Missouri legislation · 2025 Regular Session
Missouri HB871: Creates provisions relating insurance coverage of medically necessary health care services
Status: In committee, May 15, 2025
What the bill says
To amend chapter 376, RSMo, by adding thereto one new section relating to insurance coverage of medically necessary health care services. Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1284, to read as follows: 376.1284. 1. As used in this section, the following terms mean: (1) "Health benefit plan", the same meaning given to the term in section 376.1350. The term "health benefit plan" shall also include MO HealthNet, the children's health insurance program authorized under chapter 208, the Missouri consolidated health care plan establish.
From the introduced text:
To amend chapter 376, RSMo, by adding thereto one new section relating to insurance coverage of medically necessary health care services. Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1284, to read as follows: 376.1284. 1. As used in this section, the following terms mean: (1) "Health benefit plan", the same meaning given to the term in section 376.1350. The term "health benefit plan" shall also include MO HealthNet, the children's health insurance program authorized under chapter 208, the Missouri consolidated health care plan established under chapter 103, and any other statesponsored health insurance program; (2) "Health care professional", the same meaning given to the term in section 376.1350; (3) "Health care service", the same meaning given to the term in section 376.1350; (4) "Health carrier", the same meaning given to the term in section 376.1350. The term "health carrier" shall also include the MO HealthNet division and any Medicaid managed care organization as defined in section 208.431; (5) "Medically necessary health care service", a health care service that is needed to diagnose, prevent, treat, cure, or relieve a health condition, illness, injury, or disease. EXPLANATION -- Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law. Matter …