Last Action | signed by Governor (Acts Ch. 40) |
---|---|
Title | AN ACT relating to claims payments to administrators of pharmacy benefits. |
Bill Documents |
Bill
|
Bill Request Number | 1797 |
Sponsors | R. Rand, R. Adams, S. Baugh, T. Burch, D. Butler, J. Greer, J. Higdon, D. Horlander, D. Keene, T. Thompson, J. Vincent, B. Yonts |
Summary of Original Version | Create a new section of KRS 304.17A-700 to 304.17A-730 to define the term carrier; require that a contract between a carrier and its pharmacy benefits administrator requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; require that a contract between a carrier and a participating pharmacy or its contracting agency requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; provide that an electronic claim is to be submitted in the form required by the carrier if the participating provider or designee agrees to accept claims details for the payments electronically and provides accurate electronic funds transfer information to the carrier; require that all electronic claims are to be in compliance with HIPAA regulations on privacy of electronic submissions; require that the provisions for electronic claims are to apply to all contracts entered into, amended, extended, or renewed on or after January 1, 2009. |
Index Headings of Original Version |
Contracts - Electronic claims, pharmacy benefits administrator, requirements for Health and Medical Services - Electronic claims, pharmacy benefits administrator, requirements for Insurance, Health - Electronic claims, pharmacy benefits administrator, requirements for Medicaid - Electronic claims, pharmacy benefits administrator, requirements for Pharmacists - Electronic claims, pharmacy benefits administrator, requirements for Contracts - Electronic claims, pharmacies, requirements for Health and Medical Services - Electronic claims, pharmacies, requirements for Insurance, Health - Electronic claims, pharmacies, requirements for Medicaid - Electronic claims, pharmacies, requirements for Pharmacists - Electronic claims, pharmacies, requirements for |
Proposed Amendments |
House Committee Substitute 1 House Floor Amendment 1 |
Votes | Vote History |
02/14/08 |
|
---|---|
02/15/08 |
|
02/21/08 |
|
02/27/08 |
|
02/28/08 |
|
03/04/08 |
|
03/05/08 |
|
03/06/08 |
|
03/10/08 |
|
03/13/08 |
|
03/14/08 |
|
03/26/08 |
|
03/27/08 |
|
04/01/08 |
|
04/09/08 |
|
Amendment | House Committee Substitute 1 |
---|---|
Summary | Retain original provisions; change "carrier" to "insurer"; delete "or if electronic payment is requested by the provider" in subsection (2). |
Index Headings |
Contracts - Electronic claims, pharmacy benefits administrator, requirements for Health and Medical Services - Electronic claims, pharmacy benefits administrator, requirements for Insurance, Health - Electronic claims, pharmacy benefits administrator, requirements for Medicaid - Electronic claims, pharmacy benefits administrator, requirements for Pharmacists - Electronic claims, pharmacy benefits administrator, requirements for Contracts - Electronic claims, pharmacies, requirements for Health and Medical Services - Electronic claims, pharmacies, requirements for Insurance, Health - Electronic claims, pharmacies, requirements for Medicaid - Electronic claims, pharmacies, requirements for Pharmacists - Electronic claims, pharmacies, requirements for |
Amendment | House Floor Amendment 1 |
---|---|
Sponsor | R. Rand |
Summary | Retain original provisions; make technical corrections. |
Index Headings |
Contracts - Electronic claims, pharmacy benefits administrator, requirements for Health and Medical Services - Electronic claims, pharmacy benefits administrator, requirements for Insurance, Health - Electronic claims, pharmacy benefits administrator, requirements for Medicaid - Electronic claims, pharmacy benefits administrator, requirements for Pharmacists - Electronic claims, pharmacy benefits administrator, requirements for Contracts - Electronic claims, pharmacies, requirements for Health and Medical Services - Electronic claims, pharmacies, requirements for Insurance, Health - Electronic claims, pharmacies, requirements for Medicaid - Electronic claims, pharmacies, requirements for Pharmacists - Electronic claims, pharmacies, requirements for |
Last updated: 8/28/2019 8:09 AM (EDT)