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MO HB982

Bill

Status

Introduced

3/31/2011

Primary Sponsor

Caleb Jones

Click for details

Origin

House of Representatives

2011 Regular Session

AI Summary

  • Defines "practicing medicine" to include countermanding a treating physician's treatment order or recommendation by any means intended to influence a patient to refuse or choose a different service.

  • Requires that decisions to deny authorization for diagnostic radiology testing ordered by a treating physician must be made only by a physician licensed in Missouri and subject to state board regulation.

  • Mandates that radiology benefit managers provide the treating physician and patient with the full name, mailing address, telephone number, and employer of the denying physician when authorization is denied.

  • Establishes that any authorization granted for diagnostic radiology testing becomes conclusive proof of medical necessity and requires timely payment of claims unless fraud occurred in obtaining the authorization.

  • Defines diagnostic radiology testing to include X-ray, CT scans, MRI, PET scans, fluoroscopy, ultrasound, and nuclear imaging studies.

Legislative Description

Restricts the authority of radiology benefit managers to deny diagnostic testing ordered and recommended by a licensed physician

Last Action

Referred: Health Care Policy (H)

4/12/2011

Committee Referrals

Health Care Policy4/12/2011

Full Bill Text

No bill text available