SECOND REGULAR SESSION

SENATE BILL NO. 574

90TH GENERAL ASSEMBLY


INTRODUCED BY SENATOR HOUSE.

Pre-filed December 1, 1999, and 1,000 copies ordered printed.



TERRY L. SPIELER, Secretary.

3021S.01I


AN ACT

To amend chapters 335 and 376, RSMo, by adding thereto two new sections relating to health insurance.


Be it enacted by the General Assembly of the State of Missouri, as follows:

Section A.  Chapters 335 and 376, RSMo, are amended by adding thereto two new sections, to be known as sections 335.017 and 376.1190, to read as follows:

335.017.  1.  As used in section 376.1190, RSMo, "registered nurse first assistant" means any person practicing in this state as a registered nurse who is licensed pursuant to chapter 335, RSMo, and who:

(1)  Is certified by a nationally recognized professional organization for registered nurse first assistants; or

(2)  Meets the criteria for registered nurse first assistants established by the Missouri state board of nursing.

2.  The Missouri state board of nursing shall promulgate rules pursuant to chapter 536, RSMo, specifying which professional nursing organization certifications will be recognized for registered nurse first assistants and establishing the criteria a registered nurse must satisfy to use the title of registered nurse first assistant if the nurse if not certified by a nationally recognized professional nursing organization as a registered nurse first assistant.

376.1190.  Any entity offering individual or group health insurance policies providing coverage on an expense-incurred basis, any health services corporation issuing individual or group service or indemnity type contracts, any health maintenance organization issuing individual or group service contracts, any entity providing medical coverage for injured workers pursuant to chapter 287, RSMo, all self-insured group arrangements to the extent not preempted by federal law, all managed health care delivery entities of any type or description and benefit payments made pursuant to section 208.152, RSMo, that are delivered, issued for delivery, continued or renewed in this state on or after January 1, 2001, and that provide coverage for medical services, surgical services, diagnostic procedures, clinical laboratory services, durable medical equipment, radiology services, prescription drugs, physical therapy services and occupational therapy services shall also provide, within such coverage, all services provided or ordered by a registered nurse first assistant as defined in section 335.017, RSMo, practicing as an independent contractor consistent with his or her scope of practice.




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