SECOND REGULAR SESSION
94TH GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE SCHAAF.
Read 1st time January 28, 2008 and copies ordered printed.
D. ADAM CRUMBLISS, Chief Clerk
AN ACT
To amend chapter 376, RSMo, by adding thereto one new section relating to health insurance contracts.
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 376.444, to read as follows:
376.444. 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. An agreement between a health carrier and a participating provider under this chapter or chapter 354, RSMo, shall not contain a provision that:
(1) Prohibits or grants the health carrier an option to prohibit the participating provider from contracting with another health carrier to accept lower payment for health care services than the payment specified in the agreement;
(2) Requires or grants the health carrier an option to require the participating provider to accept a lower payment from the health carrier if the participating provider agrees with another health carrier to accept lower payment for health care services;
(3) Requires or grants the health carrier an option of termination or renegotiation of the agreement if the participating provider agrees with another health carrier to accept lower payment for health care services; or
(4) Requires the participating provider to disclose the participating provider's reimbursement rates under contracts with other health carriers.
3. Any contract provision that violates this section is void and unenforceable.
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