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MO HB2160
Bill
Status
2/15/2010
Primary Sponsor
John Diehl
Click for details
AI Summary
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Prohibits contracting entities from selling, renting, or giving third parties rights to participating providers' services under health care contracts, with limited exceptions.
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Allows transfer of provider network rights only to: employers/entities with claims administration contracts, affiliates/subsidiaries providing administrative services, or entities explicitly permitted under network rental agreements in the original contract.
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Requires contracting entities to maintain an updated webpage or toll-free number listing third parties with whom they contract for network access, updated at least every six months and accessible to all participating providers.
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Mandates that third parties accessing provider services comply with all terms and conditions of the original health care contract, including patient steerage obligations and reimbursement requirements.
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Defines key terms including "contracting entity," "participating provider," "payer," and "electronic claims transport" to establish scope of network access regulations.
Legislative Description
Prohibits any person whose primary business is contracting with providers for health care services from selling, renting, or giving a third party the entity's rights to a participating provider's services
Last Action
Referred: Special Standing Committee on General Laws (H)
5/14/2010