// STATE LEGISLATION TRACKER
Missouri HB 2757: Modifies provisions relating to access to medical products
โ๏ธ NEUTRAL for peptide users
๐ค NONE user impact
๐ Status: Failed
- State
- Missouri
- Bill
- HB 2757
- Session
- 2026
- Filed
- 2026-01-06
- Read the bill
- OpenStates โ
- Last reviewed
- 2026-10-02
Plain-English Summary
Missouri HB2757 focuses on emergency insulin access, pharmacy benefit manager reimbursement, and cost caps for insulin, diabetes devices, and epinephrine devices. It does not appear to change peptide prescribing, compounded peptides, telehealth rules, NP or naturopathic scope, 503A/503B compounding, controlled substances, or prescription monitoring.
Key Points
- No direct change to peptide prescriptions or compounded peptides
- No new telehealth, NP, or naturopathic prescribing authority for peptides
- Pharmacists could dispense emergency insulin in limited cases
- PBMs would have to reimburse pharmacies at least actual acquisition cost plus a fee
- Insured patients could see capped costs for insulin, diabetes devices, and epinephrine devices
What to Watch For
Note
The bill is about insulin, diabetes devices, epinephrine devices, PBMs, and pharmacy practice, not peptide access.
Opportunity
Pharmacy reimbursement language could help retail pharmacies generally, but it is not peptide-specific.
Note
No apparent impact on FDA 503A or 503B compounding rules for peptides.
Note
No apparent change to controlled substances or prescription drug monitoring requirements.
Where the Bill Stands
The bill was introduced on January 7, 2026, referred to House Emerging Issues on May 15, 2026, and is listed as dead in committee.
ยท Ed. Our analysis pulls public bill metadata from OpenStates and is enriched with research-model context. We don't quote bill text we haven't read directly. If this bill matters to your practice or treatment access, read the official source linked above before taking action. We're an educational research directory, not a legal or medical reference.
Bill page generated 2026-11-04 ยท enriched via codex gpt-5.5
Source: OpenStates v3 API ยท View official bill ยท โ back to all laws
Source: OpenStates v3 API ยท View official bill ยท โ back to all laws