Missouri State Senate


SB 197 – This act provides that no licensed health care professional shall charge, bill, or solicit payment for anatomic pathology services, unless the services are rendered personally by the health care professional or under the health care professional's direct supervision. No patient, insurer, third-party payor, hospital, public health clinic, or nonprofit health clinic shall be required to reimburse any licensed health care professional for charges or claims submitted in violation of this act. The provisions of this act shall not be construed to mandate the assignment of benefits for anatomic pathology services. Nothing will prohibit the billing of a referring laboratory for services when samples must be sent to another specialist nor will a referring physician be prohibited from sending a patient's specimen to any laboratory providing anatomic pathology services.

A clinical laboratory or physician, located in Missouri or in another state, providing anatomic pathology services for patients in this state shall present a bill for services only to the patient directly and other certain prescribed entities. The licenses of health care professionals violating the provisions of this act may be subject to disciplinary action.

This act is similar to SB 817 (2008), SB 467 (2007) and SB 1076 (2006).