|American Society of Dermatology|
Missouri Senate Direct Access Bill
Second regular session SENATE BILL NO. 902 88TH General Assembly Introduced by Senator Sims. Read 1st time February 8, 1996, and 1,000 copies ordered printed. Terry L.Spieler, Secretary S3430.01I AN ACT To amend chapter 376, RSMo, relating to health care benefits, by adding one new section relating to the same subject. Be it enacted by the General Assembly of the State of Missouri, as follows: Section A. Chapter 376, RSMo, is amended by 2 adding therto one new section to be known as section 376.1335, to read as follows: 376.1335. 1. As used in this section, the following terms mean: 2 (1) "Dermatological services," services ordinarily and customarily rendered by a physican 3 specializing in the practice of dermatology; 4 (2) "Health benefit policy," any individual or group plan, policy, or contract for health care 5 services issued, delivered, issued for delivery, 6 or renewed in this state by a health care 7 corporation, health maintenance organization, accident and sickness insurer, fraternal benefit 8 society, nonprofit hospital service corporation, 9 nonprofit medical service corporation, or similar 10 entity regulated by the department of insurance; 11 (3) "Primary care physician," a physician who 12 is board certified or board eligible and practices in general internal medicine, pediatrics, obstetrics, 13 gynecology, or family practice. 14 2. No health benefit policy which is issued, delivered,issued for delivery, or renewed in this state 15 on or after August 28, 1996, shall require as a condition to the coverage of dermatological services 16 that an enrollee, subscriber, or insured first 17 obtain a referral from a primary care physician 18 and no such health benefit policy shall discriminate against or impose any extraordinary 19 copayments, deductibles, or other financial 20 penalties upon an enrollee for seeking dermatological services without first obtaining a 21 referral from a primary care physician. 22 (3.) This section shall not apply to supplemental insurance policies, including accident-only policies, 23 specified disease policies, hospital policies 24 providing a fixed daily benefit only, Medicare 25 supplement policies, and long-term care policies.