SB 261 – Missouri

Status: Inactive / Dead
Year Introduced: 2021
Link: https://www.senate.mo.gov/21info/BTS_Web/Bill.aspx?SessionType=R&BillID=54269174

This act modifies the definition of “unanticipated out-of-network care” to no longer require that the patient shall present at the in-network facility “with an emergency medical condition”.

The act also specifies that “unanticipated out-of-network care” shall include a referral or transfer from an in-network provider to an out-of-network provider in a situation where the only provider capable of rendering life-saving or life-sustaining treatment to the patient is an out-of-network provider.

Lastly, the act provides that in-network deductible, “co-pay, coinsurance,” and out-of-pocket maximum cost-sharing requirements shall apply to claims for unanticipated out-of-network care, rather than the in-network deductible and out-of-pocket requirements alone.


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