HB 1223 Missouri House · 2025 Regular Session

Modifies provisions relating to administrative remedies in MO HealthNet cases

HB 1223 modifies Missouri Medicaid (MO HealthNet) appeal processes to clarify timelines and procedures for recipients and providers. It requires divisions to notify beneficiaries of appeal rights within 10 days of proposed benefit changes, and provides a 90-day window for appeals after case closures. Benefits must continue at prior levels during appeals unless the recipient requests otherwise, and all appeals must include a fair hearing with documented evidence. This directly affects Medicaid recipients denied services, providers denied reimbursement, and agencies administering MO HealthNet.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 6, 2025 Last action May 15, 2025
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
May 15, 2025
Committee
Referred: Emerging Issues(H)
lower
Feb 6, 2025
Introduced
Introduced and Read First Time (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Tara Peters
Tara Peters
RRepublican
MO
122