Kentucky
General Assembly

12/13/07	Prefiled by the sponsor(s).
01/08/08	introduced in House
01/10/08	to Banking & Insurance (H)
01/24/08	posted in committee
02/13/08	reported favorably, 1st reading, to Calendar
02/14/08	2nd reading, to Rules
02/19/08	posted for passage in the Regular Orders of the Day for Wednesday, February 20, 2008
02/27/08	3rd reading, passed 80-7-1
02/28/08	received in Senate
03/03/08	to Health & Welfare (S)
03/24/08	taken from committee Health & Welfare (S) 1st reading returned to Health & Welfare (S)
03/25/08	taken from committee Health & Welfare (S) 2nd reading returned to Health & Welfare (S)
03/28/08	reported favorably, to Rules with Committee Substitute, committee amendment (1-title)
04/02/08	floor amendments (3) and (4) filed to Committee Substitute, floor amendments (1-title) (2-title) and (5) filed

Amendment	Senate Committee Substitute 1
Summary	Delete existing provisions and replace with a new section of KRS 304-17A to require the Office of Insurance to establish a cost and quality recognition program after consultation with chiropractors and the health insurance industry that is agreeable to all parties; require health benefit plans that cover chiropractic services to adopt a cost and quality recognition program; require health benefit plans to provide higher reimbursement to chiropractors who participate in the program for specific CPT codes; specify chiropractors are not required to participate in the program; prohibit the imposition of more than one coinsurance or copayment for each date of service; prohibit health benefit plans from lowering reimbursement rate for chiropractors participating in the program as of the effective date of the Act; specify that nothing shall be construed to remove chiropractors from KRS 304.17A-270 and 17A-171(2); require provisions to apply to health benefit plans issued after November 1, 2008; EMERGENCY for section prohibiting reduction of reimbursement rates.
Index Headings	Fiscal Note - Chiropractors, insurance reimbursement Health and Medical Services - Chiropractors, insurance reimbursement Physicians and Practitioners - Chiropractors, insurance reimbursement Insurance, Health - Chiropractors, reimbursement

Amendment	Senate Committee Amendment 1
Sponsor	J. Denton
Summary	Make title amendment.
Index Headings	Fiscal Note - Chiropractors, insurance reimbursement Health and Medical Services - Chiropractors, insurance reimbursement Physicians and Practitioners - Chiropractors, insurance reimbursement Insurance, Health - Chiropractors, reimbursement

Amendment	Senate Floor Amendment 1
Sponsor	T. Buford
Summary	Make title amendment.
Index Headings	Fiscal Note - Chiropractors, insurance reimbursement Health and Medical Services - Chiropractors, insurance reimbursement Physicians and Practitioners - Chiropractors, insurance reimbursement Insurance, Health - Chiropractors, reimbursement

Amendment	Senate Floor Amendment 2
Sponsor	T. Buford
Summary	Make title amendment; EMERGENCY.
Index Headings	Fiscal Note - Chiropractors, insurance reimbursement Health and Medical Services - Chiropractors, insurance reimbursement Physicians and Practitioners - Chiropractors, insurance reimbursement Insurance, Health - Chiropractors, reimbursement

Amendment	Senate Floor Amendment 3
Sponsor	T. Buford
Summary	Delete existing provisions and replace original language to create new sections of Subtitle 17A and 17C of KRS Chapter 304 to require health benefit plans to adopt current, reasonable, and fair reimbursement schedules for services and procedures performed by chiropractors; require chiropractors to be reimbursed at no less than the fee schedule for workers' compensation; permit a reduction of up to 10 percent of the fee if the chiropractor enters into an approved agreement with a managed care plan; specify under what conditions a chiropractor must be reimbursed for medically necessary services and procedures; require the reimbursement fee to be increased annually by the percentage increase in the consumer price index for all urban consumers.
Index Headings	Fiscal Note - Chiropractors, insurance reimbursement Health and Medical Services - Chiropractors, insurance reimbursement Physicians and Practitioners - Chiropractors, insurance reimbursement Insurance, Health - Chiropractors, reimbursement

Amendment	Senate Floor Amendment 4
Sponsor	T. Buford
Summary	Retain original provisions and add new sections to Subtitle 17A of KRS Chapter 304 to prohibit balance billing by dialysis providers; provide that out-of-network reimbursement for dialysis services be based on historical payment amounts, and the payment shall be no lower than the predominant payment to that dialysis provider for services rendered prior to January 1, 2007 in the Commonwealth; prohibit consideration of Medicare and Medicaid reimbursement levels when determining reimbursement amounts; allow a decrease in the reimbursement amount up to 3 percent in any year; require reimbursement for dialysis to be made directly to the provider; create a new section of Subtitle 99 of KRS Chapter 304 to establish fines of $1000 to $10,000 for violations of this Act; amend KRS 304.17A-550 and 304.18-040 to conform.
Index Headings	Fiscal Note - Chiropractors, insurance reimbursement Health and Medical Services - Chiropractors, insurance reimbursement Physicians and Practitioners - Chiropractors, insurance reimbursement Insurance, Health - Chiropractors, reimbursement

Amendment	Senate Floor Amendment 5
Sponsor	T. Buford
Summary	Retain original provisions and add new sections to subtitle 17A of KRS Chapter 304 to prohibit balance billing by dialysis providers; provide that out-of-network reimbursement for dialysis services be based on historical payment amounts, and the payment shall be no lower than the predominant payment to that dialysis provider for services rendered prior to January 1, 2007 in the Commonwealth; prohibit consideration of Medicare and Medicaid reimbursement levels when determining reimbursement amounts; allow a decrease in the reimbursement amount up to 3 percent in any year; require reimbursement for dialysis to be made directly to the provider; create a new section of Subtitle 99 of KRS Chapter 304 to establish fines of $1000 to $10,000 for violations of this Act; amend KRS 304.17A-550 and 304.18-040 to conform.
Index Headings	Fiscal Note - Chiropractors, insurance reimbursement Health and Medical Services - Chiropractors, insurance reimbursement Physicians and Practitioners - Chiropractors, insurance reimbursement Insurance, Health - Chiropractors, reimbursement