Last Action | to Banking & Insurance (H) |
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Title | AN ACT relating to participating provider agreements for limited health service benefit plans. |
Bill Documents |
Bill
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Bill Request Number | 876 |
Sponsor | D. Seum |
Summary of Original Version | Amend KRS 304.17C-085 to define "covered services" for purposes of the section. |
Index Headings of Original Version |
Insurance - Limited health service benefit plan, covered services, define Insurance, Health - Limited health service benefit plan, covered services, define |
Proposed Amendments |
Senate Floor Amendment 1 Senate Floor Amendment 2 Senate Floor Amendment 3 Senate Floor Amendment 4 Senate Floor Amendment 5 Senate Floor Amendment 6 |
Votes | Vote History |
02/05/13 |
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02/07/13 |
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02/11/13 |
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02/20/13 |
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02/21/13 |
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02/22/13 |
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02/25/13 |
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02/26/13 |
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02/27/13 |
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02/28/13 |
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03/04/13 |
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Amendment | Senate Floor Amendment 1 |
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Sponsor | J. Denton |
Summary | Amend existing language to include in the definition of "covered services" services and materials for which a reimbusement would be available but for waiting periods, annual maximums, or frequency limitations. |
Index Headings |
Insurance - Limited health service benefit plan, covered services, define Insurance, Health - Limited health service benefit plan, covered services, define |
Amendment | Senate Floor Amendment 2 |
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Sponsor | D. Seum |
Summary | Delete original provisions, amend KRS 304.17C-085 to state that discounts shall not be more than fees reimbursed by the plan for covered services and materials, and that fees paid by a limited health benefit plan for covered services and materials shall be reasonable and not provide nominal reimbursement; require that a provider not charge more for services and materials that are not covered services than his or her usual and customary rate for those services and materials. |
Index Headings |
Insurance - Limited health service benefit plan, covered services, define Insurance, Health - Limited health service benefit plan, covered services, define |
Amendment | Senate Floor Amendment 3 |
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Sponsor | D. Seum |
Summary | Retain original provisions, except create new subsection of KRS 304.17C-085 to clarify that a provider shall not charge more for services that are not covered services than his or her usual and customary rate, and to clarify that contractual discounts shall be limited to the usual and customary fee minus the plan reimbursement for those services not covered by the original language of the bill. |
Index Headings |
Insurance - Limited health service benefit plan, covered services, define Insurance, Health - Limited health service benefit plan, covered services, define |
Amendment | Senate Floor Amendment 4 |
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Sponsor | D. Seum |
Summary | Amend original provisions to define contractual discount and covered services; prohibit providers from charging more for noncovered services than his or her usually rate; limit contractual discount under a limited health service benefit plan; set reimbursement under certain contractual limitations for covered services under a limited health benefit plan. |
Index Headings |
Insurance - Limited health service benefit plan, covered services, define Insurance, Health - Limited health service benefit plan, covered services, define |
Amendment | Senate Floor Amendment 5 |
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Sponsor | J. Denton |
Summary | Delete the text of the bill and amend KRS 304.17C-085 to define contractual discount and covered services; prohibit providers from charging more for noncovered services than his or her usual rate; limit contractual discount under a limited health service benefit plan; set reimbursement under certain contractual limitations for covered services under a limited health benefit plan. |
Index Headings |
Insurance - Limited health service benefit plan, covered services, define Insurance, Health - Limited health service benefit plan, covered services, define |
Amendment | Senate Floor Amendment 6 |
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Sponsor | J. Denton |
Summary | Delete the text of the bill and amend KRS 304.17C-085 to define contractual discount and covered services; prohibit providers from charging more for noncovered services than his or her usual rate; limit contractual discount under a limited health service benefit plan; set reimbursement under certain contractual limitations for covered services under a limited health benefit plan. |
Index Headings |
Insurance - Limited health service benefit plan, covered services, define Insurance, Health - Limited health service benefit plan, covered services, define |
Last updated: 8/27/2019 7:53 PM (EDT)