SB 310-2_ Filed 02/01/2001, 09:18
Adopted 02/01/2001

SENATE MOTION


MR. PRESIDENT:

    I move
that Senate Bill 310 be amended to read as follows:

SOURCE: Page 1, line 14; (01)MO031004.1. -->     Page 1, line 14, delete "On January 1 of each year:" and insert " Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection:".
    Page 2, between lines 21 and 22, begin a new paragraph and insert:
    " (e) If a provider provides services that are covered under a health care plan:
        (1) after the effective date of the most current version of a diagnostic or procedure code described in subsection (d); and
        (2) before the administrator begins using the most current version of the diagnostic or procedure code;
the administrator shall reimburse the provider under the version of the diagnostic or procedure code that was in effect on the date that the services were provided.
".
    Page 2, line 26, delete "On January 1 of each year:" and insert " Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection:".
    Page 3, between lines 7 and 8, begin a new paragraph and insert:
    " (c) If a provider provides services that are covered under the Medicaid program:
        (1) after the effective date of the most current version of a diagnostic or procedure code described in subsection (b); and
        (2) before the office begins using the most current version of the diagnostic or procedure code;
the office shall reimburse the provider under the version of the diagnostic or procedure code that was in effect on the date that the services were provided.
    (d) Not less than thirty (30) days before the effective date of an updated version of the current procedural terminology (CPT) and international classification of disease (ICD) codes, the office shall transmit electronically the updated codes to all:
        (1) providers of health care services; and
        (2) health maintenance organizations;
that participate in Medicaid under this article.
".
    Page 3, line 10, delete "On January 1 of each year:" and insert " (a) Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection:".
    Page 3, between lines 34 and 35, begin a new paragraph and insert:
    " (b) If a provider provides services that are covered under an association policy:
        (1) after the effective date of the most current version of a diagnostic or procedure code described in subsection (a); and
        (2) before the association begins using the most current version of the diagnostic or procedure code;
the association shall reimburse the provider under the version of the diagnostic or procedure code that was in effect on the date that the services were provided.
".
    Page 4, line 13, delete "On January 1 of each year:" and insert " (a) Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection:".
    Page 4, line 25, delete ";" and insert " or a worker's compensation policy;".
    Page 4, line 39, delete "." and insert " or a worker's compensation policy.".
    Page 4, between lines 39 and 40, begin a new paragraph and insert:
    " (b) If a provider provides services that are covered under an accident and sickness insurance policy or a worker's compensation policy:
        (1) after the effective date of the most current version of a diagnostic or procedure code described in subsection (a); and
        (2) before the insurer begins using the most current version of the diagnostic or procedure code;
the insurer shall reimburse the provider under the version of the diagnostic or procedure code that was in effect on the date that the services were provided.
".
    Page 5, line 2, delete "On January 1 of each year:" and insert " Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this section:".
    Page 5, after line 30, begin a new paragraph and insert:
    " Sec. 2. If a provider provides services that are covered under an individual contract or a group contract:
        (1) after the effective date of the most current version of a diagnostic or procedure code described in section 1 of this chapter; and
        (2) before the health maintenance organization or limited service health maintenance organization begins using the most current version of the diagnostic or procedure code;
the health maintenance organization or limited service health maintenance organization shall reimburse the provider under the

version of the diagnostic or procedure code that was in effect on the date that the services were provided.".
    (Reference is to SB 310 as printed January 26, 2001.)

________________________________________

Senator MILLER


MO031004/DI 98     2001