Missouri 2026 Regular Session

Missouri Senate Bill SB1664

Introduced
2/12/26  

Caption

Creates the "Honest Billing Act" regarding payment for health care services

Impact

The legislation is a notable shift in the Missouri healthcare billing landscape, targeting specific practices that have historically led to confusion and potential unfair billing practices. By requiring the use of a unique NPI for off-campus outpatient departments, the bill seeks to increase transparency and accountability in healthcare billing. Additionally, facilities will need to comply with strict conditions to ensure they do not hold patients liable for any claims not submitted according to the new guidelines. Violations of these provisions can result in penalties, including administrative fines and the potential for license revocation.

Summary

Senate Bill 1664, known as the 'Honest Billing Act', aims to establish new requirements for billing practices related to healthcare services provided at off-campus outpatient departments of healthcare facilities. The bill mandates that these facilities must obtain a unique National Provider Identifier (NPI) for billing purposes that is distinct from any NPI used by the main campus of the healthcare facility. This requirement applies to claims submitted after December 31, 2026, effectively reforming how outpatient services bill for healthcare coverage under various health carriers.

Contention

Potential points of contention surrounding SB1664 include discussions over its implications for healthcare accessibility and the administrative burdens it may impose on healthcare facilities. Proponents argue that the regulations will safeguard consumer interests by ensuring fairness in billing practices, while opponents might express concerns regarding the increased complexities and costs associated with compliance for smaller or rural healthcare providers. Furthermore, the enforcement mechanisms outlined in the bill, including penalties for violations, could be perceived as overly punitive by some stakeholders within the healthcare sector.

Companion Bills

No companion bills found.

Previously Filed As

MO SB592

Enacts provisions relating to insurance payments for anesthesia

MO SB372

Enacts provisions relating to payments for prescription drugs

MO SB45

Enacts provisions relating to payments for prescription drugs

MO SB512

Enacts provisions relating to payments for prescription drugs

MO SB230

Enacts provisions relating to prior authorization of health care services

MO SB376

Creates a health advocate program in the Department of Health and Senior Services

MO HB982

Creates provisions relating to payments for prescription drugs

MO HB840

Creates provisions relating to payments for prescription drugs

MO SB178

Modifies provisions relating to health care

MO SB79

Modifies provisions relating to health care

Similar Bills

No similar bills found.