Kentucky
General Assembly

01/07/11	introduced in Senate
02/01/11	to Banking & Insurance (S)
02/08/11	reported favorably, 1st reading, to Calendar
02/09/11	2nd reading, to Rules
02/11/11	floor amendments (1) and (2-title) filed
02/18/11	recommitted to Banking & Insurance (S)
02/23/11	floor amendments (3) (4-title) (5) and (6-title) filed
02/24/11	reported favorably, to Rules with Committee Substitute floor amendment (7) filed to Committee Substitute
02/28/11	posted for passage in the Regular Orders of the Day for Monday, February 28, 2011 3rd reading floor amendments (1) (2-title) (3) (4-title) (5) (6-title) and (7) ruled out of order passed 34-4 with Committee Substitute
03/01/11	received in House to Banking & Insurance (H) taken from Banking & Insurance (H) 1st reading returned to Banking & Insurance (H) posting waived
03/02/11	reported favorably, 2nd reading, to Rules with Committee Substitute as a Consent Bill posted for passage in the Consent Orders of the Day for Thursday, March 3, 2011 floor amendment (1) filed
03/03/11	taken from the Consent Orders of the Day, placed in the Regular Orders of the Day floor amendment (2) filed

Amendment	Senate Committee Substitute 1
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
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
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
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
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
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
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
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
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
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
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