HB 431 (BR 1551) - T. Burch, A. Wuchner, B. DeWeese, J. Draud, R. Palumbo
AN ACT relating to health data collection.
Amend KRS 216.2923 to include information on charges, quality, and outcomes of health care services and require the Health Services Data Advisory Committee to make recommendations on risk-adjusting data; amend KRS 216.2925 to require reports on a quarterly basis, to add outcome data, and to require electronic reports as required under federal law; amend KRS 216.2927 to require a public-use data agreement and require the Data Advisory Committee to review protocols on release of data; amend KRS 216.2929 to require that information on the cabinet's Web site regarding charges, quality, and outcome, specify sources of data, require opportunity for provider to comment on data, and require use of national quality indicators and explanations about use of data.
HB 431 - AMENDMENTS
SCS - Retain original provisions, except limit the types of information to be published; amend KRS 205.623 to require all insurers and administrators to provide in electronic format identifying information on all policyholders and dependents in order for Medicaid to determine which policyholders and dependents also participate in the Medicaid program; prohibit a third party from charging a fee for this information or for processing and adjudication of the department's claim for recovery, reclamation, or validation of eligibility; amend KRS 205.624 to require all insurers and administrators to accept the department's right of recovery and assignment to the department of the right of a Medicaid applicant, recipient, or any other entity to payment from the party for an item or service for which Medicaid has made payment; require the injured, diseased, or disabled person to provide a written notice to the department of any proposed settlement and any proposed payment to the Department for Medicaid Services; require the injured, diseased, or disabled person to be liable to the department for Medicaid expenditures if the individual does not provide prior notice and reasonable opportunity to review and approve an agreement; prohibit the insurer or administrator from denying the department's claim for recovery based on the date of submission of the claim, type or format of the claim form, or a failure to present proper documentation of coverage at the point of sale if the claim is submitted by the department within the three-year period beginning on the date on which the item or service was furnished and any action to the claim is commenced within six years of the department's submission of the claim; create a new section of Subtitle 23 of KRS Chapter 304 to require that it is an unfair or deceptive trade practice for any insurer or administrator to refuse to provide information requested by the Department for Medicaid Services, unless providing the information would violate federal law.
SFA (1, J. Denton) - Amend KRS 205.623 to clarify that the attorney may receive a percentage, not to exceed twenty-five percent, of the amount paid to the cabinet that has been recovered in reimbursement from a third-party settlement; delete new language amending KRS 205.624 that would require the Department for Medicaid Services to notify the Medicaid recipient within 3 business days of the receipt of a proposed settlement or the settlement is otherwise presumed to be approved; delete new language that would prohibit any settlement from being binding on the department if the settlement was made without prior notice and the opportunity to review and approve it; remove language related to the Medicaid recipient's liability to Medicaid expenditures when the department has not approved the settlement agreement.
Feb 12-introduced in House
Feb 15-to Health & Welfare (H)
Feb 20-posted in committee
Feb 22-reported favorably, 1st reading, to Calendar
Feb 23-2nd reading, to Rules
Feb 27-posted for passage in the Regular Orders of the Day for Wednesday, February 28, 2007
Feb 28-3rd reading, passed 99-0
Mar 1-received in Senate
Mar 2-to Health & Welfare (S); taken from committee; 1st reading, to Calendar
Mar 5-2nd reading; returned to Health & Welfare (S)
Mar 12-reported favorably, to Rules with Committee Substitute as a Consent Bill
Mar 26-recommitted to Health & Welfare (S); floor amendment (1) filed to Committee Substitute