Bill Text: MO HB607 | 2011 | Regular Session | Introduced

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Bill Title: Specifies that health plans providing services for conditions within the scope of practice of athletic trainers may not deny reimbursement to a licensed athletic trainer if reimbursable to another provider

Spectrum: Bipartisan Bill

Status: (Introduced - Dead) 2011-02-24 - Referred: Health Insurance (H) [HB607 Detail]

Download: Missouri-2011-HB607-Introduced.html

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FIRST REGULAR SESSION

HOUSE BILL NO. 607

96TH GENERAL ASSEMBLY

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INTRODUCED BY REPRESENTATIVE FRANZ.

1560L.01I                                                                                                                                                  D. ADAM CRUMBLISS, Chief Clerk

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AN ACT

To amend chapter 376, RSMo, by adding thereto one new section relating to health insurance coverage for licensed athletic trainers.

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

            Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1240, to read as follows:

            376.1240. 1. To the extent a health carrier or health benefit plan, as defined in section 376.1350, provides coverage for physical medicine and rehabilitation services as described in Current Procedural Terminology copyrighted by the American Medical Association that are within the scope of practice of athletic trainers licensed under chapter 334, a licensed athletic trainer who acts within the scope of practice authorized by law shall not be denied reimbursement by a health carrier or health benefit plan for such covered services if the health carrier or health benefit plan would reimburse another health care provider for the same services. A health carrier or health benefit plan may require that licensed athletic trainer services be provided under contract with the health carrier or health benefit plan.

            2. Services provided by licensed athletic trainers may be subject to reasonable deductibles, copayment, and coinsurance amounts, fee or benefit limits, practice parameters, and utilization review consistent with applicable rules adopted by the department of insurance, financial institutions and professional registration; provided that the amounts, limits, and review shall not function to direct treatment in a manner unfairly discriminative against athletic trainer care, and collectively shall be no more restrictive than those applicable under the same policy for other physical medicine and rehabilitation but allowing the management of benefits consistent with variations in practice patterns and treatment modalities among different types of health care providers.

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