SECOND REGULAR SESSION
HOUSE BILL NO. 1857
94TH GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVES SCHAAF (Sponsor) AND HUNTER (Co-sponsor).
Read 1st time January 24, 2008 and copies ordered printed.
D. ADAM CRUMBLISS, Chief Clerk
To amend chapter 376, RSMo, by adding thereto one new section relating to health insurance plans.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.393, to read as follows:
376.393. 1. As used in this section, the following terms shall mean:
(1) "Health carrier", the same meaning as such term is defined in section 376.1350;
(2) "Provider", a physician or other health care practitioner licensed, accredited, or certified by the state of Missouri to perform specified health services consistent with state law.
2. When any health carrier, or any of its subsidiaries, networks, contractors, or subcontractors, provides that any of its benefits are payable to a participating or preferred provider of health services, the health carrier shall also be required to pay identical benefits to any similarly licensed nonparticipating or nonpreferred provider who has rendered such services, and who is located within the geographic coverage area of a health benefit plan and who is willing to meet the terms and conditions for provider participation established for such health benefit plan, including the MO HealthNet and Medicare programs.