SB 90 Modifies various provisions regarding benefits provided by the state health care plan, rules promulgated by certain county health center boards, and the capping of non-covered dental and optometric services
Sponsor: Dempsey
LR Number: 0752L.02C Fiscal Note: 0752-02N.ORG
Committee: Health, Mental Health, Seniors and Families
Last Action: 5/13/2011 - H Calendar S Bills for Third Reading w/HCS Journal Page:
Title: HCS SB 90 Calendar Position:
Effective Date: August 28, 2011
House Handler: Burlison

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Current Bill Summary


HCS/SB 90 - This act modifies various provisions regarding health care.

MCHCP AND MEDICARE ELIGIBLE ENROLLEES - Under this act, Missouri Consolidated Health Care Plan participants who are eligible for Medicare benefits and who are not eligible for their state employee health care coverage to be their primary plan of coverage shall be provided substantially similar benefits provided to participants who are not eligible for Medicare benefits. Under current law, a participant in the state employee health care plan who is eligible for Medicare, and whose state employee coverage is not primary, must be provided the same benefits provided to participants who are not eligible for Medicare benefits. This portion of the act is substantially similar to SB 894 (2010)(Section 103.089). This provision can be found in the truly agreed to version of HB 270 (2011).

HIGH DEDUCTIBLE PLANS THROUGH MCHCP - Under this act, beginning with the open enrollment period for the 2012 plan year, the high deductible health plan offered by the Missouri Consolidated Health Care Plan shall have monthly subscriber premiums that are materially lower than non-high deductible health plan monthly subscriber premiums with a goal of monthly subscriber premiums being at least 50% lower than non-high deductible health plan premiums. The amount of the annual deductible for the high deductible health plan shall be no greater than 200% of the minimum annual deductible for self-only coverage and family coverage as established by the Internal Revenue Service for the current tax year. The coverage afforded by the high deductible health plan, after the deductible has been met, shall be substantially similar to the coverage provided by the non-high deductible health plan chosen by a plurality of qualified employees. If, after the completion of the open enrollment period for the 2012 plan year, fewer than 10% of Missouri's active state employees have enrolled in a high deductible health plan described in the act, then the board shall offer a more competitive high deductible health plan with increased financial and coverage incentives, including but not limited to alternative annual deductibles, out-of-pocket expenses, and other health plan design features, all within the federal guidelines, with the goal of having 40% of Missouri's active state employees enrolling in a health savings account compatible high deductible health plan by the open enrollment period for the 2015 plan year. This portion of the act is substantially similar to SCS/SB 2 (2011) and can be found in the truly agreed to version of HB 270 (2011) (Section 103.080).

BARIATRIC COVERAGE THROUGH THE MCHCP - This act requires the Missouri Consolidated Health Care board to develop a cost-neutral or cost-positive plan for proving bariatric coverage for persons insured under the Missouri Consolidated Health Care Plan no later than January 1, 2013 (Section 102.082).

HENRY COUNTY HEALTH CENTER BOARD RULES AND REGULATIONS - This act requires the county commission of Henry County to approve any order, ordinance, rule or regulation made by its county health center board (Section 192.300).

FEE CAPPING FOR NON-COVERED DENTAL AND OPTOMETRIC SERVICES - Under the terms of this act, a contract between a health carrier or health benefit plan and a dentist or optometrist cannot require the dentist or optometrist to provide services to an insured at a fee established by the health carrier or respective plan if the services are not covered under the plan (sections 376.1226 and 376.1227). These provisions can also be found in HCS/HB 669 (2011).

STEPHEN WITTE