Modifies provisions relating to certificates of need. This act repeals provisions of the certificate of need law relating to hospitals, excluding long-term care beds in hospitals, and major medical equipment. This act also makes technical changes to the certificate of need statutes. This act is identical to SB 192 (2021).
Repeals the certificate of need law. This bill has been combined with other bills. Refer to lead bill (SB 727) for more information.
Repeals provisions relating to certificates of need. This bill repeals the Missouri Certificate of Need Law (Sections 197.300 to 197.367, RSMo). This bill is similar to HCS HB 1222 & 1342 (2021) and HB 1786 (2020).
This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See Missouri page. Missouri has long recognized the benefits of telehealth in increasing access to healthcare. To encourage providers to adopt telehealth services, the state has passed parity laws requiring health plans to provide coverage and reimbursement for telehealth services at the same basis and rate as they would for in-person services. Access to telehealth services was further [...]
This act modifies the definition of "telehealth" and "telemedicine" to include the use of adaptive non-static questionnaires as part of asynchronous store-and-forward technology. Such adaptive non-static questionnaires shall be sufficient to establish an informed diagnosis as though a medical interview or physical examination has been performed in person, for purposes of establishing a physician-patient relationship through telemedicine, including for purposes of prescribing any drug, controlled substance, or other treatment.
Modifies provisions relating to telemedicine. This bill modifies the definition of "telemedicine" to include adaptive questionnaire digital technology. The bill allows a physician to establish a physician-patient relationship through telemedicine by utilizing an adaptive questionnaire to establish an informed diagnosis. This bill allows a physician's designee to use a digital format through an adaptive questionnaire based on professional practice standards to provide treatment sufficient to establish a physician-patient relationship in order to prescribe drugs or treatment.
Modifies provisions relating to collaborative practice arrangements for advanced practice registered nurses. The bill removes the requirement that an advanced practice registered nurse (APRN) enter into a collaborative practice arrangement with a physician in order to deliver health care services so that an APRN can, without entering into a collaborative practice agreement, deliver health care services that are within the scope of practice of the APRN and that are consistent with the skill, training and competence of the APRN.
Modifies provisions relating to telemedicine. The bill modifies the definitions for health care providers and physicians as it relates to the use of telemedicine in order to treat patients in this state by adding that the definition shall include those licensed by another state, a territory of the United States, or the District of Columbia.
Creates provisions relating to payments for health care services. This bill prohibits health carriers, including the operators of prepaid dental plans, from modifying medical codes on reimbursement claims in a way that results in a lower reimbursement amount. If additional information is required to process the claim as submitted, the statute regarding prompt payment of health insurance claims, or the statute regarding payment for emergency services, shall apply, as applicable. The bill prohibits the carriers from stating or implying to patients that a claim for reimbursement was inappropriate or excessive, except as provided in [...]
