# Missouri HB618: Creates provisions relating to prior authorization of health care services

Missouri HB618, Creates provisions relating to prior authorization of health care services, is a 2025 Regular Session House bill sponsored by Melanie Stinnett (Republican); status failed, last action 2025-05-07 (Voted Do Pass); PRIA reads it as touching household money (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MO-HB618-2025
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Missouri HB618
- State: Missouri
- Session: 2025 Regular Session
- Title: Creates provisions relating to prior authorization of health care services
- Status: failed
- Chamber: House
- Introduced: 2024-12-18
- Last action: 2025-05-07, Voted Do Pass
- Sponsor: Melanie Stinnett (Republican)
- Cosponsors: 6
- Touches household money: yes
- Roll calls: 4 (176 yes, 5 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: George Hruza (Republican), House
- Cosponsor: Jamie Ray Gragg (Republican), House
- Cosponsor: Jeremy Dean (Democratic), House
- Cosponsor: John Hewkin (Republican), House
- Cosponsor: Melissa Schmidt (Republican), House
- Cosponsor: Ron Fowler (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-03-13 | House | Third Read and Passed | pass | 148 | 4 |   |
| 2025-03-13 | House | Reported Do Pass | pass | 7 | 0 |   |
| 2025-03-05 | House | Reported Do Pass | pass | 10 | 0 |   |
| 2025-02-26 | House | Reported Do Pass | pass | 11 | 1 |   |

## Actions (31)

- 2025-05-07: Voted Do Pass (Senate)
- 2025-05-07: Executive Session Held (Senate)
- 2025-04-28: Referred: Fiscal Oversight (Senate)
- 2025-04-24: Reported Do Pass (Senate)
- 2025-04-23: Voted Do Pass (Senate)
- 2025-04-23: Executive Session Held (Senate)
- 2025-04-08: Public Hearing Held (Senate)
- 2025-04-07: Public Hearing Scheduled - Tuesday, April 8, 2025, 12:00 p.m., Senate Lounge -3rd Floor (Senate)
- 2025-03-24: Second read and referred: Insurance and Banking (Senate)
- 2025-03-13: Reported to the Senate and First Read (Senate)
- 2025-03-13: Third Read and Passed - AYES: 148 NOES: 4 PRESENT: 0 (House)
- 2025-03-13: Taken Up for Third Reading (House)
- 2025-03-13: Reported Do Pass - AYES: 7 NOES: 0 PRESENT: 0 (House)
- 2025-03-13: Voted Do Pass (House)
- 2025-03-13: Executive Session Completed (House)
- 2025-03-12: Referred: Fiscal Review (House)
- 2025-03-11: Perfected with Amendments - HA 1, adopted (House)
- 2025-03-11: Title of Bill - Agreed To (House)
- 2025-03-11: Taken Up for Perfection (House)
- 2025-03-05: Reported Do Pass - AYES: 10 NOES: 0 PRESENT: 0 (House)
- 2025-03-04: Voted Do Pass (House)
- 2025-03-04: Executive Session Completed (House)
- 2025-03-03: Referred: Rules - Administrative (House)
- 2025-02-26: Reported Do Pass - AYES: 11 NOES: 1 PRESENT: 0 (House)
- 2025-02-24: Voted Do Pass (House)
- 2025-02-24: Executive Session Completed (House)
- 2025-02-03: Public Hearing Completed (House)
- 2025-01-22: Referred: Insurance (House)
- 2025-01-09: Read Second Time (House)
- 2025-01-08: Read First Time (House)
- 2024-12-18: Prefiled (House)

## Bill text

- Perfected, 2025-03-11: [PDF](https://documents.house.mo.gov/billtracking/bills251/hlrbillspdf/0990H.01P.pdf)
- Introduced, 2025-01-08: [PDF](https://documents.house.mo.gov/billtracking/bills251/hlrbillspdf/0990H.01I.pdf)

## Related bills

- HB3: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Higher Education and Workforce Development (signed)
- HB8: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Public Safety and the Department of National Guard (signed)
- HB11: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Social Services (signed)
- HB10: Appropriates money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Department of Health and Senior Services, and t… (signed)
- SB79: Modifies provisions relating to health care (signed)
- SB271: Modifies provisions relating to emergency services (signed)

## Sources
- [Perfected (PDF)](https://documents.house.mo.gov/billtracking/bills251/hlrbillspdf/0990H.01P.pdf)
- [Introduced (PDF)](https://documents.house.mo.gov/billtracking/bills251/hlrbillspdf/0990H.01I.pdf)

## Related
- [HB3: Appropriates money for the expenses, grants, refunds, and distributions of the…](https://policyrisk.com/state-bill/MO-HB3-2025)
- [HB8: Appropriates money for the expenses, grants, refunds, and distributions of the…](https://policyrisk.com/state-bill/MO-HB8-2025)
- [HB11: Appropriates money for the expenses, grants, refunds, and distributions of the…](https://policyrisk.com/state-bill/MO-HB11-2025)
- [HB10: Appropriates money for the expenses, grants, refunds, and distributions of the…](https://policyrisk.com/state-bill/MO-HB10-2025)
- [SB79: Modifies provisions relating to health care](https://policyrisk.com/state-bill/MO-SB79-2025)
- [SB271: Modifies provisions relating to emergency services](https://policyrisk.com/state-bill/MO-SB271-2025)
- [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-HB618-2025 (as of 2026-10-19).