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SB 195 (BR 1622) - R. Roeding
AN ACT relating to insurance.
Amend KRS 304.38-030 to define "full service health maintenance organization", "health discount plan", "Medicaid-only health maintenance organization", and "single service organization", amend KRS 304.38-035 to require a health maintenance organization to hold a certificate of authority as a full service health maintenance organization, a single service organization, or a Medicaid-only health maintenance organization; amend KRS 304.38-040 to allow a limited liability corporation to apply for a certificate of authority to establish a health maintenance organization; require certain information in an application for a certificate of authority; amend 304.38-060 to specify the criteria to determine if a health maintenance organization is financially responsible; amend KRS 304.38-180 to prohibit application of the statute to Medicaid-only health maintenance organizations; amend 304.38-200 to make health maintenance organizations subject to Subtitles 9, 14, 17, 18, 24, and 26 of the insurance code; create a new section of Subtitle 43 of KRS Chapter 304 to provide that all prepaid dental plans that are not health discount plans shall be deemed to be converted to a single service organization; create new sections of Subtitle 38 of KRS Chapter 304 to require each certificate of authority issued to a health maintenance organization to designate the type of services the health maintenance organization is authorized to provide; provide that any provision that mandates coverage shall not apply to Medicaid-only health maintenance organizations; provide for certificate of authority for a health discount plan; authorize the commissioner to suspend or revoke the certificate of authority of a health discount plan; amend KRS 304.38-185 to conform; amend KRS 304.38-191 to restrict application of the statute; create a new section of Subtitle 38 of KRS Chapter 304 to establish net worth requirements of at least $500,000 for single service organizations.
SB 195 - AMENDMENTS
SCS - Amend KRS 304.38-030 to define "full service health maintenance organization", "health discount plan", "provider" and to add vision to the definitions of "single service organization"; amend KRS 304.38-035 to require health discount plans to hold a certificate of filing; amend KRS 304.38-040 to allow a limited liability corporation to apply for a certificate of authority to establish a health maintenance organization; amend KRS 304.38-060 to specify the criteria to determine if a health maintenance organization is financially responsible; amend KRS 304.38-200 to subject health maintenance organizations to Subtitles 9, 14, 17, 18, 24, and 26 of the insurance code; create a new section of Subtitle 43 of KRS Chapter 304 to provide prepaid dental plans that are not health discount plans shall be deemed to be converted to a single service organization; create new sections of Subtitle 38 of KRS Chapter 304 to require each certificate of authority issued to a health maintenance organization to designate the type of services the health maintenance organization is authorized to provide; provide for a certificate of authority of a health discount plan; authorize the commissioner to suspend or revoke the certificate of authority of a health discount plan; amend KRS 304.38-185 to conform; amend KRS 304.38-191 to restrict application of the statute; create a new section of Subtitle 38 of KRS Chapter 304 to establish net worth requirements of at least $500,000 for single service organization; and amend KRS 304.38-073 to require each single service organization to furnish a deposit of cash or securities in an amount not less then $50,000.
SFA (1, R. Roeding) - Amend to establish that single service organizations are subject to the provisions of KRS 304.17A.270, 304.17A.505, 304.17A.525, 304.17A.530, 304.17A.590, and 304.17A.545(4).
SFA (2, R. Roeding) - Amend to establish that single service organizations are subject to the provisions of KRS 304.17A-270, 304.17A-505, 304.17A-525, 304.17A-530, 304.17A-590, and 304.17A-545(4).
HFA (1, R. Crimm) - Create a new section of Subtitle 17A of KRS Chapter 304 to provide that any health benefit plan offered through associations may be sold by any licensed agent.
HFA (2/P, R. Damron) - Attach the provision of HB 268 to SB 195.
HFA (3, S. Westrom) - Amend KRS 205.560 to require medical coverage for special medical formulas for treatment of inherited metabolic disease, and list the 23 specific inherited metabolic diseases to be covered; amend KRS 213.141 to increase birth certificate copy fee from $9 to $10 and require $1 fee to provide coverage for the prescription food products for the listed inherited metabolic diseases of uninsured children, and provide that cabinet program shall pay for amino acid modified preparations and low-protein modified food products if those formulas and products are not covered under any other public or private health benefit plan; amend KRS 214.155 to require cabinet to make available to families the names and addresses of health care providers when infants test positive for inborn errors of metabolism; create new section of Subtitle 17A of KRS Chapter 304 to require coverage of newborn child from the moment of birth, including care and treatment of the specifically listed medically diagnosed inherited metabolic diseases; establish a time period of 31 days after the date of birth to pay the required fees or premiums necessary, require coverage for inherited metabolic disease drugs; require that coverage apply to health benefit plans delivered on and after effective date of Act; provide that provisions do not apply to the treatment of lactose intolerance, protein intolerance, food allergy, food sensitivity, or any other condition or disease other than the listed metabolic diseases.
HFA (4/Title, S. Westrom) - Make title amendment.
HFA (5, G. Stumbo) - Create a new section of KRS Chapter 48 to permit the Governor to declare an emergency and administer the government with public funds not to exceed appropriations provided for the immediately preceding fiscal year if general appropriations bill for the executive branch is not enacted; restrict authorizations to maximum of one fiscal year; require investment of revenues received in excess of appropriations.
HFA (6, G. Stumbo) - Create a new section of KRS Chapter 48 to permit the Legislative Research Commission to declare an emergency and administer the legislative branch of government with public funds not to exceed appropriations provided for the immediately preceding fiscal year if general appropriations bill for the legislative branch is not enacted; permit the Chief Justice to declare an emergency and administer the judicial branch of government with public funds not to exceed appropriations provided for the immediately preceding fiscal year if general appropriations bill for the legislative branch is not enacted; restrict authorizations to maximum of one fiscal year; require investment of revenues received in excess of appropriations.
HFA (7/Title, G. Stumbo) - Make title amendment.
Feb 3-introduced in Senate
Feb 7-to Banking and Insurance (S)
Mar 7-reported favorably, 1st reading, to Calendar with Committee Substitute
Mar 8-2nd reading, to Rules; floor amendment (1) filed
Mar 9-posted for passage in the Regular Orders of the Day for Monday, March 13, 2000; floor amendment (2) filed to Committee Substitute
Mar 13-3rd reading; floor amendment (1) withdrawn ; passed 37-0 with Committee Substitute, floor amendment (2)
Mar 14-received in House
Mar 15-to Banking and Insurance (H); posting waived; posted in committee
Mar 16-reported favorably, 1st reading, to Calendar
Mar 17-2nd reading, to Rules
Mar 23-posted for passage in the Regular Orders of the Day for Friday, March 24, 2000
Mar 24-floor amendments (1) and (2) filed
Mar 27-floor amendment (1) withdrawn
Mar 28-floor amendments (3) and (4-title) filed ; floor amendments (3) and (4-title) withdrawn
Mar 29-floor amendments (5) (6) and (7-title) filed
Apr 11-3rd reading; floor amendment (2) withdrawn ; passed 89-0; received in Senate; enrolled, signed by each presiding officer, delivered to Governor
Apr 21-signed by Governor (Acts ch. 427)
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