MO HB423

Enacts the Health Care Compact into Missouri law, allowing the state to join an interstate agreement that returns health care regulatory authority from the federal government to member states.

Establishes that member state legislatures have primary responsibility to regulate health care and may suspend conflicting federal laws, rules, and regulations within their borders.

Provides each member state annual federal funding equal to its "Member State Current Year Funding Level," calculated based on 2010 federal health care spending adjusted for population changes and inflation; Missouri's preliminary base funding level is $18.669 billion.

Creates the Interstate Advisory Health Care Commission to study health care regulation issues, make nonbinding recommendations to member states, and compile health care pricing and performance data without disclosing individual health information.

Requires Congressional consent after at least two states adopt the compact, and allows member states to withdraw with six months' notice to other member states.