Definition


View in Glossary

Legislation Signed into Law

2019

Primary Focus Mandated Benefit: MAT
Title/Description MAT coverage and provider prescribing abilities
Summary

The law requires every insurance company and health service corporation to offer, in all insurance policies, coverage for MAT. The law allows qualifying assistant physicians, advanced nurse practitioners, and physician assistants, under supervision, to prescribe buprenorphine for up to a thirty-day supply without refills for MAT patients.

Notes

Enacted through SB 951SB 718  

2018

Primary Focus Mandated Benefit: Provider
Title/Description Mental health coverage, requirements — definitions — exclusions
Citation § 376.1550 R.S.Mo.
Summary

Notwithstanding any other provision of law to the contrary, each health carrier that offers or issues health benefit plans which are delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2005, are to provide coverage for mental health conditions as defined. Specifically, mental health condition means any condition or disorder defined by categories listed in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders.

Effective Date 7/6/2018
Notes

Enacted through SB 718 (99th General Assembly Second Regular Session)

2016

Primary Focus Access to services/Eligibility
Title/Description Medical services for which payment will be made — co-payments may be required — reimbursement for services
Citation § 208.152 R.S.Mo
Summary

MO HealthNet payments will be made for mental health services. The state plan for providing medical assistance under the law is to include the following mental health services when such services are provided by community mental health facilities operated by the department of mental health or designated by the department of mental health as a community mental health facility or as an alcohol and drug abuse facility or as a child-serving agency within the comprehensive children’s mental health service system: outpatient mental health services, clinical mental health services, and rehabilitative mental health services. Beginning July 1, 2016, providers of behavioral, social, and psychophysiological services for the prevention, treatment, or management of physical health problems shall be reimbursed utilizing the behavior assessment and intervention reimbursement codes 96150 to 96154 or their successor codes under the Current Procedural Terminology (CPT) coding system. Providers eligible for such reimbursement shall include psychologists.

Effective Date 10/14/2016
Notes

Enacted through SB 608 (2016 Regular Session)

2015

Primary Focus Mandated Benefit: Eating Disorders
Title/Description Insurance coverage for diagnosis and treatment
Citation § 376.845 R.S.Mo
Summary

All health benefit plans that are delivered, issued for delivery, continued or renewed on or after January 1, 2017, if written inside the state of Missouri, or written outside the state of Missouri but covering Missouri residents, are to provide coverage for the diagnosis and treatment of eating disorders.

Effective Date 8/28/2015
Notes

Enacted through SB 145 (2015 Regular Session)

2013

SB 262
Introduced 2/2013
Sponsor Sen. Pearce
Status Signed into Law 7/2013
Summary

This bill required the oversight division of the joint committee on legislative research to conduct a study to determine the financial impact of required insurance coverage for eating disorders (it also required the committee to study the financial impact of required coverage of an anti-cancer medication). The study was to assume the following:

  • Plans would be required to cover residential treatment
  • Plans would be required to cover nutrition counseling, physical therapy, dietician services, medical monitoring, and psychiatric monitoring
  • Plans would be required to use similar deductibles and copayments for eating disorder services as are in place for other medical services

This results of this study may have assisted in the passage of SB 145 from the 2015 legislative session, which required insurance plans to cover eating disorder treatment. This section of this bill is very similar to a section of SB 161, which passed in the same legislative session.

SB 161
Introduced 1/2013
Sponsor Sen. Pearce
Status Signed into Law 7/2013
Summary

This bill required the oversight division of the joint committee on legislative research to conduct a study to determine the financial impact of required insurance coverage for eating disorders (it also required the committee to study the financial impact of required coverage of an anti-cancer medication). The study was to assume the following:

  • Plans would be required to cover residential treatment
  • Plans would be required to cover nutrition counseling, physical therapy, dietician services, medical monitoring, and psychiatric monitoring
  • Plans would be required to use similar deductibles and copayments for eating disorder services as are in place for other medical services. This section of this bill is very similar to a section of SB 262, which passed in the same legislative session.

This results of this study may have assisted in the passage of SB 145 from the 2015 legislative session, which required insurance plans to cover eating disorder treatment.

2010

HB 1311
Introduced 12/2009 (pre-filed)
Sponsor Rep. Scharnhorst and Rep. Grill
Summary

This bill changed the section of the state insurance law about autism coverage to what it is currently. This section of the law is summarized near the bottom of this page. HB 1341 was initially a separate bill. The part of the bill about insurance coverage is a compromise between the original versions of HB 1311 and HB 1341. This section of the law was also a part of an early version of SB 583 but was removed before the bill was signed into law. This bill also changed the section of the state Occupations and Professionals law to create the Applied Behavior Analyst Advisory Board in addition to creating licensure standards for practitioners of applied behavior analysis.

2009

Primary Focus Mandated Benefit: Provider
Title/Description Coverage required for chemical dependency by all insurance and health service corporations—minimum standards—offer of coverage may be accepted or rejected by policyholders, companies may offer as standard coverage—mental health benefits provided, when—exclusions
Citation § 376.811 R.S.Mo
Summary

Every insurance company and health services corporation doing business in the state is to offer in all health insurance policies benefits or coverage for chemical dependency meeting certain minimum standards. Further, every insurance company, health services corporation and health maintenance organization doing business in the is to offer in all health insurance policies, benefits or coverages for recognized mental illness, excluding chemical dependency, meeting certain minimum standards.

Effective Date 8/28/2009
Notes

Enacted through HB 326 (2009 Regular Session)

National Parity Map

View the state parity reports to learn about legislation, regulation, and litigation related to parity implementation

National Parity Map

Get Support

Common Violations

In seeking care or services, be aware of the common ways parity rights can be violated.