HB 1616
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).
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.
Creates provisions relating to payments for prescription drugs. Beginning March 1, 2023, and annually thereafter, a pharmacy benefits manager (PBM) utilized by the Missouri Consolidated Health Care Plan (the Plan) shall file a report with the Plan for the immediately preceding calendar year regarding rebates, as defined in the bill. The report shall include the aggregate dollar amount of rebates collected from pharmaceutical manufacturers, the aggregate dollar amount of the rebates that were not passed on to the Plan, and the aggregate dollar amount of all fees and payments received from pharmaceutical manufacturers.
Creates provisions relating to payments for prescription drugs. Beginning March 1, 2023, and annually thereafter, a pharmacy benefits manager (PBM) utilized by the Missouri Consolidated Health Care Plan (the Plan) shall file a report with the Plan for the immediately preceding calendar year regarding rebates, as defined in the bill.
Requires the department of health and senior services to develop and implement a wholesale prescription drug importation program. This bill authorizes the Department of Health and Senior Services to develop by January 1, 2022, a plan for implementing a Canadian prescription drug importation program as specified in the bill. The program will allow Missouri residents to access safe pharmaceuticals at a lower cost and will sunset in six years after the effective date.
Creates provisions relating to prescription drug costs. This bill requires health insurance deductible or coinsurance payments for prescription insulin to be calculated at the point of sale based on a price that is reduced by, at a minimum, the amount of rebates received, or to be received, in connection with the dispensing or administration of the drug.
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.