Missouri legislation · 2025 Regular Session
Missouri HB1071: Enacts provisions relating to insurance coverage for mental health treatments
Status: In committee, February 24, 2025
What the bill says
To amend chapter 376, RSMo, by adding thereto one new section relating to insurance coverage for mental health services. Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1553, to read as follows: 376.1553. 1. As used in this section, terms shall have the same meanings as ascribed to them in section 376.1350, and the term "cost-sharing" shall include any copayment,coinsurance,deductible,amountpaidbyanenrolleeforhealthcareservicesin excess of a coverage limitation, or similarcharge requiredby oron behalf of an enrollee in order to receive a s.
From the introduced text:
To amend chapter 376, RSMo, by adding thereto one new section relating to insurance coverage for mental health services. Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1553, to read as follows: 376.1553. 1. As used in this section, terms shall have the same meanings as ascribed to them in section 376.1350, and the term "cost-sharing" shall include any copayment,coinsurance,deductible,amountpaidbyanenrolleeforhealthcareservicesin excess of a coverage limitation, or similarcharge requiredby oron behalf of an enrollee in order to receive a specific health care service covered by a health benefit plan. 2. If an enrollee is admitted to a hospital emergency room with a behavioral or mental health condition and is transferred to another hospital that is not a participating provider for that condition under the patient's health benefit plan: (1) The health carrier shall not impose cost-sharing requirements for treatment of the behavioral or mental health condition that are greater than the cost-sharing requirements would be for treatment of the behavioral or mental health condition by a participating provider; and (2) The health carrier shall reimburse the hospital for treatment of the behavioralormentalhealthconditionatthesameratethehospitalwouldbereimbursed by MO HealthNet. 3. It shall constitute an unlawful practice within the meaning of section 407.020, and any action authorized in sections 407.010 to 407.130 may be taken, if …