Senate Bill 166

Actions | Amendments
Last Action floor amendment (1) filed to Committee Substitute
Title AN ACT relating to Medicaid managed care organization provider payments.
Bill Documents Bill
Impact Statements Fiscal Note
Bill Request Number 1877
Sponsors B. Leeper, W. Blevins Jr., M. Wilson
Summary of Original Version Amend KRS 205.522 to define terms; permit an enrollee of a medicaid managed care organization (MCO) to assign rights to appeal an action by an MCO relating to care received by an enrollee; establish an enrollee's right to a state fair hearing when an enrollee or assignee appeals an MCO's action relating to care received or proposed to be given to an enrollee; require an action by an MCO to state the reason for an action with specificity; state that the MCO shall pay for services rendered while an appeal was pending if a hearing officer reverses a decision to deny, reduce, or terminate health care services.
Index Headings of Original Version Fiscal Note - Medicaid managed care organization, appeal rights
Health and Medical Services - Medicaid managed care organization, appeal rights
Hospitals and Nursing Homes - Medicaid managed care organization, appeal rights
Public Medical Assistance - Medicaid managed care organization, appeal rights
Medicaid - Medicaid managed care organization, appeal rights
Proposed Amendments Senate Committee Substitute 1
Senate Floor Amendment 1

Actions

Top | Amendments
02/26/14
  • introduced in Senate
02/28/14
  • to Appropriations & Revenue (S)
03/12/14
  • reported favorably, 1st reading, to Calendar with Committee Substitute
03/13/14
  • 2nd reading, to Rules
03/18/14
  • floor amendment (1) filed to Committee Substitute

Proposed Amendments

Top | Actions
Amendment Senate Committee Substitute 1
Impact Statements Fiscal Note
Summary Retain original provisions except make a hearing officer's ruling subject only to judicial appeal following a state fair hearing conducted pursuant to the bill, and state that any subject may be addressed in a state fair hearing and require compliance with a federal regulation when a decision to deny authorization of services is reversed.
Index Headings Fiscal Note - Medicaid managed care organization, appeal rights
Health and Medical Services - Medicaid managed care organization, appeal rights
Hospitals and Nursing Homes - Medicaid managed care organization, appeal rights
Public Medical Assistance - Medicaid managed care organization, appeal rights
Medicaid - Medicaid managed care organization, appeal rights

Amendment Senate Floor Amendment 1
Sponsor B. Leeper
Summary Retain provisions of the SCS, however require the agency head to issue a final order within 25 days or the hearing officer's opinion will become final; require an MCO to pay for all disputed services and interest within 30 days upon exhaustion of all appeals.
Index Headings Fiscal Note - Medicaid managed care organization, appeal rights
Health and Medical Services - Medicaid managed care organization, appeal rights
Hospitals and Nursing Homes - Medicaid managed care organization, appeal rights
Public Medical Assistance - Medicaid managed care organization, appeal rights
Medicaid - Medicaid managed care organization, appeal rights

Last updated: 8/27/2019 6:52 PM (EDT)