Healthcare (Medicare)

HB 1945 modifies Missouri's health care payment system for clinical pathology services under MO HealthNet (the state's Medicaid program). It requires MO HealthNet to pay hospital-based pathologists 30% of Medicare's rate for the "professional component" of their services (interpretation and diagnosis), with payments going directly to the hospital if the pathologist is employed there, or to the third-party provider if not. This affects hospitals, pathologists, and MO HealthNet patients by standardizing reimbursement for these diagnostic services. The bill also adds licensing requirements for drug distributors (section 338.333), but the primary focus is on pathology billing changes.