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MO SB111

Bill

Status

Introduced

1/13/2011

Primary Sponsor

Rob Schaaf

Click for details

Origin

Senate

2011 Regular Session

AI Summary

  • Adds section 376.393 to Missouri law requiring health carriers to provide contracted providers secure website access to standard fee schedules specific to their geographic area.

  • Standard fee schedules must reflect current payment rates for all goods and services using procedure codes, diagnosis related groups, or other payment mechanisms.

  • Standard fee schedule rates cannot be lower than the lowest individually contracted rate for any good or service in that geographic area.

  • Prohibits health carriers and their subsidiaries, networks, contractors, or subcontractors from refusing to contract with Missouri providers willing to accept payment at 99 percent of standard rates.

  • Applies to licensed pharmacies and home health agencies in addition to providers defined under section 376.1350, and includes providers willing to serve MO HealthNet and Medicare programs.

Legislative Description

Requires health carriers to provide Internet access to its standard fee schedules and prohibits carriers from refusing to contract with providers willing to meet certain provider participation terms and conditions

Last Action

Voted Do Pass S Health, Mental Health, Seniors and Families Committee

3/10/2011

Committee Referrals

Health, Mental Health, Seniors And Families1/20/2011

Full Bill Text

No bill text available