MissouriEnacts provisions relating to health care provider participation in health insurance plans
What it does
This act creates the "Patients First Act", which directs the Department of Commerce and Insurance to implement and enforce certain provisions of the federal Public Health Service Act. Insurers shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under state law.
More detail
Health benefit plans shall not discriminate against health care providers based on the providers' licensure with respect to reimbursement or participation in any plan or insurance program. All health care providers shall be reimbursed at the same rate for the same service as long as the service is within the provider's scope of practice.
The act shall not be construed as preventing a group health plan or a health insurance issuer from establishing varying reimbursement rates based on quality or performance measures.
Nothing in this act shall apply to licensed physicians.
This act is identical to HB 1894 (2026), substantially similar to SB 499 (2025), and similar to HCS/HB 530 (2025), HB 309 (2025), HB 2733 (2024), SB 558 (2023), and HB 935 (2023). TAYLOR MIDDLETON
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Where it stands
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Feb 5Second Read and Referred S Insurance and Banking CommitteeLatest
- Jan 7S First ReadMinor
- 2025
- Dec 16PrefiledIntroduced