| Last Action | reassigned to Banking & Insurance (S) |
|---|---|
| Title | AN ACT relating to chiropractic. |
| Bill Documents |
Bill
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| Impact Statements | Health Mandate |
| Bill Request Number | 1019 |
| Sponsors | K. Sinnette, T. Edmonds, K. Hall, D. Keene, F. Nesler |
| Summary of Original Version | Create new sections of Subtitles 17A and 17C of KRS Chapter 304 to require a health benefit plan or limited health benefit plan that provides coverage for chiropractic services and procedures to clearly state the availability of chiropractic coverage in the plan and all limitations, conditions and exclusions; provide that chiropractic services and procedures may be made subject to a deductible, copayment, or coinsurance, shall not impose cost-sharing or copayment in excess of 50 percent of the reimbursable amount for any single covered service, and shall not require more than one coinsurance or copayment per date of service; require the plan to reimburse a doctor of chiropractic for services and procedures within the doctor's scope of practice if duly licensed, the services and procedures are covered under the plan, and the services and procedures are performed by the doctor of chiropractic or by another licensed health care provider who provides the services under the direction and supervision of the doctor of chiropractic; amend KRS 304.17A-150 to provide that a provider contract or agreement with a doctor of chiropractic which restricts, reduces, or negates benefits otherwise covered under the plan or denies payment of benefits directly to the provider upon receipt of a duly executed assignment of benefits with a participating doctor of chiropractic is an unfair trade practice; except an insurer performing a utilization review; amend KRS 304.17A-527 and 304.17C-060 to require managed care plans and limited health benefit plans that provide chiropractic services coverage to file sample copies with the commissioner of insurance that include a clause stating that chiropractic services within a health benefit plan or limited health benefit plan shall be reimbursed at no less than the current fee established by the Workers' Compensation Medical Fee Schedule for physicians, or the actual fee whichever is less; provide that if the Workers' Compensation Medical Fee Schedule for Physicians does not include reimbursement for chiropractic services, the reimbursement shall be no less than the amount provided in the most recent Workers' Compensation Medical Fee Schedule for Physicians that included reimbursement for chiropractic services. |
| Index Headings of Original Version |
Health and Medical Services - Chiropractic services, insurance reimbursement requirements Insurance - Health, chiropractic services, insurance reimbursement requirements Insurance, Health - Chiropractic services, reimbursement requirements Health Benefit Mandate - Chiropractic services, insurance reimbursement requirements |
| Proposed Amendments |
House Committee Substitute 1 House Floor Amendment 1 House Floor Amendment 2 House Floor Amendment 3 |
| Votes | Vote History |
| 01/04/12 |
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|---|---|
| 01/05/12 |
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| 01/06/12 |
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| 02/15/12 |
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| 02/16/12 |
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| 03/01/12 |
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| 03/02/12 |
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| 03/05/12 |
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| 03/07/12 |
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| 03/16/12 |
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| Amendment | House Committee Substitute 1 |
|---|---|
| Impact Statements | Health Mandate |
| Summary | Retain original provisions, except require that a health benefit plan or a limited health benefit plan not impose any patient coinsurance or copayment that exceeds 50 percent of the highest single reimbursable covered service for a single office visit after the deductible is met. |
| Index Headings |
Health and Medical Services - Chiropractic services, insurance reimbursement requirements Insurance - Health, chiropractic services, insurance reimbursement requirements Insurance, Health - Chiropractic services, reimbursement requirements Health Benefit Mandate - Chiropractic services, insurance reimbursement requirements |
| Amendment | House Floor Amendment 1 |
|---|---|
| Sponsor | J. Gooch Jr. |
| Summary | Add and amend KRS 304.39-020 to establish the current workers' compensation medical fee schedule as the minimum for reimbursement of medical expenses under the Motor Vehicle Reparations Act for injuries sustained in a motor vehicle accident. |
| Index Headings |
Health and Medical Services - Chiropractic services, insurance reimbursement requirements Insurance - Health, chiropractic services, insurance reimbursement requirements Insurance, Health - Chiropractic services, reimbursement requirements Health Benefit Mandate - Chiropractic services, insurance reimbursement requirements |
| Amendment | House Floor Amendment 2 |
|---|---|
| Sponsor | J. Gooch Jr. |
| Summary | Add and amend KRS 304.39-020 to establish the current workers' compensation medical fee schedule as the minimum for reimbursement of chiropractors under the Motor Vehicle Reparations Act for injuries sustained in a motor vehicle accident; require that the most recent schedule be used for reimbursement for chiropractic services if the current workers' compensation fee schedule does not include reimbursement rates for chiropractic services. |
| Index Headings |
Health and Medical Services - Chiropractic services, insurance reimbursement requirements Insurance - Health, chiropractic services, insurance reimbursement requirements Insurance, Health - Chiropractic services, reimbursement requirements Health Benefit Mandate - Chiropractic services, insurance reimbursement requirements |
| Amendment | House Floor Amendment 3 |
|---|---|
| Sponsor | J. Gooch Jr. |
| Summary | Make title amendment. |
| Index Headings |
Health and Medical Services - Chiropractic services, insurance reimbursement requirements Insurance - Health, chiropractic services, insurance reimbursement requirements Insurance, Health - Chiropractic services, reimbursement requirements Health Benefit Mandate - Chiropractic services, insurance reimbursement requirements |
Last updated: 8/27/2019 8:05 PM (EDT)