Law and Government Legislation regarding 'Insurance - Medical' in Missouri

SS/SCS/SB 1283 - This act establishes the Missouri Health Transformation Act of 2008.MINIMUM HEALTH PROMOTION STANDARD FOR STATE BUILDINGSThis act requires the Office of Administration, in consultation with the Department of Health and Senior Services to submit a report to the Governor and General Assembly by December 31, 2008, detailing the opportunities for the state to implement a minimum health promotion standard for construction or substantial renovation of a state building. The report on minimum health standards shall also include estimates of any additional costs or savings from incorporating new architectural features. The health promotion standards to be developed in the report shall consist of architectural features designed to promote and encourage a healthier workplace and environment for those working and using the resources in a state building. SECTION 8.365HEALTH CABINET AND HEALTH POLICY COUNCILThis act creates the Missouri Health Cabinet. The cabinet shall ensure [...]

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SB 1272 - Under this act, a contract between a health carrier and a health care provider shall not require the provider to submit quality of care data to the health carrier as a condition of payment for medical services rendered, unless such data is included in the set of quality of care indicators selected by the federal Centers for Medicare and Medicaid Services for disclosure in comparative format to the public. The provisions of this section shall not be construed to limit the health carrier's ability to: (1) Abstract quality of care data from billing data submitted by the provider; or (2) Collect data necessary to comply with federal or state law or regulation or accreditation standards; or (3) Collect data from health care providers for whom the Centers for Medicare and Medicaid Services has not implemented quality of care indicators for disclosure in comparative format. Under this act, any person who sells or distributes to the public quality of care data shall include [...]

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SB 1229 - This act requires health carriers to provide health insurance to persons under the age of 21 for the diagnosis and treatment of Autism Spectrum Disorder. Under the act, a carrier shall not deny or refuse to issue coverage or refuse to renew a health benefit plan on an individual solely because the individual is diagnosed with autism spectrum disorder. Coverage for applied behavior analysis is subject to $50,000 maximum benefit. The $50,000 limitation shall be adjusted for inflation by the director of the Department of Insurance. Payments for the treatment of health conditions unrelated to the treatment of Autism Spectrum Disorder shall not be applied to $50,000 maximum benefit limitation. The act also requires the Department of Health and Senior Services to establish standards to be utilized by health benefit plans for the credentialing of autism service providers. The provisions of this act shall not apply to health benefit plans offered solely to individuals or through small [...]

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SB 1199 - This act allows health carriers to offer limited mandate health insurance policies to persons who have had their employment terminated. In order to qualify for a limited mandate health insurance policy, the person shall have had health insurance coverage under a health benefit plan through an employer for a minimum period of 90 days immediately prior to his or her termination. Applicants shall elect coverage under a limited mandate health insurance policy within 60 days of his or her termination date. The limited mandate health insurance policy shall be offered to the person at similar rates and conditions as if the person had remained in the employer's employ and had continued his or her health insurance coverage through the employer under a basic health benefit plan without the inclusion of any particular state-mandated health benefits. An employer shall not be liable for any portion of the premium associated with the limited mandate health insurance policy. A person may obtain [...]

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SCS/SBs 1122 & 789 - This act requires each health carrier to provide coverage for the treatment of autism spectrum disorder. Coverage under the act is limited to treatment that is prescribed by the insured's treating physician in accordance with a treatment plan. Under the act, an insurer shall not deny or refuse to issue coverage on an individual solely because the individual is diagnosed with autism spectrum disorder. The treatment plan shall include all elements necessary for the health benefit plan to appropriately pay claims. The health benefit plan may only request an updated treatment plan once every 6 months from the treating physician to review medical necessity, unless the health benefit plan and the treating physician agree that a more frequent review is necessary due to emerging clinical circumstances. To be eligible for autism coverage, an individual shall be diagnosed with autism spectrum disorder at age 8 or younger. The coverage provided under this act shall only [...]

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SB 1101 - This act establishes the Missouri Universal Health Assurance Program. The program is a publicly financed, statewide program that will provide comprehensive health care services for Missouri residents. The Director of the Department of Health and Senior Services is required to divide the population of the state into six regional health planning and policy development districts. An advisory council of 9 members will be established for each district. The advisory councils will assist the board of governors of the program in creating an annual comprehensive state health care plan as well as developing a transportation plan for indigent, elderly, and disabled clients. The program will be administered by a 23-member board of governors, of whom 14 members will be appointed by the Governor, with the advice and consent of the Senate. The directors of the departments of Social Services, Health and Senior Services, and Mental Health will be ex-officio members; and the board will include [...]

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SB 973 - This act provides that no applicant shall be enrolled in a Medicare Advantage plan until two business days have passed since the initial personal solicitation and the applicant has signed a disclosure form. Personal solicitation includes either an on-site presentation at a facility or a home meeting with an insurance agent. The disclosure shall be signed and dated by both the applicant and the agent on the day of the initial personal solicitation and shall include: -A statement that Medicare Advantage plans are not Medigap supplement plans; -A statement advising the applicant to confirm with his or her health care providers whether or not the provider has contracted with the Medicare Advantage plan to provide medical services; and -A statement advising the applicant to contact either a trusted family member, friend or the state health insurance assistance program, known as CLAIM. The director of the Department of Insurance, Financial Institutions and Professional Registration [...]

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SB 859 - This act allows health maintenance organizations to offer high deductible health plans provided such high deductible health plans are combined with health savings accounts. The health savings accounts affiliated with high-deductible HMO plans must be funded to cover the deductible for the plan. Any health maintenance organization that issues a high deductible health plan that is combined with a health savings account shall be taxed at a rate of two percent on premiums received from high deductible health plans in the same manner as life and health insurance companies are taxed under chapter 148. The proceeds from the tax, however, shall be deposited in the part C early intervention system fund (First Steps Fund). The act authorizes the department of insurance to assess whether the high-deductible health plans are meeting the act's requirements. If a HMO fails to comply with the act's requirements, the department may revoke or suspend the HMO's authority to issue such health plans.[...]

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SB 773 - This act provides that no applicant shall be enrolled in a Medicare Advantage plan until two business days have passed since the initial personal solicitation and the applicant has signed a disclosure form. Personal solicitation includes either an on-site presentation at a facility or a home meeting with an insurance agent. The disclosure shall be signed and dated by both the applicant and the agent on the day of the initial personal solicitation and shall include: -A statement that Medicare Advantage plans are not Medigap supplement plans; -A statement advising the applicant to confirm with his or her health care providers whether or not the provider has contracted with the Medicare Advantage plan to provide medical services; and -A statement advising the applicant to contact either a trusted family member, friend or the state health insurance assistance program, known as CLAIM. The director of the Department of Insurance, Financial Institutions and Professional Registration [...]

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HCS/SS/SCS/SB 778 - This act provides that female students enrolling in sixth grade in a public school may receive, at the option of a parent or guardian, an immunization for the human papillomavirus (HPV). The Department of Health and Senior Services shall directly mail age appropriate information to parents or guardians of female students entering grade 6 regarding the connection between HPV and cervical cancer and the availability of the HPV immunization. Such information shall include the risk factors for developing cervical cancer, the connection between HPV and cervical cancer, how it is transmitted and how transmission can be prevented, the latest scientific information about the immunization's effectiveness, information about the importance of pap smears, and a statement explaining that questions from parents or guardians may be answered by a health care provider. Each mailing shall request that the parents of female students entering grade 6 voluntarily furnish a written statement [...]

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