Kentucky
General Assembly

01/09/13	introduced in Senate
02/05/13	to Health & Welfare (S)
02/22/13	reported favorably, 1st reading, to Consent Calendar with Committee Substitute
02/25/13	2nd reading, to Rules
02/26/13	posted for passage in the Regular Orders of the Day for Wednesday, February 27, 2013
02/27/13	passed over and retained in the Orders of the Day floor amendment (1) filed to Committee Substitute
02/28/13	3rd reading, passed 33-0 with Committee Substitute, floor amendment (1)
03/01/13	received in House
03/04/13	to Health & Welfare (H)
03/05/13	posted in committee taken from Health & Welfare (H) 1st reading returned to Health & Welfare (H) posting waived
03/06/13	taken from Health & Welfare (H) 2nd reading returned to Health & Welfare (H) reported favorably, to Rules with Committee Substitute, committee amendment (1-title) as a Consent Bill
03/07/13	placed in the Orders of the Day returned to Rules as a Consent Bill
03/11/13	floor amendment (1) filed to Committee Substitute
03/12/13	floor amendment (2) filed to Committee Substitute, floor amendments (3) and (4-title) filed

Amendment	Senate Committee Substitute 1
Summary	Delete original provisions; amend to require provider credentialing to be completed within 15 days; EMERGENCY.
Index Headings	Effective Dates, Emergency - Credentialing, Medicaid, requirement Emergency Medical Services - Credentialing, Medicaid, requirement Health and Medical Services - Credentialing, Medicaid, requirement Hospitals and Nursing Homes - Credentialing, Medicaid, requirement Insurance, Health - Credentialing, Medicaid, requirement Nurses - Credentialing, Medicaid, requirement Occupations and Professions - Credentialing, Medicaid, requirement Optometrists - Credentialing, Medicaid, requirement Pharmacists - Credentialing, Medicaid, requirement Physicians and Practitioners - Credentialing, Medicaid, requirement Public Medical Assistance - Credentialing, Medicaid, requirement Medicaid - Credentialing, requirement

Amendment	Senate Floor Amendment 1
Sponsor	J. Denton
Summary	Retain original provisions, and clarify that the Cabinet for Health and Family Services shall deny, or approve and issue Medical Assistance Identification Numbers.
Index Headings	Effective Dates, Emergency - Credentialing, Medicaid, requirement Emergency Medical Services - Credentialing, Medicaid, requirement Health and Medical Services - Credentialing, Medicaid, requirement Hospitals and Nursing Homes - Credentialing, Medicaid, requirement Insurance, Health - Credentialing, Medicaid, requirement Nurses - Credentialing, Medicaid, requirement Occupations and Professions - Credentialing, Medicaid, requirement Optometrists - Credentialing, Medicaid, requirement Pharmacists - Credentialing, Medicaid, requirement Physicians and Practitioners - Credentialing, Medicaid, requirement Public Medical Assistance - Credentialing, Medicaid, requirement Medicaid - Credentialing, requirement

Amendment	House Committee Substitute 1
Summary	Retain original provisions; amend to permit providers to deliver services to children before and after the children leave the IMPACT Plus program if the provider is appropriately credentialed; prohibit requirement for providers to have a medical assistance identification number (MAID); create a new section of KRS Chapter 217.005 to 217.215 to exempt licensed health-care providers from disciplinary action for prescribing or dispensing naloxone for an opioid overdose; exempt individuals from civil and criminal liability for administering the drug in good faith.
Index Headings	Effective Dates, Emergency - Credentialing, Medicaid, requirement Emergency Medical Services - Credentialing, Medicaid, requirement Health and Medical Services - Credentialing, Medicaid, requirement Hospitals and Nursing Homes - Credentialing, Medicaid, requirement Insurance, Health - Credentialing, Medicaid, requirement Nurses - Credentialing, Medicaid, requirement Occupations and Professions - Credentialing, Medicaid, requirement Optometrists - Credentialing, Medicaid, requirement Pharmacists - Credentialing, Medicaid, requirement Physicians and Practitioners - Credentialing, Medicaid, requirement Public Medical Assistance - Credentialing, Medicaid, requirement Medicaid - Credentialing, requirement

Amendment	House Committee Amendment 1
Sponsor	T. Burch
Summary	Make title amendment.
Index Headings	Effective Dates, Emergency - Credentialing, Medicaid, requirement Emergency Medical Services - Credentialing, Medicaid, requirement Health and Medical Services - Credentialing, Medicaid, requirement Hospitals and Nursing Homes - Credentialing, Medicaid, requirement Insurance, Health - Credentialing, Medicaid, requirement Nurses - Credentialing, Medicaid, requirement Occupations and Professions - Credentialing, Medicaid, requirement Optometrists - Credentialing, Medicaid, requirement Pharmacists - Credentialing, Medicaid, requirement Physicians and Practitioners - Credentialing, Medicaid, requirement Public Medical Assistance - Credentialing, Medicaid, requirement Medicaid - Credentialing, requirement

Amendment	House Floor Amendment 1
Sponsor	T. Burch
Summary	Retain original provisions and amend to delete the permission given to providers to deliver services to children before and after the children leave the IMPACT Plus program if the provider is appropriately credentialed; declare an EMERGENCY.
Index Headings	Effective Dates, Emergency - Credentialing, Medicaid, requirement Emergency Medical Services - Credentialing, Medicaid, requirement Health and Medical Services - Credentialing, Medicaid, requirement Hospitals and Nursing Homes - Credentialing, Medicaid, requirement Insurance, Health - Credentialing, Medicaid, requirement Nurses - Credentialing, Medicaid, requirement Occupations and Professions - Credentialing, Medicaid, requirement Optometrists - Credentialing, Medicaid, requirement Pharmacists - Credentialing, Medicaid, requirement Physicians and Practitioners - Credentialing, Medicaid, requirement Public Medical Assistance - Credentialing, Medicaid, requirement Medicaid - Credentialing, requirement

