HB 675 -- Health Care Providers

Sponsor:  Stefanick

This bill changes the laws regarding ambulatory medical treatment
centers.  In its main provisions, the bill:

(1)  Defines "ambulatory medical treatment centers" as facilities
that provide specific services but do not provide accommodations
for patients to stay in the establishment for more than 23 hours;

(2)  Defines "ambulatory surgical centers" as a subcategory of
ambulatory medical treatment centers;

(3)  Creates the Ambulatory Medical Treatment Center Fund, which
is funded by license fees charged to ambulatory medical treatment
centers;

(4)  Requires the surgical or medical staff of an ambulatory
medical treatment center that provides surgical procedures,
childbirths, cardiac catheterization, or endoscopy to have active
medical staff privileges in at least one hospital in the same
community as the ambulatory medical treatment center.
Alternatively, the ambulatory medical treatment center must have
a current working agreement with at least one hospital in the
same community as the ambulatory center;

(5)  Requires the surgical or medical staff of an ambulatory
medical treatment center or the treatment center and a hospital
to enter into binding arbitration if the staff and the hospital
or the center and the hospital do not come to an agreement
regarding staff privileges or a working agreement;

(6)  Specifies that inspections of ambulatory medical treatment
centers by the Department of Health and Senior Services should
occur with a frequency that is substantially comparable to the
frequency of inspections of hospitals;

(7)  Requires the State Board of Registration for the Healing
Arts to promulgate guidelines and standards for the performance
of office-based surgery by licensed physicians and surgeons by
July 1, 2006; and

(8)  Requires physicians who have an ownership interest in an
ambulatory medical treatment center to disclose the ownership
interest before referring a patient to the treatment center.

Missouri House of Representatives
93rd General Assembly, 1st Regular Session
Last Updated August 25, 2005 at 1:20 pm