FIRST REGULAR SESSION
HOUSE BILL NO. 860
95TH GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVES SILVEY (Sponsor), LIPKE, ERVIN, SCHOELLER, BURLISON, SALVA, ICET AND MOLENDORP (Co-sponsors).
1460L.01I D. ADAM CRUMBLISS, Chief Clerk
To repeal section 103.008, RSMo, and to enact in lieu thereof one new section relating to the Missouri consolidated health care plan.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Section 103.008, RSMo, is repealed and one new section enacted in lieu thereof, to be known as section 103.008, to read as follows:
103.008. 1. The general administration and the responsibility for the proper operation of the plan is vested in a board of trustees of thirteen persons, as follows: the director of the department of health and senior services, the director of the department of insurance, financial institutions and professional registration, the commissioner of the state office of administration serving ex officio, one member of the senate from the majority party appointed by the president pro tem of the senate and one member of the senate from the minority party appointed by the president pro tem of the senate with the concurrence of the minority floor leader of the senate, one member of the house of representatives from the majority party appointed by the speaker of the house of representatives and one member of the house of representatives from the minority party appointed by the speaker of the house of representatives with the concurrence of the minority floor leader of the house of representatives, and six members appointed by the governor with the advice and consent of the senate. Of the six members appointed by the governor, three shall be citizens of the state of Missouri who are not members of the plan, but who are familiar with medical issues. The remaining three members shall be members of the plan and may be selected from any state agency or any participating member agency.
2. Except for the legislative members, the director of the department of health and senior services, the director of the department of insurance, financial institutions and professional registration, and the commissioner of the office of administration, trustees shall be chosen for terms of four years from the first day of January next following their election or appointment. Any vacancies occurring in the office of trustee shall be filled in the same manner the office was filled previously.
3. (1) The board shall contract with an administrative services organization (ASO) to perform administrative services with respect to the Missouri consolidated health care plan if the board determines that ASO administration of the plan is more cost-effective than board administration of the plan and such ASO administration does not adversely impact enrollees in the plan.
(2) If the board determines that ASO administration of the plan is more cost-effective under subdivision (1) of this subsection, the board shall contract with an ASO through a competitive bidding process. Such contracts shall not exceed five years and shall be rebid at least once every five years. Such contracts may be rebid more frequently at the discretion of the board or when directed by the general assembly.
(3) Nothing in this subsection shall be construed as altering the duties and responsibilities of the board regarding the general administrative duties assigned to the board under subsection 1 of this section. Any ASO providing administrative services for the plan shall be subject to the provisions of this chapter regarding administration of the plan.