06RS HB91


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Includes opposite chamber sponsors where requested by primary sponsors of substantially similar bills in both chambers and jointly approved by the Committee on Committees of both chambers. Opposite chamber sponsors are represented in italics.

HB 91 (BR 257) - Ji. Lee, D. Graham, D. Owens

     AN ACT relating to Medicaid services.
     Amend KRS 205.531 to require review of a denial of a service or services for medical necessity, or denial, limitation, or termination of a service or services involving a medical or surgical specialty or subspecialty, to be reviewed by a board certified or board eligible physician in the specialty area; require that the reviewing physician be an individual who was not involved in the original denial and is not the provider of services under consideration in the hearing.


     HCS - Retain original provisions except specify that the administrative hearing process applies only to a Medicaid managed care organization; exempt services rendered by a chiropractor or optometrist as specified in KRS 304.17A-607(1)(b).

     (Prefiled by the sponsor(s).)

     Dec 7-To: Interim Joint Committee on Health and Welfare
     Jan 3-introduced in House; to Health and Welfare (H)
     Jan 10-posted in committee
     Feb 9-reported favorably, 1st reading, to Calendar with Committee Substitute
     Feb 10-2nd reading, to Rules
     Feb 13-posted for passage in the Regular Orders of the Day for Tuesday, February 14, 2006
     Feb 14-3rd reading, passed 98-0 with Committee Substitute
     Feb 15-received in Senate
     Feb 17-to Health and Welfare (S)

Vote History

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