Modifies provisions relating to health care
What changed between versions
The definition of 'clinical pathology services' was expanded to explicitly include services involving medical judgment in high-complexity laboratory environments, clarifying what constitutes a professional service.
The reimbursement calculation was changed to be based on 'no less than thirty percent' of the approved MO HealthNet Independent Lab - Technical Component fee schedule, replacing the previous reference to Medicare's schedule.
A new requirement mandates that payment for professional clinical pathology services be made directly to the licensed physician or the entity they assign, rather than to the hospital.
New language was added to address the need for federal Medicaid state plan amendments, requiring the department to seek approval and implement reimbursement to the fullest extent permitted by state and federal law.
The bill title and header were updated to reflect that it is now a combined substitute for House Bills 1945 and 2570.
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