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SECOND REGULAR SESSION
SENATE BILL NO. 930
103RD GENERAL ASSEMBLY
INTRODUCED BY SENATOR LEWIS.
4785S.01I KRISTINA MARTIN, Secretary
AN ACT
To amend chapter 376, RSMo, by adding thereto one new section relating to anesthesia services.
Be it enacted by the General Assembly of the State of Missouri, as follows:
Section A. Chapter 376, RSMo, is amended by adding thereto 1
one new section, to be known as section 376.1245, to read as 2
follows:3
376.1245. 1. As used in this section, the following 1
terms mean: 2
(1) "Anesthesia time", the period during which an 3
anesthesia practitioner is present with the patient, 4
starting when the anesthesia practitioner begins to prepare 5
the patient for anesthesia services in the operating room or 6
an equivalent area and ending when the anesthesia 7
practitioner is no longer furnishing anesthesia services to 8
the patient because the patient may be placed safely under 9
postoperative or postanesthesia care. The term "anesthesia 10
time" includes, if counted by the anesthesia practitioner, 11
blocks of time around an interruption in anesthesia time 12
provided the anesthesia practitioner is furnishing 13
continuous anesthesia care within the time periods around 14
the interruption; 15
(2) "Anesthesia time units", time units recognized 16
with appropriate time intervals that do not exceed fifteen 17
minutes in length for each interval and that, taken 18
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together, represent the total anesthesia time for a 19
particular anesthesia service; 20
(3) "Excepted benefit plan", the same meaning given to 21
the term in section 376.998; 22
(4) "Health benefit plan", the same meaning given to 23
the term in section 376.1350. The term "health benefit 24
plan" shall also include the Missouri consolidated health 25
care plan established under chapter 103; 26
(5) "Health carrier", the same meaning given to the 27
term in section 376.1350; 28
(6) "Payment of anesthesia services", an amount paid 29
for anesthesia services: 30
(a) Determined by using prevailing medical coding and 31
billing standards in the professional medical billing 32
community, such as the Current Procedural Terminology code 33
book published by the American Medical Association, the 34
Medicare Claims Processing Manual, or guidance from 35
nationally recognized anesthesia organizations; and 36
(b) Calculated as the product obtained by multiplying 37
the following together: 38
a. The sum of the base units for the appropriate 39
medical code plus anesthesia time units and modifying units; 40
and 41
b. An anesthesia conversion factor that is defined in 42
the individual contract between the health carrier or health 43
benefit plan and the anesthesia practitioner or group. 44
2. No health carrier or health benefit plan shall 45
establish, implement, or enforce any policy, practice, or 46
procedure that imposes a time limit for the payment of 47
anesthesia services provided during a medical or surgical 48
procedure. 49
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3. No health carrier or health benefit plan shall 50
establish, implement, or enforce any policy, practice, or 51
procedure that restricts or excludes all anesthesia time in 52
calculating the payment of anesthesia services. 53
4. Excepted benefit plans shall be subject to the 54
requirements of this section. 55
5. The provisions of this section shall apply to 56
health carriers that offer or issue health benefit plans 57
that are delivered, issued for delivery, continued, or 58
renewed in this state on or after August 28, 2026. 59
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