Last Action | floor amendment (2) filed |
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Title | AN ACT relating to chiropractic. |
Bill Documents |
Bill
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Impact Statements | Health Mandate |
Bill Request Number | 482 |
Sponsors | T. Buford, P. Clark, A. Kerr, J. Rhoads |
Summary of Original Version | Create new sections of Subtitles 17A, 17B, and 17C of KRS Chapter 304 to require that specified health benefit plans and health insurance provide reimbursement for any service that is within the lawful scope of practice of a licensed doctor of chiropractic; define "doctor of chiropractic," "nonroutine office visit," and "routine office visit"; require that individual procedures performed by a doctor of chiropractic be treated as separate and distinct treatments and not be combined into payment for an office visit or other outpatient visit for specified treatment; provide that only one evaluation and management procedure performed on the same date by the same provider shall be reimbursed; prohibit imposition upon the insured of more than one coinsurance or copayment for each routine or nonroutine office visit to a doctor of chiropractic; require reimbursement at no less than the reimbursement rates in effect on October 15, 2008; require insurers to report fee methodology to providers; require that a contract between an insurer and a doctor of chiropractic comply with the new sections. |
Index Headings of Original Version |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Proposed Amendments |
Senate Committee Substitute 1 Senate Floor Amendment 1 Senate Floor Amendment 2 Senate Floor Amendment 3 Senate Floor Amendment 4 Senate Floor Amendment 5 Senate Floor Amendment 6 Senate Floor Amendment 7 House Committee Substitute 1 House Floor Amendment 1 House Floor Amendment 2 |
Votes | Vote History |
01/07/11 |
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02/01/11 |
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02/08/11 |
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02/09/11 |
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02/11/11 |
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02/18/11 |
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02/23/11 |
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02/24/11 |
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02/28/11 |
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03/01/11 |
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03/02/11 |
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03/03/11 |
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Amendment | Senate Committee Substitute 1 |
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Impact Statements | Health Mandate |
Summary | Retain original povisions, except insert the words "as defined in this section" following the words "doctor of chiropractic" on lines 5-6 on Page 3 of printed copy of bill. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | Senate Floor Amendment 1 |
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Sponsor | J. Denton |
Summary | Make provisions applicable to all licensed health care providers, rather than only to chiropractors. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | Senate Floor Amendment 2 |
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Sponsor | J. Denton |
Summary | Make title amendment. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | Senate Floor Amendment 3 |
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Sponsor | J. Denton |
Summary | Amend KRS 216B.020 to require a certificate of need for ophthalmic laser surgery unless services are currently in place or are performed by an ophthalmologist. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | Senate Floor Amendment 4 |
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Sponsor | J. Denton |
Summary | Make title amendment. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | Senate Floor Amendment 5 |
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Sponsor | J. Denton |
Summary | Create a new section of KRS Chapter 202A to permit qualified mental health professionals to conduct an evaluation or examination using telehealth services and require that telehealth services only be provided through the use of interactive video media and forbid the provision of telehealth services through the use of audio-only telephone, facsimile machine, or electronic media. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | Senate Floor Amendment 6 |
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Sponsor | J. Denton |
Summary | Make title amendment. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | Senate Floor Amendment 7 |
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Sponsor | J. Denton |
Summary | Make provisions applicable to all licensed health care providers, rather than only to chiropractors. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | House Committee Substitute 1 |
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Impact Statements | Health Mandate |
Summary | Delete the provisions of the bill; create a new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to impose no more than one coinsurance or copayment for each office visit with a chiropractor on the same date of service with the same provider and for the same covered person, and require that the plan clearly state the included chiropractic coverage, including but not limited to copyaments, coinsurance, limitations, conditions, and exclusions. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | House Floor Amendment 1 |
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Sponsor | J. Greer |
Summary | Delete original provisions of bill; create a new section of Subtitle 17A of KRS Chapter 304 to prohibit a health benefit plan that includes chiropractic benefits from imposing a copayment that exceeds 50% of the total reimbursable amount allowed by the health plan for any single covered service and prohibit more than one coinsurance charge or one copayment for the same date of service for the same patient; require the plan to clearly state the chiropractic benefits, limitations, conditions and exclusions; amend KRS 304.17A-150 to provide that it shall be an unfair trade practice to impose requirements in a provider contract or agreement with provider that alter or negate the benefits covered under the plan or to refuse to pay benefits directly to a chiropractor following receipt of an assignment of benefits and provide that nothing in this subsection shall prevent the performance of a utilization review by an insurer in accordance with KRS 304.17A-600 to 304.17A-615. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Amendment | House Floor Amendment 2 |
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Sponsor | J. Gooch Jr. |
Summary | Delete original provisions; create a new section of Subtitle 17A of KRS Chapter 304 to prohibit a health benefit plan that includes chiropractic benefits from imposing a copayment that exceeds 50% of the total reimbursable amount allowed by the health plan for any single covered visit; prohibit more than one coinsurance charge or one copayment for the same date of service for the same patient; require the plan to clearly state the chiropractic benefits, limitations, conditions and exclusions; amend KRS 304.17A-150 to provide that it shall be an unfair trade practice to impose requirements in a provider contract or agreement with a chiropractor that alter or negate the benefits covered under the plan or to refuse to pay benefits directly to a chiropractor following receipt of an assignment of benefits; provide that nothing in this subsection shall prevent the performance of a utilization review by an insurer in accordance with KRS 304.17A-600 to 304.17A-615. |
Index Headings |
Health and Medical Services - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance - Chiropractic treatment, procedures and reimbursements, provisions regulating Insurance, Health - Chiropractic treatment, procedures and reimbursements, provisions regulating Health Benefit Mandate - Chiropractic treatment, procedures and reimbursements, provisions regulating |
Last updated: 1/16/2019 3:43 PM (EST)