| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsection376.1800,RSMo,andtoenactinlieuthereofonenewsectionrelatingto |
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| 8 | 8 | | medicalretaineragreements. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Section376.1800,RSMo,isrepealedandonenewsectionenactedinlieu |
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| 11 | 11 | | 2thereof,tobeknownassection376.1800,toreadasfollows: |
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| 12 | 12 | | 376.1800.1.Asusedinthissection,thefollowingtermsshallmean: |
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| 13 | 13 | | 2 (1)"Dentist",adentistlicensedunderchapter332.Theterm"dentist"includes |
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| 14 | 14 | | 3anindividualdentistoragroupofdentists; |
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| 15 | 15 | | 4 (2)"Medicalretaineragreement",acontractbetweenaphysicianoradentistandan |
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| 16 | 16 | | 5individualpatientorsuchindividualpatient'slegalrepresentativeinwhichthephysicianor |
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| 17 | 17 | | 6dentistagreestoprovidecertainhealthcareservicesdescribedintheagreementtothe |
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| 18 | 18 | | 7individualpatientforanagreed-uponfeeandperiodoftime; |
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| 21 | 21 | | 10 2.Amedicalretaineragreementisnotinsuranceandisnotsubjecttothischapter. |
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| 22 | 22 | | 11Enteringintoamedicalretaineragreementisnotthebusinessofinsuranceandisnotsubject |
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| 23 | 23 | | 12tothischapter. |
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| 24 | 24 | | 13 3.Aphysician, adentist,oranagentofaphysicianordentistisnotrequiredto |
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| 25 | 25 | | 14obtainacertificateofauthorityorlicenseunderthissectiontomarket,sell,oroffertosella |
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| 26 | 26 | | 15medicalretaineragreement. |
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| 27 | 27 | | 16 4.Tobeconsideredamedicalretaineragreementforthepurposesofthissection,the |
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| 28 | 28 | | 17agreementshallmeetallofthefollowingrequirements: |
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| 32 | 32 | | 20andtheindividualpatientorsuchindividualpatient'slegalrepresentative; |
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| 33 | 33 | | 21 (3)Alloweitherpartytoterminatetheagreementonwrittennoticetotheotherparty; |
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| 34 | 34 | | 22 (4)Describethespecifichealthcareservicesthatareincludedintheagreement; |
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| 35 | 35 | | 23 (5)Specifythefeefortheagreement; |
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| 36 | 36 | | 24 (6)Specifytheperiodoftimeundertheagreement;and |
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| 37 | 37 | | 25 (7)Prominentlystateinwritingthattheagreementisnothealthinsurance. |
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| 38 | 38 | | 26 5.(1)Foranypatientwhoentersintoamedicalretaineragreementunderthissection |
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| 39 | 39 | | 27andwhohasestablishedahealthsavingsaccount(HSA)incompliancewith26U.S.C. |
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| 40 | 40 | | 28Section223,orwhohasaflexiblespendingarrangement(FSA)orhealthreimbursement |
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| 41 | 41 | | 29arrangement(HRA),feesunderthepatient'smedicalretaineragreementmaybepaidfrom |
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| 42 | 42 | | 30suchhealthsavingsaccountorreimbursedthroughsuchflexiblespendingarrangementor |
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| 43 | 43 | | 31healthreimbursementarrangement,subjecttoanyfederalorstatelawsregardingqualified |
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| 44 | 44 | | 32expendituresfromahealthsavingsaccount,orreimbursementthroughaflexiblespending |
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| 45 | 45 | | 33arrangementorahealthreimbursementarrangement. |
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| 46 | 46 | | 34 (2)Theemployerofanypatientdescribedinsubdivision(1)ofthissubsectionmay: |
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| 47 | 47 | | 35 (a)Makecontributionstosuchpatient'shealthsavingsaccount,flexiblespending |
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| 48 | 48 | | 36arrangement,orhealthreimbursementarrangementtocoveralloranyportionoftheagreed- |
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| 49 | 49 | | 37uponfeesunderthepatient'smedicalretaineragreement,subjecttoanyfederalorstate |
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| 50 | 50 | | 38restrictionsoncontributionsmadebyanemployertoahealthsavingsaccount,or |
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| 51 | 51 | | 39reimbursementthroughaflexiblespendingarrangement,orhealthreimbursement |
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| 52 | 52 | | 40arrangement;or |
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| 53 | 53 | | 41 (b)Paytheagreed-uponfeesdirectlytothephysicianordentistunderthemedical |
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| 54 | 54 | | 42retaineragreement. |
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| 55 | 55 | | 43 6.Nothinginthissectionshallbeconstruedasprohibiting,limiting,orotherwise |
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| 56 | 56 | | 44restrictingaphysicianinacollaborativepracticearrangementfromenteringintoamedical |
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| 57 | 57 | | 45retaineragreementunderthissection. |
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| 58 | 58 | | âś” |
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