HB 203 -- Health Insurance Contracts

Sponsor:  Schaaf

This bill prohibits any agreement between a health insurance
carrier and a licensed health care provider from containing a
provision which:

(1)  Prohibits a provider from contracting with another carrier
to accept a lower reimbursement than the payment specified in the
agreement;

(2)  Requires the provider to accept a lesser reimbursement from
the carrier if the provider agrees with another carrier to accept
the lower reimbursement for services;

(3)  Terminates or renegotiates the agreement if the provider
agrees to accept a lower payment from a different carrier for
services; or

(4)  Requires the provider to disclose his or her contracted
reimbursement rates with other contracted providers.

A violation of any of these provisions will make an agreement
void and unenforceable.

Missouri House of Representatives
95th General Assembly, 1st Regular Session
Last Updated November 17, 2009 at 9:24 am