HB 1901 Summary

• Requires health care providers to furnish estimated costs for medical services based on patients' insurance coverage, Medicaid, Medicare, or uninsured status, including contractual rates and out-of-pocket amounts.

• Prohibits contracts between health carriers and providers from restricting disclosure of contractual reimbursement rates to patients if such restrictions prevent patients from determining potential out-of-pocket costs.

• Establishes the "Show-Me Healthy Babies Program" as a separate children's health insurance program (CHIP) covering unborn children from conception through one year after birth, with income limits up to 300% of federal poverty level.

• Authorizes the department to create alternative benefit plans for adults ages 19-64 with incomes up to 133% of federal poverty level, including requirements for cost sharing, workforce participation, and managed care enrollment.

• Creates the "Health Care Homes Program" providing care coordination payments to primary care clinics and community mental health centers for medically frail MO HealthNet recipients on a fee-for-service basis.