| 1 | 1 | | |
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| 2 | 2 | | FIRST REGULAR SESSION |
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| 3 | 3 | | SENATE BILL NO. 592 |
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| 4 | 4 | | 103RD GENERAL ASSEMBLY |
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| 5 | 5 | | INTRODUCED BY SENATOR CARTER. |
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| 6 | 6 | | 2059S.02I KRISTINA MARTIN, Secretary |
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| 7 | 7 | | AN ACT |
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| 8 | 8 | | To amend chapter 376, RSMo, by adding thereto one new section relating to insurance payments |
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| 9 | 9 | | for anesthesia. |
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| 10 | 10 | | |
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| 11 | 11 | | Be it enacted by the General Assembly of the State of Missouri, as follows: |
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| 12 | 12 | | Section A. Chapter 376, RSMo, is amended by adding theret o 1 |
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| 13 | 13 | | one new section, to be known as section 376.2100, to read as 2 |
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| 14 | 14 | | follows:3 |
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| 15 | 15 | | 376.2100. 1. As used in this section, the following 1 |
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| 16 | 16 | | terms mean: 2 |
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| 17 | 17 | | (1) "Anesthesia practitioner", an anesthesiologist or 3 |
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| 18 | 18 | | an anesthesiologist assistant, as such terms are d efined in 4 |
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| 19 | 19 | | section 334.400; 5 |
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| 20 | 20 | | (2) "Anesthesia time", the period during which an 6 |
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| 21 | 21 | | anesthesia practitioner is present with the patient, 7 |
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| 22 | 22 | | beginning when the anesthesia practitioner begins to prepare 8 |
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| 23 | 23 | | the patient for anesthesia in an operating room or 9 |
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| 24 | 24 | | equivalent area, and ending when the anesthesia practitioner 10 |
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| 25 | 25 | | is no longer delivering anesthesia services to the patient 11 |
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| 26 | 26 | | and the patient may be placed safely under postoperative or 12 |
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| 27 | 27 | | post-anesthesia care. In calculating anesthesia time, an 13 |
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| 28 | 28 | | anesthesia practitioner may include blocks of time around 14 |
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| 29 | 29 | | interruptions, provided that the anesthesia practitioner is 15 |
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| 30 | 30 | | delivering continuous anesthesia care in the time periods 16 |
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| 31 | 31 | | before and after each interruption; 17 SB 592 2 |
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| 32 | 32 | | (3) "Health carrier", the same meaning as is ascribe d 18 |
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| 33 | 33 | | to it in section 376.1350. 19 |
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| 34 | 34 | | 2. Reimbursement amounts from a health carrier for 20 |
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| 35 | 35 | | anesthesia services shall be calculated under the prevailing 21 |
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| 36 | 36 | | medical coding and billing standards in the professional 22 |
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| 37 | 37 | | medical billing community. Reimbursement amount s for 23 |
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| 38 | 38 | | anesthesia services shall be calculated based on a base, 24 |
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| 39 | 39 | | plus time units, multiplied by an anesthesia conversion 25 |
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| 40 | 40 | | factor as defined in the individual contract between the 26 |
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| 41 | 41 | | health carrier and anesthesia practitioner or group of 27 |
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| 42 | 42 | | anesthesia practitio ners. Anesthesia time shall be 28 |
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| 43 | 43 | | recognized with time units no more than fifteen minutes in 29 |
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| 44 | 44 | | duration. The sum of the anesthesia time units shall equal 30 |
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| 45 | 45 | | the anesthesia time. 31 |
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| 46 | 46 | | 3. No health carrier shall directly or indirectly 32 |
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| 47 | 47 | | impose a maximum duratio n of anesthesia time for which 33 |
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| 48 | 48 | | reimbursement will be made for anesthesia provided during a 34 |
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| 49 | 49 | | health care service for which anesthesia is covered. 35 |
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| 50 | 50 | | 4. No health carrier shall directly or indirectly 36 |
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| 51 | 51 | | restrict or exclude all anesthesia time from reimburs ement 37 |
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| 52 | 52 | | for a health care service for which anesthesia is covered. 38 |
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| 53 | 53 | | |
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