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MO SB167
Bill
AI Summary
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Extends expiration dates from September 30, 2015 to September 30, 2016 for six healthcare provider programs: ambulance/emergency medical services (190.839), nursing facility reimbursement allowances (198.439), Medicaid managed care organization reimbursement allowances (208.437), hospital reimbursement allowances (208.480), pharmacy taxes (338.550), and intermediate care facility for intellectually disabled assessments (633.401)
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Prohibits enforcement of contract provisions between health carriers and health care providers that restrict disclosure of contractual payment amounts to patients, enrollees, or their guardians, effective for contracts entered into, amended, or renewed on or after August 28, 2015
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Requires contractual payment amount disclosure only when the negotiated rate is less than the provider's usual charge and when nondisclosure would prevent patients from determining their potential out-of-pocket costs
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Medicaid managed care organizations that fail to pay reimbursement allowances within 30 days of notice face potential license denial, suspension, or revocation by the Department of Insurance, Financial Institutions and Professional Registration
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Intermediate care facility assessments are deposited into the "Intermediate Care Facility Intellectually Disabled Reimbursement Allowance Fund," with unexpended balances rolling over year to year rather than reverting to general revenue
Legislative Description
Extends the sunset on certain healthcare provider reimbursement allowance taxes and prohibits enforcement of contract provisions that prevent disclosure of payment amounts for health care
Last Action
S Informal Calendar S Bills for Perfection--SB 167-Schaaf, with SCS
5/15/2015