MO SB1469

MO HealthNet must pay hospital-based pathologists for the professional component of inpatient clinical pathology services, covering interpretation and supervision of laboratory tests including hematology, microbiology, immunology, clinical chemistry, and molecular pathology

Reimbursement rate set at 30% of the approved outpatient simplified fee schedule based on Medicare's clinical laboratory fee schedule

Payment goes directly to the hospital if the pathologist is a hospital employee, or directly to the third-party provider if the pathologist is not employed by the hospital

Department of Social Services required to promulgate rules for administration, with any rules proposed or adopted after August 28, 2026 subject to invalidation if legislative oversight powers under Chapter 536 are held unconstitutional