MO HB1210

Allows ambulance service providers licensed under Missouri law to submit claims for unpaid healthcare services (ambulance services) to a claim clearinghouse for collection through income tax refund and lottery prize setoffs.

Requires providers to send written notice to patients at least 30 days before submitting claims, informing them of the right to contest the claim through a review officer, appeals committee, or court proceeding.

Establishes a priority order for tax refund setoffs: delinquent state taxes first, then state agency debts and child support obligations, then collection assistance fees, then eligible healthcare claims, then federal taxes.

Imposes a collection assistance fee of $14 for each debt setoff plus an additional $17 for claims processed through the claim clearinghouse, recovered from the eligible claim amounts.

Applies setoff procedures to both Missouri income tax refunds and lottery prize payouts under section 313.321, with specific protections for joint return filers to receive their portion of any refund not subject to a claim.