02RS HB161

HB161

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HB 161 (BR 1143) - S. Nunn

     AN ACT relating to electronic health registries and making an appropriation therefor.
     Create new sections of KRS Chapter 11 to define terms; require the Governor's Office for Technology to implement, host, and maintain an Internet-based common registry for telehealth, public health, and family practice residency programs; establish standards for the central registry; and require the central registry to be a component of any electronic health network if a network is developed by legislation or developed by a state board or agency; amend KRS 11.550 to require the Telehealth Board to establish procedures and minimum data set for the telehealth functions of the central registry; expand reporting requirements to include data collected by the registry; create a new section of KRS Chapter 164 to require the University of Kentucky and the University of Louisville to collaborate with the Governor's Office of Technology to implement the common central registry for family practice residence programs; create a new section of KRS Chapter 211 to require the secretary of the Cabinet for Health Services to implement a common centralized registry for case management, immunizations decision support tracking, disease surveillance, communicable disease reporting, and any other services as determined by the secretary; establish requirements for the immunization registry; authorize the promulgation of administrative regulations related to the central registry and sharing of immunization information; require health departments to use the central registry; require the Cabinet for Health Services to seek funding to support public health registries; require the cabinet to report data collected by the registry to the Governor, the Legislative Research Commission, and the Interim Joint Committee on Health and Welfare; appropriate $2 million for the 2002-2003 fiscal year and $3.5 million for the 2003-2004 fiscal year.

HB 161 - AMENDMENTS


     HCS/FN - Retain original provisions; require the implementation of a common registry to be contingent upon availability of funds; clarify that the responsibility of implementation of the common central registry is with any future board or agency established to develop an electronic health network; and delete appropriation.

     HCA (1/Title, S. Nunn) - Make title amendment.

     HCA (2, S. Nunn) - Retain original provisions; permit collaboration between the Governor's Office of Technology, the Cabinet for Health Services, the Telehealth Board, the University of Kentucky, and the University of Louisville to implement a common registry instead of requiring implementation of the registry.

     HFA (1, S. Nunn) - Retain original provisions; permit collaboration between the Governor's Office of Technology, the Cabinet for Health Services, the Telehealth Board, the University of Kentucky, and the University of Louisville to implement a common registry instead of requiring implementation of the registry.

     HFA (2, S. Nunn) - Provide for centralized registration for providers and payors for the purposes of participating in the telehealth network and electronic health program, and for receipt of health alert information as required by the CDC, Department for Public Health, and local health departments; and clarify that the latest version of reference material may be used as standards for computer systems in the registry.

     HFA (3, S. Nunn) - Permit collaboration between the Governor's Office of Technology, the Cabinet for Health Services, the Kentucky e-Health and Telehealth Board, the University of Kentucky, and the University of Louisville to implement a common registry instead of requiring implementation of a registry; provide for centralized registration of providers and payors for the purposes of participating in the telehealth network and electronic health program, and for receipt of health alert information as required by the Centers for Disease Control and Prevention, Department for Public Health, and local health departments; clarify that the latest version of reference material may be used as standards for computer systems linked to the registry; create new sections of KRS Chapter 11 to declare findings of the General Assembly related to electronic health information; define terms; establish the responsibilities of the board; require the board to establish an advisory group to ensure input into the evaluation of models for an e-health network; require the board to complete a study of the feasibility of implementing an electronic health network, including the capability of integrating an electronic Medicaid management information system and incentives to promote the manufacturing of related software; require the study to be completed using federal or voluntarily-contributed private funds; authorize the board to implement a model only if deemed feasible by the board and the General Assembly concurs; require the results of the feasibility study and a description of the model selected to be submitted to the Legislative Research Commission upon completion; require any model selected to comply with the federal Health Insurance Portability and Accountability Act; require the board to seek any necessary state funding to implement the selected model through the state appropriations process; require the board to oversee the development of the network of providers and payors and adopt standards for computer systems communicating with the central part of the network if a model is deemed feasible and the General Assembly concurs; authorize the board to promulgate administrative regulations; require the board to report to the Governor, secretary of the Cabinet for Health Services, commissioner of the Office for the New Economy, Legislative Research Commission, Interim Joint Committee on Health and Welfare and the Interim Joint Committee on Banking and Insurance annually on the development of the Kentucky e-Health Network and its impact on the quality and cost of health care; create a Kentucky e-Health and Telehealth fund in the state treasury; amend KRS 11.550 to reorganize the Telehealth Board as the Kentucky e-Health and Telehealth Board; establish membership of the board and committees; require the board to establish procedures and determine the functions and minimum data set for centralized telehealth registry; require the University of Kentucky and the University of Louisville to report semi-annually to the Interim Joint Committee on Health and Welfare on the telehealth data collected by the centralized registry; amend KRS 164.6015, 164.6021, 164.6029, 164.6037, 154.12-270, and 154.12-274 to encourage the research, development, and funding of an electronic health network; amend KRS 154.12-278 to expand the duties of the Office of the Commissioner for the New Economy to include cooperating with other state agencies and private corporations to secure funding for and promote the research and development of health information technology; amend KRS 205.559 to conform; retain current members of the Telehealth Board as members of the Kentucky e-Health and Telehealth Board; and transfer telehealth funds to the new board.

     HFA (4/Title, S. Nunn) - Make title amendment.

     (Prefiled by the sponsor(s))

     Jan 8-introduced in House; to Health and Welfare (H)
     Jan 22-posted in committee; posting waived
     Jan 24-reported favorably, 1st reading, to Calendar with Committee Substitute, committee amendment (1-title)
     Jan 25-2nd reading, to Rules; recommitted to Appropriations and Revenue (H)
     Jan 28-floor amendment (1) filed to Committee Substitute
     Feb 1-posted in committee
     Feb 5-reported favorably, to Rules with committee amendment (2) ; posted for passage in the Regular Orders of the Day for Wednesday, February 6, 2002
     Feb 6-floor amendment (2) filed to Committee Substitute
     Mar 7-floor amendment (3) filed to Committee Substitute, floor amendment (4-title) filed
     Mar 19-recommitted to Appropriations and Revenue (H)


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