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SB 175 (BR 1910) - D. Ridley, J. Denton

     AN ACT relating to large group health benefit plans.
     Amend KRS 304.17A-846 to direct health insurers to provide certain information to large group health benefit plans upon request of the plans; require the insurer to provide additional utilization data to help the employer measure costs in certain areas; provide under certain circumstances that nonpublic personal health information can be provided to large group health benefit plans in compliance with the Federal Health Insurance Portability and Accountability Act.


     SCS - Amend KRS 304.17A-846 to provide that large group health benefit plans with 51 or more enrolled employees shall receive specified utilization data reports upon request, within 30 days of the request, not to exceed more than two reports annually.

     SCA (1/Title, D. Ridley) - Make title amendment.

     HFA (1, J. Gooch Jr) - Amend KRS 304.39-020 to delete the presumption that any medical bill submitted is reasonable; define "emergency medical expense"; amend KRS 304.39-210 to provide exception for emergency medical expense benefits provision that a payment is not overdue if the insurer has not paid the provider at request of the secured party; specify that basic reparations benefits are primary except for benefits payable under workers' compensation law; require provider of services to submit claims to a reparation obligor within 45 days from the date services are provided, except for expenses billed by a hospital or other provider for emergency medical or inpatient services rendered at a hospital; amend KRS 304.39-241 to provide exception for emergency medical expenses where the insurer pays the provider directly; amend KRS 304.39-270 to permit the reparation obligor to require the person to submit to a mental or physical examination rather than petition circuit court; direct the insured to make available to the examining provider any pertinent medical records or history; require the insurer to pay the costs of examination; create a new section of subtitle 39 of KRS Chapter 304 to permit a reparation obligor to submit any claim for an independent review of reparation benefits to determine whether the expenses are medically necessary or reasonable; establish standards if reparation obligor elects to perform independent reviews without using a registered private review agent; establish disclosures if a reparation obligor or agent denies or reduces payment for a treatment, procedure, drug, or device; create a new section of subtitle 39 of KRS Chapter 304 to require every reparation obligor to have an appeal process which must be disclosed to insureds and providers.

     HFA (2/Title, J. Gooch Jr) - Make title amendment.

     HFA (3/P, T. Burch) - Attach the provisions of HB 431/GA to SB 175/GA.

     HFA (4/Title, T. Burch) - Make title amendment.

     Feb 13-introduced in Senate
     Feb 15-to Banking & Insurance (S)
     Mar 1-reported favorably, 1st reading, to Calendar with Committee Substitute, committee amendment (1-title)
     Mar 2-2nd reading, to Rules
     Mar 5-posted for passage in the Regular Orders of the Day for Monday, March 5, 2007; 3rd reading, passed 37-0 with Committee Substitute, committee amendment (1-title)
     Mar 6-received in House; to Banking & Insurance (H); posting waived
     Mar 7-reported favorably, 1st reading, to Calendar; floor amendments (1) and (2-title) filed
     Mar 8-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for Friday, March 9, 2007; floor amendments (3) and (4-title) filed
     Mar 9-floor amendment (1) withdrawn
     Mar 12-3rd reading, passed 98-0; received in Senate; enrolled, signed by each presiding officer; delivered to Governor
     Mar 23-signed by Governor (Acts Ch. 87)

Vote History

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