MO HB3088

Prohibits health care providers from offering, entering into, or renewing provider network contracts containing anti-steering, anti-tiering, gag, or most-favored-nation clauses

Anti-steering clauses restrict insurers from encouraging enrollees to use competitor providers; anti-tiering clauses prevent insurers from creating tiered networks or assigning providers to different tiers

Gag clauses restrict disclosure of price and quality information, including negotiated rates, fees, and out-of-pocket costs to enrollees, plan sponsors, or government entities

Most-favored-nation clauses prohibit providers from offering lower rates to other insurers or require matching rates if they contract elsewhere at different prices

Any prohibited clause in a provider network contract is void and unenforceable, while remaining contract provisions stay in effect; health benefit plan issuers have a fiduciary duty to act primarily for enrollees' benefit when steering patients or using tiered networks