Bill > SB1644

This bill, by adding Section 376.1068 to Missouri law, prohibits certain restrictive clauses in contracts between health care providers and entities that arrange for health care services, known as "general contracting entities." Specifically, it bans "anti-steering clauses" which prevent entities from encouraging patients to use certain providers, "anti-tiering clauses" that limit how providers are grouped in tiered networks, "gag clauses" that restrict the sharing of price or quality information, and "most-favored-nation clauses" that dictate reimbursement rates or require termination of contracts based on rates with other entities. The bill declares any such clauses in provider network contracts void and unenforceable, while the rest of the contract remains valid. It also establishes a good faith duty for health benefit plan issuers to act in the best interest of enrollees when encouraging the use of specific providers or implementing tiered networks.

Business and Industry

https://www.senate.mo.gov/26info/BTS_Web/Bill.aspx?SessionType=R&BillID=4064823