Missouri legislation · 2026 Regular Session
Missouri HB3088: Creates provisions relating to conduct affecting health care provider networks
Status: In committee, April 27, 2026
What the bill says
To amend chapter 376, RSMo, by adding thereto one new section relating to conduct affecting health care provider networks. Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1068, to read as follows: 376.1068. 1. As used in this section, the following terms mean: (1) "Anti-steering clause", a provision in a provider network contract that restricts the ability of a general contracting entity to encourage an enrollee to obtain a health care service from a competitor of the provider, including offering incentives to encourage enrollees to use sp.
From the introduced text:
To amend chapter 376, RSMo, by adding thereto one new section relating to conduct affecting health care provider networks. Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1068, to read as follows: 376.1068. 1. As used in this section, the following terms mean: (1) "Anti-steering clause", a provision in a provider network contract that restricts the ability of a general contracting entity to encourage an enrollee to obtain a health care service from a competitor of the provider, including offering incentives to encourage enrollees to use specific providers; (2) "Anti-tiering clause", a provision in a provider network contract that: (a) Restricts the ability of a general contracting entity to introduce or modify a tiered network plan or assign providers into tiers; or (b) Requires a general contracting entity to place all members of a provider in the same tier of a tiered network plan; (3) "Covered individual", an individual who is covered under a health benefit plan; (4) "Enrollee", the same meaning given to the term in section 376.1350; (5) "Facility", the same meaning given to the term in section 376.1350; (6) "Gag clause", a provision in a provider network contract that restricts the ability of a general contracting entity or provider to disclose: EXPLANATION -- Matter enclosed in bold-faced …