Last Action | returned to Licensing, Occupations, & Administrative Regulations (S) |
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Title | AN ACT relating to insurance coverage of prosthetics. |
Bill Documents |
Bill
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Impact Statements | Health Mandate |
Bill Request Number | 1510 |
Sponsors | C. Rollins II, D. Graham, T. Burch, J. Greer |
Summary of Original Version | Create new section of Subtitle 17A of KRS Chapter 304 to require health benefit plans to cover the most technologically advanced prosthetic leg or arm available, including repairing and replacing, as determined by the insured's physician and provided by a person accredited or qualified under Medicare Part B; require health benefit plan coverage equal to Medicare Part B; create new sections of Subtitle 18 of KRS Chapter 304 to require group or blanket insurance to cover the most technologically advanced prosthetic leg or arm available, including repairing and replacing, as determined by the insured's physician and provided by a person accredited or qualified under Medicare Part B, and require coverage equal to Medicare Part B; create new sections of KRS Subtitle 32 of KRS Chapter 304 to require any nonprofit hospital, medical-surgical and health services corporations subject to subtitle 32 to cover the most technologically advanced prosthetic leg or arm available, including repairing and replacing, as determined by the insured's physician and provided by a person accredited or qualified under Medicare Part B, and require coverage equal to Medicare Part B; create new sections of Subtitle 38 of KRS Chapter 304 to require any health maintenance organization to cover the most technologically advanced prosthetic leg or arm available, including repairing and replacing, as determined by the insured's physician and provided by a person accredited or qualified under Medicare Part B, and require coverage equal to Medicare Part B. |
Index Headings of Original Version |
Health and Medical Services - Prosthetics, insurance coverage equivalent to Medicare Part B, requirement Insurance - Health, insurance coverage of prosthetics equivalent to Medicare Part B, requirement Insurance, Health - Prosthetics, insurance coverage equivalent to Medicare Part B, requirement Health Benefit Mandate - Prosthetics, insurance coverage equivalent to Medicare Part B, requirement |
Proposed Amendments | House Committee Substitute 1 |
Votes | Vote History |
02/13/13 |
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02/14/13 |
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02/19/13 |
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02/27/13 |
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02/28/13 |
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03/01/13 |
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03/04/13 |
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03/05/13 |
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03/06/13 |
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Amendment | House Committee Substitute 1 |
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Impact Statements | Health Mandate |
Summary | Amend the definition of "prosthetic" to mean an artificial arm or leg; delete sections created in Subtitles 18 and 32 of KRS Chapter 304; require that coverage for prosthetics be subject to utilization review and internal appeals established by KRS 304.17A-600 to KRS 304.17A-633 for health benefit plans and HMOs, and require HMOs to also comply with KRS 304.38-225 with respect to utilization review; EFFECTIVE January 1, 2014. |
Index Headings |
Health and Medical Services - Prosthetics, insurance coverage equivalent to Medicare Part B, requirement Insurance - Health, insurance coverage of prosthetics equivalent to Medicare Part B, requirement Insurance, Health - Prosthetics, insurance coverage equivalent to Medicare Part B, requirement Health Benefit Mandate - Prosthetics, insurance coverage equivalent to Medicare Part B, requirement |
Last updated: 8/27/2019 7:53 PM (EDT)