Modifies provisions relating to tort actions based on improper health care

HB 1493 modifies Missouri's laws regarding medical malpractice lawsuits by expanding the definition of "health care provider" to include licensed long-term care facilities. The bill gives the state director of commerce and insurance the authority to review and potentially reject insurance rates for medical malpractice if they are found to be excessive, inadequate, or unfairly discriminatory. In making these determinations, the director must consider specific factors such as local loss experience, inflation, administrative costs, and the specific needs of Missouri health care practices. Additionally, the legislation defines terms like "catastrophic personal injury" and "equitable share" to clarify how damages and liability are calculated in these cases.