Loading chat...

MO HB2160

Bill

Status

Introduced

2/15/2010

Primary Sponsor

John Diehl

Click for details

Origin

House of Representatives

2010 Regular Session

AI Summary

  • Prohibits contracting entities from selling, renting, or giving third parties rights to participating providers' services under health care contracts, with limited exceptions.

  • 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.

  • 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.

  • 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.

  • 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

Full Bill Text

No bill text available