Missouri legislation · 2026 Regular Session
Missouri SB1644: Creates provisions relating to conduct affecting health care provider networks
Status: In committee, February 12, 2026
SB 1644 - This act prohibits a health care provider from offering to a general contract entity or entering into a written provider network contract that includes an anti-steering, anti-tiering, gag, or most-favored-nation clause, all of which are defined by the act. Additionally, a provider shall not amend or renew an existing provider network contract so that the contract as amended or renewed adds or retains an anti-steering, anti-tiering, gag, or most-favored-nation clause. Any provision in a provider network contract that includes any of the prohibited clauses shall be void and unenforceable. The remaining provisions in the contract shall remain in effect and are enforceable. A health benefit plan issuer that encourages an enrollee to obtain a health care service from a particular provider or that introduces or modifies a tiered network plan or assigns providers into tiers has a good faith duty to the enrollee or policyholder to engage in conduct for the benefit of the enrollee or policyholder. This act is substantially similar to HB 3088 (2026). TAYLOR MIDDLETON
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; SB 1644 (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: (a) Price or quality …