TO AMEND THE MEDICAID PROVIDER-LED ORGANIZED CARE ACT; TO CLARIFY MARKETING BY PROVIDERS UNDER THE MEDICAID PROVIDER-LED ORGANIZED CARE ACT; AND TO DECLARE AN EMERGENCY.

SB 222 aligns Missouri's Medicaid provider marketing rules with federal standards by requiring direct service providers to follow the federal managed care marketing rules (42 C.F.R. § 438.104) as they existed on January 1, 2025. This affects Medicaid providers who market services to enrollees, ensuring their advertising complies with established federal guidelines. The bill mandates that the state department revise its marketing rules to match these federal requirements. The legislation was passed quickly with an emergency clause, becoming law on March 18, 2025.