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MO HB1662

Bill

Status

Introduced

1/29/2014

Primary Sponsor

Todd Richardson

Click for details

Origin

House of Representatives

2014 Regular Session

AI Summary

  • Requires health care providers and insurers to provide cost estimates to patients within three business days of request, including charges, negotiated rates, and co-payments, with specified disclaimer language.

  • Prohibits contracts between health carriers and providers from restricting disclosure of payment amounts to patients if those amounts are less than the provider's usual charges.

  • Establishes a Joint Committee on MO HealthNet consisting of ten legislative members to study resources needed for the program, review health outcomes and satisfaction data, and report annually to the General Assembly beginning January 1, 2016.

  • Requires MO HealthNet managed care organizations to maintain medical loss ratios of at least 85 percent and refund portions of capitation rates if this threshold is not met over a three-year period.

  • Mandates managed care organizations to maintain adequate provider networks with specified types of providers, post networks online, submit to secret shopper surveys, and publicly report data on medical loss ratios, service utilization, denials, complaints, and quality measures.

Legislative Description

Changes the laws regarding MO HealthNet managed care services

Last Action

Rules - Reported Do Pass (H)

4/3/2014

Committee Referrals

Rules4/2/2014
Special Standing Committee on Emerging Issues in Health Care2/11/2014

Full Bill Text

No bill text available