MO SB566

Establishes the "Insure Missouri Program" to provide health insurance coverage through private insurance markets to low-income working adults aged 19-64 with household incomes up to 225% of the federal poverty level, requiring the Department of Social Services to apply for a Section 1115 federal waiver

Creates individual "Insure Missouri accounts" for participants to pay deductibles and copayments, with required contributions ranging from 1-5% of annual household income based on income level, and allows employer contributions up to 50% of the required payment

Redirects health benefit plan premium taxes to the state health insurance pool: 50% in fiscal years 2016-2017, and 100% beginning fiscal year 2018

Restructures the Missouri Health Facilities Review Committee from 9 to 10 members (removing legislators), adds new composition requirements including economists, physicians, hospital administrators, and nurses, and establishes a rebuttable presumption favoring certificate of need applications

Requires health care providers and insurers to disclose cost estimates for planned services upon patient request within 5 business days, including diagnosis codes, procedure codes, estimated allowed amounts, and out-of-pocket costs