributes Conference Committee Report (H)
- House Message (H)
- House Conference Committee Appointed (H) - REPRESENTATIVES MCGAUGH, MILLER, DIEHL, MACKEY, BUSH
- Senate Message (S)
- Senate Conference Committee Appointed (S) - CRAWFORD, GREGORY(21), TRENT, MCCREERY, LEWIS
- Senate Message (S)
- Senate Refuses to Recede, Grants Conference (S)
- House Message (H)
- House Refuses to Adopt, Requests Senate to Recede or Grant Conference (H)
- Taken Up
- Reported Do Pass (H) - AYES: 6 NOES: 1 PRESENT: 1
- Voted Do Pass (H)
- Executive Session Completed (H)
- Referred: Fiscal Review(H)
- Reported to the House with... (H) - SS, as amended
- Third Read and Passed with Amendments (S) - SA 1, SA 2, adopted - AYES: 26 NOES: 2 PRESENT: 0
- SS Adopted (S)
- SS Offered
- Taken Up for Third Reading (S)
- Reported Do Pass (S)
- Voted Do Pass (S)
- Executive Session Held (S)
- Public Hearing Held (S)
- Public Hearing Scheduled (S) - Tuesday, March 10, 2026, 12:00 p.m., Senate Lounge - 3rd Floor
- Second read and referred: Insurance and Banking(S)
- Reported to the Senate and First Read (S)
- Third Read and Passed (H) - AYES: 145 NOES: 0 PRESENT: 0
- Taken Up for Third Reading (H)
- Perfected (H)
- HCS Adopted (H)
- Title of Bill - Agreed To
- Taken Up for Perfection (H)
- Placed on the Informal Perfection Calendar (H)
- Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0
- Voted Do Pass (H)
- Executive Session Completed (H)
- Referred: Rules - Administrative(H)
- HCS Reported Do Pass (H) - AYES: 15 NOES: 0 PRESENT: 0
- HCS Voted Do Pass (H)
- Executive Session Completed (H)
- Public Hearing Completed (H)
- Referred: Health and Mental Health(H)
- Read Second Time (H)
- Read First Time (H)
- Prefiled (H)
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