Amendment	House Floor Amendment 2
Sponsor	B. Damron
Summary	Create a new section of KRS Chapter 205 to authorize the Cabinet for Health and Family Services to treat the value of life insurance owned by an applicant or recipient as an asset if the life insurance is in force and the applicant meets the state's requirements for nursing home or nursing facility level of care; provide that the value of the policy shall not be used to determine the applicant or recipient's eligibility for Medicaid if the applicant enters into a life settlement contract as prescribed by the section; provide that an owner of a life insurance policy in the face amount of at least $10,000 may enter into a life settlement contract pursuant to KRS 304.15-700 to KRS 304.15-720 in exchange for periodic payments to the Medicaid program to be used solely for Medicaid coverage of long-term-care services for the owner of the policy; require that the life settlement contract provides that the lesser of five percent of the policy or $10,000 is reserved as a death benefit, that the balance of payments unpaid at the owner's death be paid to the owner's estate or a named beneficiary, that a schedule be included evidencing the total amount and the number and amount of each payment; require that all proceeds of the contract be held in an irrevocable trust or federally insured account; require the life settlement provider to file all advertisements with the Department of Insurance; require the Department for Medicaid Services to provide written notice to each applicant for Medicaid as part of the application of the options to enter a life settlement contract; require the Department of Insurance to promulgate jurisdictionally appropriate administrative regulations to implement the section; require the Department for Medicaid Services to seek any required state plan amendments or federal waivers; create a new section of KRS 304.15-700 to KRS 304.15-720 in the insurance code, relating to life settlements, to conform.
Index Headings	Effective Dates, Emergency - Credentialing, Medicaid, requirement Emergency Medical Services - Credentialing, Medicaid, requirement Health and Medical Services - Credentialing, Medicaid, requirement Hospitals and Nursing Homes - Credentialing, Medicaid, requirement Insurance, Health - Credentialing, Medicaid, requirement Nurses - Credentialing, Medicaid, requirement Occupations and Professions - Credentialing, Medicaid, requirement Optometrists - Credentialing, Medicaid, requirement Pharmacists - Credentialing, Medicaid, requirement Physicians and Practitioners - Credentialing, Medicaid, requirement Public Medical Assistance - Credentialing, Medicaid, requirement Medicaid - Credentialing, requirement

Amendment	House Floor Amendment 3
Sponsor	B. Damron
Summary	Create a new section of KRS Chapter 205 to authorize the Cabinet for Health and Family Services to treat the value of life insurance owned by an applicant or recipient as an asset if the life insurance is in force and the applicant meets the state's requirements for nursing home or nursing facility level of care; provide that the value of the policy shall not be used to determine the applicant or recipient's eligibility for Medicaid if the applicant enters into a life settlement contract as prescribed by the section; provide that an owner of a life insurance policy in the face amount of at least $10,000 may enter into a life settlement contract pursuant to KRS 304.15-700 to KRS 304.15-720 in exchange for periodic payments to the Medicaid program to be used solely for Medicaid coverage of long-term-care services for the owner of the policy; require that the life settlement contract provides that the lesser of five percent of the policy or $10,000 is reserved as a death benefit, that the balance of payments unpaid at the owner's death be paid to the owner's estate or a named beneficiary, that a schedule be included evidencing the total amount and the number and amount of each payment; require that all proceeds of the contract be held in an irrevocable trust or federally insured account; require the life settlement provider to file all advertisements with the Department of Insurance; require the Department for Medicaid Services to provide written notice to each applicant for Medicaid as part of the application of the options to enter a life settlement contract; require the Department of Insurance to promulgate jurisdictionally appropriate administrative regulations to implement the section; require the Department for Medicaid Services to seek any required state plan amendments or federal waivers; create a new section of KRS 304.15-700 to KRS 304.15-720 in the insurance code, relating to life settlements, to conform.
Index Headings	Effective Dates, Emergency - Credentialing, Medicaid, requirement Emergency Medical Services - Credentialing, Medicaid, requirement Health and Medical Services - Credentialing, Medicaid, requirement Hospitals and Nursing Homes - Credentialing, Medicaid, requirement Insurance, Health - Credentialing, Medicaid, requirement Nurses - Credentialing, Medicaid, requirement Occupations and Professions - Credentialing, Medicaid, requirement Optometrists - Credentialing, Medicaid, requirement Pharmacists - Credentialing, Medicaid, requirement Physicians and Practitioners - Credentialing, Medicaid, requirement Public Medical Assistance - Credentialing, Medicaid, requirement Medicaid - Credentialing, requirement

Amendment	House Floor Amendment 4
Piggyback?	Yes
Sponsor	B. Damron
Summary	Make title amendment.
Index Headings	Effective Dates, Emergency - Credentialing, Medicaid, requirement Emergency Medical Services - Credentialing, Medicaid, requirement Health and Medical Services - Credentialing, Medicaid, requirement Hospitals and Nursing Homes - Credentialing, Medicaid, requirement Insurance, Health - Credentialing, Medicaid, requirement Nurses - Credentialing, Medicaid, requirement Occupations and Professions - Credentialing, Medicaid, requirement Optometrists - Credentialing, Medicaid, requirement Pharmacists - Credentialing, Medicaid, requirement Physicians and Practitioners - Credentialing, Medicaid, requirement Public Medical Assistance - Credentialing, Medicaid, requirement Medicaid - Credentialing, requirement