| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.309 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEBLACK. |
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| 5 | 5 | | 0413H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter376,RSMo,byaddingtheretoonenewsectionrelatingtohealthcare |
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| 8 | 8 | | providerparticipationinhealthinsuranceplans. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter376,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection376.1583,toreadasfollows: |
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| 12 | 12 | | 376.1583.1.Theprovisionsofthissectionshallbeknownandmaybecitedas |
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| 13 | 13 | | 2the"PatientsFirstAct". |
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| 14 | 14 | | 3 2.Thedepartmentofcommerceandinsuranceshallimplementandenforcethe |
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| 15 | 15 | | 4nondiscriminationprotectionsinSection2706ofthefederalPublicHealthServiceAct, |
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| 16 | 16 | | 542U.S.C.Section300gg-5,byensuringthatnogrouphealthplanorhealthinsurance |
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| 17 | 17 | | 6issuerofferinggrouporindividualhealthinsurancecoverageshalldiscriminatewith |
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| 18 | 18 | | 7respecttoparticipationundertheplanorcoverageagainstanyhealthcareprovider |
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| 19 | 19 | | 8whoisactingwithinthescopeofthatprovider'slicenseorcertificationunderstatelaw. |
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| 20 | 20 | | 9 3.(1)Ahealthbenefitplan,asdefinedinsection376.1350,shallnotdiscriminate |
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| 21 | 21 | | 10againstahealthcareproviderbasedontheprovider'slicensurewithrespectto |
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| 22 | 22 | | 11reimbursementorparticipationinanyplanorinsuranceprogram. |
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| 23 | 23 | | 12 (2)Allhealthcareprovidersshallbereimbursedatthesamerateforthesame |
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| 24 | 24 | | 13serviceaslongassuchserviceiswithintheprovider'sscopeofpractice. |
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| 25 | 25 | | 14 4.Thedepartmentofcommerceandinsurancemaypromulgateallnecessary |
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| 26 | 26 | | 15rulesandregulationsfortheadministrationofthissection.Anyruleorportionofa |
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| 27 | 27 | | 16rule,asthattermisdefinedinsection536.010,thatiscreatedundertheauthority |
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| 28 | 28 | | 17delegatedinthissectionshallbecomeeffectiveonlyifitcomplieswithandissubjectto |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18alloftheprovisionsofchapter536and,ifapplicable,section536.028.Thissectionand |
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| 31 | 31 | | 19chapter536arenonseverableandifanyofthepowersvestedwiththegeneralassembly |
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| 32 | 32 | | 20pursuanttochapter536toreview,todelaytheeffectivedate,ortodisapproveandannul |
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| 33 | 33 | | 21arulearesubsequentlyheldunconstitutional,thenthegrantofrulemakingauthority |
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| 34 | 34 | | 22andanyruleproposedoradoptedafterAugust28,2025,shallbeinvalidandvoid. |
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| 35 | 35 | | âś” |
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| 36 | 36 | | HB309 2 |
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