House Bill 551

Actions | Amendments
Last Action signed by Governor (Acts Ch. 40)
Title AN ACT relating to claims payments to administrators of pharmacy benefits.
Bill Documents Bill
Bill Request Number 1797
Sponsors R. Rand, R. Adams, S. Baugh, T. Burch, D. Butler, J. Greer, J. Higdon, D. Horlander, D. Keene, T. Thompson, J. Vincent, B. Yonts
Summary of Original Version Create a new section of KRS 304.17A-700 to 304.17A-730 to define the term carrier; require that a contract between a carrier and its pharmacy benefits administrator requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; require that a contract between a carrier and a participating pharmacy or its contracting agency requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; provide that an electronic claim is to be submitted in the form required by the carrier if the participating provider or designee agrees to accept claims details for the payments electronically and provides accurate electronic funds transfer information to the carrier; require that all electronic claims are to be in compliance with HIPAA regulations on privacy of electronic submissions; require that the provisions for electronic claims are to apply to all contracts entered into, amended, extended, or renewed on or after January 1, 2009.
Index Headings of Original Version Contracts - Electronic claims, pharmacy benefits administrator, requirements for
Health and Medical Services - Electronic claims, pharmacy benefits administrator, requirements for
Insurance, Health - Electronic claims, pharmacy benefits administrator, requirements for
Medicaid - Electronic claims, pharmacy benefits administrator, requirements for
Pharmacists - Electronic claims, pharmacy benefits administrator, requirements for
Contracts - Electronic claims, pharmacies, requirements for
Health and Medical Services - Electronic claims, pharmacies, requirements for
Insurance, Health - Electronic claims, pharmacies, requirements for
Medicaid - Electronic claims, pharmacies, requirements for
Pharmacists - Electronic claims, pharmacies, requirements for
Proposed Amendments House Committee Substitute 1
House Floor Amendment 1
Votes Vote History

Actions

Top | Amendments
02/14/08
  • introduced in House
02/15/08
  • to Banking & Insurance (H)
02/21/08
  • posted in committee
02/27/08
  • reported favorably, 1st reading, to Calendar with Committee Substitute
02/28/08
  • 2nd reading, to Rules
  • floor amendment (1) filed to Committee Substitute
03/04/08
  • posted for passage in the Regular Orders of the Day for Wednesday, March 5, 2008
03/05/08
  • 3rd reading, passed 97-0 with Committee Substitute, floor amendment (1)
03/06/08
  • received in Senate
03/10/08
  • to Banking & Insurance (S)
03/13/08
  • reported favorably, 1st reading, to Consent Calendar
03/14/08
  • 2nd reading, to Rules
03/26/08
  • posted for passage in the Consent Orders of the Day for Wednesday, March 26, 2008
  • 3rd reading, passed 36-0
03/27/08
  • received in House
  • enrolled, signed by Speaker of the House
04/01/08
  • enrolled, signed by President of the Senate
  • delivered to Governor
04/09/08
  • signed by Governor (Acts Ch. 40)

Proposed Amendments

Top | Actions
Amendment House Committee Substitute 1
Summary Retain original provisions; change "carrier" to "insurer"; delete "or if electronic payment is requested by the provider" in subsection (2).
Index Headings Contracts - Electronic claims, pharmacy benefits administrator, requirements for
Health and Medical Services - Electronic claims, pharmacy benefits administrator, requirements for
Insurance, Health - Electronic claims, pharmacy benefits administrator, requirements for
Medicaid - Electronic claims, pharmacy benefits administrator, requirements for
Pharmacists - Electronic claims, pharmacy benefits administrator, requirements for
Contracts - Electronic claims, pharmacies, requirements for
Health and Medical Services - Electronic claims, pharmacies, requirements for
Insurance, Health - Electronic claims, pharmacies, requirements for
Medicaid - Electronic claims, pharmacies, requirements for
Pharmacists - Electronic claims, pharmacies, requirements for

Amendment House Floor Amendment 1
Sponsor R. Rand
Summary Retain original provisions; make technical corrections.
Index Headings Contracts - Electronic claims, pharmacy benefits administrator, requirements for
Health and Medical Services - Electronic claims, pharmacy benefits administrator, requirements for
Insurance, Health - Electronic claims, pharmacy benefits administrator, requirements for
Medicaid - Electronic claims, pharmacy benefits administrator, requirements for
Pharmacists - Electronic claims, pharmacy benefits administrator, requirements for
Contracts - Electronic claims, pharmacies, requirements for
Health and Medical Services - Electronic claims, pharmacies, requirements for
Insurance, Health - Electronic claims, pharmacies, requirements for
Medicaid - Electronic claims, pharmacies, requirements for
Pharmacists - Electronic claims, pharmacies, requirements for

Last updated: 1/16/2019 5:01 PM (EST)