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House Bill 582

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Last Action 03/01/18: to Banking & Insurance (H)
Title AN ACT relating to health insurance.
Bill Documents Introduced
Fiscal Impact Statement Health Mandate
Bill Request Number 1815
Sponsors K. Moser, D. St. Onge
Summary of Original Version Amend KRS 304.17A-254 and 304.17A-527 to prohibit insurers from reducing a negotiated rate for evaluation and management services solely because the provider also billed for other services on the same day; amend KRS 304.17A-580 to prohibit an insurer from denying coverage for emergency services in a concurrent or retrospective review based on the final diagnosis of the insured; establish time frame for prior authorization of poststabilization treatment; allow for a hospital providing emergency services to be paid at a negotiated rate; repeal KRS 304.17A-640, 304.17A-641, and 304.17A-649; amend KRS 18A.225 to conform.
Index Headings of Original Version Health Benefit Mandate - Managed care plans, evaluation and management services, reduced reimbursement, prohibition of
Emergency Medical Services - Concurrent review denial, prohibition of
Emergency Medical Services - Poststabilization treatment, preauthorization of
Emergency Medical Services - Retrospective review denial, prohibition of
Hospitals and Nursing Homes - Emergency medical services, concurrent review denial, prohibition of
Hospitals and Nursing Homes - Emergency medical services, negotiated rate for
Hospitals and Nursing Homes - Emergency medical services, retrospective review denial, prohibition of
Hospitals and Nursing Homes - Participating provider agreement, voiding provisions of
Insurance, Health - Emergency medical services, concurrent review denial, prohibition of
Insurance, Health - Emergency medical services, retrospective review denial, prohibition of
Insurance, Health - Health benefit plans, evaluation and management services, reduced reimbursement, prohibition of
Insurance, Health - Managed care plans, evaluation and management services, reduced reimbursement, prohibition of
Insurance, Health - Participating provider agreement, voiding provisions of
Physicians and Practitioners - Emergency medical services, concurrent review denial, prohibition of
Physicians and Practitioners - Emergency medical services, retrospective review denial, prohibition of
Physicians and Practitioners - Participating provider agreement, voiding provisions of

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02/27/18
  • introduced in House
03/01/18
  • to Banking & Insurance (H)


Last updated: 9/1/2020 2:57 PM (EDT)
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