Last Action | 2nd reading, to Rules |
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Title | AN ACT relating to health benefit plans with out-of-network benefits. |
Bill Documents |
Bill
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Impact Statements | Health Mandate |
Bill Request Number | 1215 |
Sponsors | W. Stone, M. King, J. Greer, J. Richards, B. Rowland, J. Short, B. Yonts |
Summary of Original Version | Amend KRS 304.17A-550 to prohibit health benefit plans from limiting out-of-network providers and covered services to those performed within the Commonwealth of Kentucky. |
Index Headings of Original Version |
Insurance - Health benefit plans, covered services, limitation of geographical location prohibited Insurance - Health benefit plans, out-of-network providers, limitation of network prohibited Insurance, Health - Covered services, limitation of geographical location prohibited Insurance, Health - Out-of-network providers, geographic limitation of network prohibited Health Benefit Mandate - Out-of-network providers, geographic limitation of network prohibited |
Proposed Amendments |
House Committee Substitute 1 Senate Committee Substitute 1 Senate Committee Amendment 1 |
Votes | Vote History |
02/10/14 |
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02/11/14 |
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02/24/14 |
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02/26/14 |
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02/27/14 |
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02/28/14 |
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03/04/14 |
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03/06/14 |
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03/26/14 |
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03/27/14 |
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Amendment | House Committee Substitute 1 |
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Summary | Amend KRS 304.17A-550 to require insurers if they offer health benefit plans limiting out-of-network providers and covered services to those performed within the Commonwealth of Kentucky, to also offer health benefit plans that do not limit out-of-network providers and covered services to those performed wtihin the Commonwealth of Kentucky. |
Index Headings |
Insurance - Health benefit plans, covered services, limitation of geographical location prohibited Insurance - Health benefit plans, out-of-network providers, limitation of network prohibited Insurance, Health - Covered services, limitation of geographical location prohibited Insurance, Health - Out-of-network providers, geographic limitation of network prohibited Health Benefit Mandate - Out-of-network providers, geographic limitation of network prohibited |
Amendment | Senate Committee Substitute 1 |
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Summary | Keep original provisions; create a new section of KRS 304.17A to require that the Pharmacy Benefit Manager contact the original prescribing physician for approval to cancel a preauthorization; add an exemption for any scheduled drug from the provisions of this Act; require that exception policies, under KRS 304.17A-535(4) include a process for extending preapprovals. |
Index Headings |
Insurance - Health benefit plans, covered services, limitation of geographical location prohibited Insurance - Health benefit plans, out-of-network providers, limitation of network prohibited Insurance, Health - Covered services, limitation of geographical location prohibited Insurance, Health - Out-of-network providers, geographic limitation of network prohibited Health Benefit Mandate - Out-of-network providers, geographic limitation of network prohibited |
Amendment | Senate Committee Amendment 1 |
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Sponsor | T. Buford |
Summary | Make title amendment. |
Index Headings |
Insurance - Health benefit plans, covered services, limitation of geographical location prohibited Insurance - Health benefit plans, out-of-network providers, limitation of network prohibited Insurance, Health - Covered services, limitation of geographical location prohibited Insurance, Health - Out-of-network providers, geographic limitation of network prohibited Health Benefit Mandate - Out-of-network providers, geographic limitation of network prohibited |
Last updated: 8/27/2019 6:52 PM (EDT)