HB 1126 Missouri House · 2025 Regular Session

Creates provisions relating to insurance coverage of anesthesia services

HB 1126 requires health insurers and state health plans to pay for all anesthesia time during medical procedures without imposing time limits or excluding any anesthesia time from payment calculations. It directly affects anesthesia providers (like anesthesiologists) and health carriers (including Medicaid managed care organizations and MO HealthNet) by mandating that payment must be based on the full time an anesthesia practitioner is actively providing care to a patient. The bill prohibits insurers from establishing policies that restrict or exclude any portion of "anesthesia time" - defined as the continuous period from preparation through post-anesthesia care - when calculating payments. This ensures providers are compensated for the full duration of their service, aligning payment with actual clinical time rather than arbitrary limits.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 29, 2025 Last action May 1, 2025
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What changed between versions

Introduced House Committee Substitute · 4 edits
MODERATE
The bill was amended to combine HB 1126 with HB 932 and added an emergency clause to allow immediate implementation. A new definition for 'Excepted benefit plan' was added to ensure these plans are also subject to the anesthesia payment requirements, expanding the bill's applicability beyond just health benefit plans and health carriers.
Scope change
Expanded to include Excepted benefit plans in addition to health benefit plans and health carriers, and now applies to both HB 1126 and HB 932.
SCOPE

Bill title and numbering changed from 'HB 1126' to 'HBs 1126 & 932', indicating two bills were combined into one committee substitute.

DEFINITION

Added a new definition for 'Excepted benefit plan' referencing section 376.998, which was previously missing from the definitions section.

REQUIREMENT

Added a new requirement stating that Excepted benefit plans must comply with the anesthesia payment rules established in the bill.

TIMELINE

Added an emergency clause declaring the act necessary for immediate preservation of public health, allowing it to take effect immediately upon passage.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
11
Key actions
4
Committee
6
May 1, 2025
Lower · Passed
Reported Do Pass (H) - AYES: 9 NOES: 0 PRESENT: 0
lower
May 1, 2025
Lower · Passed
Voted Do Pass (H)
lower
Apr 29, 2025
Committee
Referred: Rules - Administrative(H)
lower
Apr 8, 2025
Lower · Passed
HCS Reported Do Pass (H) - AYES: 13 NOES: 0 PRESENT: 0
lower
Apr 7, 2025
Lower · Passed
HCS Voted Do Pass (H)
lower
Mar 25, 2025
Committee
Referred: Insurance(H)
lower
Jan 29, 2025
Introduced
Introduced and Read First Time (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of George Hruza
George Hruza
RRepublican
MO
89