# Missouri HB2642: Creates provisions relating to insurance coverage of alternatives to opioid drugs

Missouri HB2642, Creates provisions relating to insurance coverage of alternatives to opioid drugs, is a 2026 Regular Session House bill sponsored by Melanie Stinnett (Republican); status failed, last action 2026-03-31 (Second read and referred: Insurance and Banking); PRIA reads it as touching household money (as of 2026-11-04).

- Canonical: https://policyrisk.com/state-bill/MO-HB2642-2026
- As of: 2026-11-04
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Missouri HB2642
- State: Missouri
- Session: 2026 Regular Session
- Title: Creates provisions relating to insurance coverage of alternatives to opioid drugs
- Status: failed
- Chamber: House
- Introduced: 2026-01-02
- Last action: 2026-03-31, Second read and referred: Insurance and Banking
- Sponsor: Melanie Stinnett (Republican)
- Cosponsors: 2
- Touches household money: yes
- Roll calls: 3 (162 yes, 1 no in all)
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Melanie Stinnett (Republican), House
- Cosponsor: Anthony Ealy (Democratic), House
- Cosponsor: Brian Seitz (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-12 | House | Third Read and Passed | pass | 138 | 1 | 1 |
| 2026-02-17 | House | Reported Do Pass | pass | 9 | 0 |   |
| 2026-01-29 | House | HCS Reported Do Pass | pass | 15 | 0 |   |

## Actions (23)

- 2026-03-31: Second read and referred: Insurance and Banking (Senate)
- 2026-03-19: Reported to the Senate and First Read (Senate)
- 2026-03-16: Delivered to the Senate
- 2026-03-12: Third Read and Passed - AYES: 138 NOES: 1 PRESENT: 1 (House)
- 2026-03-12: Taken Up for Third Reading (House)
- 2026-03-12: Placed on the Informal Third Reading Calendar (House)
- 2026-03-10: Perfected (House)
- 2026-03-10: HCS Adopted (House)
- 2026-03-10: Title of Bill - Agreed To (House)
- 2026-03-10: Taken Up for Perfection (House)
- 2026-02-24: Placed on the Informal Perfection Calendar (House)
- 2026-02-17: Reported Do Pass - AYES: 9 NOES: 0 PRESENT: 0 (House)
- 2026-02-17: Voted Do Pass (House)
- 2026-02-17: Executive Session Completed (House)
- 2026-02-09: Referred: Rules - Administrative (House)
- 2026-01-29: HCS Reported Do Pass - AYES: 15 NOES: 0 PRESENT: 0 (House)
- 2026-01-29: HCS Voted Do Pass (House)
- 2026-01-29: Executive Session Completed (House)
- 2026-01-22: Public Hearing Completed (House)
- 2026-01-20: Referred: Health and Mental Health (House)
- 2026-01-08: Read Second Time (House)
- 2026-01-07: Read First Time (House)
- 2026-01-02: Prefiled (House)

## Bill text

- Perfected, 2026-03-10: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/6283H.04P.pdf)
- Committee Substitute, 2026-01-29: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/6283H.04C.pdf)
- Introduced, 2026-01-07: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/6283H.01I.pdf)

## Related bills

- HB2596: Modifies provisions relating to health benefit plans (signed)
- HB2586: Revises the par value of membership shares and allows for participation in board meetings by telephone or electronic means (signed)
- HB2372: Modifies provisions relating to health care (signed)
- HB1871: Modifies provisions relating to elections (signed)
- HB1867: Authorizes Joplin to increase a transient guest tax for tourism to no more than six percent upon a vote of the people (signed)
- HB1825: Removes the prosecuting attorney and the sheriff from the county salary commission (signed)

## Sources
- [Perfected (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/6283H.04P.pdf)
- [Committee Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/6283H.04C.pdf)
- [Introduced (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/6283H.01I.pdf)

## Related
- [HB2596: Modifies provisions relating to health benefit plans](https://policyrisk.com/state-bill/MO-HB2596-2026)
- [HB2586: Revises the par value of membership shares and allows for participation in boar…](https://policyrisk.com/state-bill/MO-HB2586-2026)
- [HB2372: Modifies provisions relating to health care](https://policyrisk.com/state-bill/MO-HB2372-2026)
- [HB1871: Modifies provisions relating to elections](https://policyrisk.com/state-bill/MO-HB1871-2026)
- [HB1867: Authorizes Joplin to increase a transient guest tax for tourism to no more than…](https://policyrisk.com/state-bill/MO-HB1867-2026)
- [HB1825: Removes the prosecuting attorney and the sheriff from the county salary commiss…](https://policyrisk.com/state-bill/MO-HB1825-2026)
- [Missouri bills](https://policyrisk.com/states/missouri/bills)
- [Missouri state hub](https://policyrisk.com/states/missouri)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/MO-HB2642-2026 (as of 2026-11-04).