Creates provisions relating to insurance coverage of alternatives to opioid drugs

Plain English: 6283H04.02H HB 2642 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 13 1 AMEND House Committee Substitute for House Bill Nos.

• 6283H04.02H HB 2642 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 13 1 AMEND House Committee Substitute for House Bill Nos.
• 2642, 2296, 1966 & 1680, Page 1, 2 Section A, Line 2, by inserting after said section and line the following: 3 4 "208.152.
• 1.
• MO HealthNet payments shall be made on behalf of those eligible needy 5 persons as described in section 208.151 who are unable to provide for it in whole or in part, with 6 any payments to be made on the basis of the reasonable cost of the care or reasonable charge for 7 the services as defined and determined by the MO HealthNet division, unless otherwise 8 hereinafter provided, for the following: 9 (1) Inpatient hospital services, except to persons in an institution for mental diseases 10 who are under the age of sixty-five years and over the age of twenty-one years; provided that the 11 MO HealthNet division shall provide through rule and regulation an exception process for 12 coverage of inpatient costs in those cases requiring treatment beyond the seventy-fifth percentile 13 professional activities study (PAS) or the MO HealthNet children's diagnosis length-of-stay 14 schedule; and provided further that the MO HealthNet division shall take into account through its 15 payment system for hospital services the situation of hospitals which serve a disproportionate 16 number of low-income patients; 17 (2) All outpatient hospital services, payments therefor to be in amounts which represent 18 no more than eighty percent of the lesser of reasonable costs or customary charges for such 19 services, determined in accordance with the principles set forth in Title XVIII A and B, Public 20 Law 89-97, 1965 amendments to the federal Social Security Act (42 U.S.C.

Plain English: 6283H04.03H HB 2642 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 1 1 AMEND House Committee Substitute for House Bill Nos.

• 6283H04.03H HB 2642 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 1 1 AMEND House Committee Substitute for House Bill Nos.
• 2642, 2296, 1966 & 1680, Page 2, 2 Section 376.1280, Line 26, by inserting after said section and line the following: 3 4 "376.1285.
• 1.
• As used in this section, the terms "health carrier" and "health benefit plan" 5 shall have the same meanings given to the terms in section 376.1350.

Plain English: 6283H04.04H HB 2642 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 1 1 AMEND House Committee Substitute for House Bill Nos.

• 6283H04.04H HB 2642 House _____________________________________________________ Amendment NO.____ Offered By _____________________________________ ___________________________________ Action Taken___________________________________________ Date __________________ Page 1 of 1 1 AMEND House Committee Substitute for House Bill Nos.
• 2642, 2296, 1966 & 1680, Page 1, In 2 the Title, Line 3, by deleting the words "of alternatives to opioid drugs"; and 3 4 Further amend said bill by amending the title, enacting clause, and intersectional references 5 accordingly.