The bill seeks to repeal and replace section 208.152 of the Revised Statutes of Missouri, significantly expanding the coverage of MO HealthNet to include fertility treatments. The new provisions will cover a range of medical services for eligible needy individuals, such as inpatient and outpatient hospital services, laboratory and X-ray services, and mental health services. Importantly, the bill introduces specific coverage for fertility treatments, including medical consultations, infertility diagnosis testing, and assisted reproductive procedures like in vitro fertilization, contingent upon the approval of necessary state plan amendments or waivers. In addition to the new fertility treatment coverage, the bill maintains existing medical service provisions and emphasizes adherence to federal regulations regarding eligibility and payment processes. It mandates the Department of Social Services to seek necessary approvals for the new coverage and requires the MO HealthNet division to report annually on provider reimbursement rates. The legislation also outlines various medical assistance benefits, including dental and optometry services, while establishing guidelines for timely reimbursements and enrollment of residential care facilities as MO HealthNet providers. Notably, the bill specifies that no payments will be made for gender transition surgeries or related treatments.

Statutes affected:
Introduced (5962H.01): 208.152