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MO HB2752
Bill
Status
3/15/2016
Primary Sponsor
Jeff Messenger
Click for details
AI Summary
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Expands prosthetic device coverage requirements to include multi-employer health plans (collective bargaining agreements covering employees of two or more employers), in addition to health carriers and health benefit plans
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Requires coverage for prosthetic devices, services, and supplies to equal at minimum the coverage provided under federal Medicare, with reimbursement at no less than the current federal Medicare fee schedule
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Mandates that benefits for prosthetic devices match the annual and lifetime maximums of basic health care services; if no maximums exist for basic services, prosthetic benefits cannot have maximums
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Requires co-payments, coinsurance, deductibles, and out-of-pocket maximums for prosthetics to be no more than the most common amounts applied to basic health care services
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Effective date of January 1, 2017; exempts supplemental policies including accident-only, specified disease, Medicare supplement, long-term care, and short-term major medical policies of six months or less
Legislative Description
Requires health benefit plans to reimburse for prosthetic devices at the same amount as the federal Medicare reimbursement schedule
Last Action
Referred: Health Insurance(H)
5/13/2016