Kentucky
General Assembly

11/30/15	Prefiled by the sponsor(s).
01/05/16	introduced in House to Health & Welfare (H)
01/06/16	posted in committee
03/03/16	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
03/04/16	2nd reading, to Rules floor amendments (1) and (4) filed to Bill, (2) and (3) filed to Committee Substitute
03/10/16	posted for passage in the Regular Orders of the Day for Friday, March 11, 2016
03/14/16	floor amendment (5) filed to Committee Substitute
03/18/16	3rd reading, passed 94-0 with Committee Substitute (1) and floor amendment (5)
03/21/16	received in Senate
03/23/16	to Health & Welfare (S)
03/28/16	taken from Health & Welfare (S) 1st reading returned to Health & Welfare (S)
03/29/16	reported favorably, 2nd reading, to Rules with Committee Substitutes (1) committee amendment (1-title)
04/01/16	floor amendment (1) filed to Committee Substitute posted for passage in the Regular Orders of the Day for Friday, April 1, 2016 3rd reading, passed 35-0 with Committee Substitute (1) and committee amendment (1-title) received in House to Rules (H) posted for passage for concurrence in Senate Committee Substitutes (1) committee amendment (1-title) House concurred in Senate Committee Substitutes (1) committee amendment (1-title) passed 82-0 enrolled, signed by each presiding officer delivered to Governor
04/13/16	signed by Governor (Acts, ch. 126)

Amendment	House Committee Substitute 1
Impact Statements	Fiscal Note
Summary	Retain original provisions; define the term "qualified medical provider"; delete the term "home health agency"; delete the requirement that telemonitoring services are provided only by a physician or nurse and that data must be transmitted only to a home health agency; make permissive the requirement that the Department for Medicaid Services submit a state plan amendment, waiver, or waiver amendment for telehealth and telemonitoring coverage; require the department to request funding from the General Assembly for these services; make the requirement that the department implement the coverage subject to appropriations and approvals; delete the language permitting community action agencies to use federal funds to ensure adequate access to health care; delete the requirement that the state administering agency establish a program to permit telehealth consultation services and require Medicaid coverage.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring

Amendment	House Floor Amendment 1
Sponsor	T. Moore
Summary	Define the term "qualified medical provider"; delete the term "home health agency"; delete the requirement that telemonitoring services are provided only by a physician or nurse and that data must be transmitted only to a home health agency; amend the requirements of the Department for Medicaid Services to establish coverage provisions for telemonitoring and direct-to-patient telehealth by requiring the department to establish a pilot project for those purposes; make permissive the requirement that the department submit a state plan amendment, waiver, or waiver amendment for telemonitoring coverage; allow the department to request funding from the General Assembly; make permissive the requirement of the department to ensure the sharing of clinical information; make permissive the requirement that the department promulgate administrative regulations; delete the language permitting community action agencies to use federal funds to ensure adequate access to health care; delete the requirement that the state administering agency establish a program to permit telehealth consultation services and require Medicaid coverage.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring

Amendment	House Floor Amendment 2
Sponsor	T. Moore
Summary	Define the term "qualified medical provider"; delete the term "home health agency"; delete the requirement that telemonitoring services are provided only by a physician or nurse and that data must be transmitted only to a home health agency; amend the requirements of the Department for Medicaid Services to establish coverage provisions for telemonitoring and direct-to-patient telehealth by requiring the department to establish a pilot project for those purposes; make permissive the requirement that the department submit a state plan amendment, waiver, or waiver amendment for telemonitoring coverage; allow the department to request funding from the General Assembly; make permissive the requirement of the department to ensure the sharing of clinical information; make permissive the requirement that the department promulgate administrative regulations; delete the language permitting community action agencies to use federal funds to ensure adequate access to health care; delete the requirement that the state administering agency establish a program to permit telehealth consultation services and require Medicaid coverage.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring

Amendment	House Floor Amendment 3
Sponsor	T. Moore
Summary	Define the term "qualified medical provider"; delete the terms "direct-to-patient telehealth services" and "home health agency"; delete the requirement that telemonitoring services are provided only by a physician or nurse and that data must be transmitted only to a home health agency; make permissive the requirement that the Department for Medicaid Services establish coverage provisions for telemonitoring services and delete the reference to direct-to-patient telehealth; make permissive the requirement that the department submit a state plan amendment, waiver, or waiver amendment for telemonitoring coverage and delete the reference to direct-to-patient telehealth; allow the department to request funding from the General Assembly; delete the requirement that the department ensure the sharing of clinical information; make permissive the requirement that the department promulgate administrative regulations; delete the language permitting community action agencies to use federal funds to ensure adequate access to health care; delete the requirement that the state administering agency establish a program to permit telehealth consultation services and require Medicaid coverage.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring

Amendment	House Floor Amendment 4
Sponsor	T. Moore
Summary	Retain original provisions; define the term "qualified medical provider"; delete the terms "direct-to-patient telehealth services" and "home health agency"; delete the requirement that telemonitoring services are provided only by a physician or nurse and that data must be transmitted only to a home health agency; make permissive the requirement that the Department for Medicaid Services establish coverage provisions for telemonitoring services and delete the reference to direct-to-patient telehealth; make permissive the requirement that the department submit a state plan amendment, waiver, or waiver amendment for telemonitoring coverage and delete the reference to direct-to-patient telehealth; allow the department to request funding from the General Assembly; delete the requirement that the department ensure the sharing of clinical information; make permissive the requirement that the department promulgate administrative regulations; delete the language permitting community action agencies to use federal funds to ensure adequate access to health care; delete the requirement that the state administering agency establish a program to permit telehealth consultation services and require Medicaid coverage.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring

Amendment	House Floor Amendment 5
Sponsor	T. Moore
Summary	Define the term "qualified medical provider"; delete the terms "home health agency" and "direct-to-patient telehealth services"; delete the requirement that telemonitoring services be provided only by a physician or nurse and that data be transmitted only to a home health agency; amend the requirements of the Department for Medicaid Services to establish coverage provisions for telemonitoring by requiring the department to establish a pilot project for this purpose; make permissive the requirement that the department submit a state plan amendment, waiver, or waiver amendment for telemonitoring coverage; allow the department to request funding from the General Assembly; make permissive the requirement of the department to ensure the sharing of clinical information; make permissive the requirement that the department promulgate administrative regulations; delete the language permitting community action agencies to use federal funds to ensure adequate access to health care; delete the requirement that the state administering agency establish a program to permit telehealth consultation services and require Medicaid coverage.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring

Amendment	Senate Committee Substitute 1
Summary	Retain original provisions; add community action agencies as possible sites for the telemonitoring pilot project, as determined by the Department for Medicaid Services; amend KRS 273.443 to permit community action agencies to use federal funds to ensure adequate access to health care; create a new section of KRS 273.410 to 273.453 to allow community action agencies to participate in the telemonitoring pilot project and require the state administering agency to work with the Department for Medicaid Services to effectuate the pilot project; confirm Executive Order 2015-386, dated June 16, 2015, reorganizing the Cabinet for Health and Family Services.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring

Amendment	Senate Committee Amendment 1
Sponsor	J. Adams
Summary	Make title amendment.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring

Amendment	Senate Floor Amendment 1
Sponsor	R. Alvarado
Summary	Add new section created in KRS Chapter 194A to require that telehealth services in Kentucky be provided by professionals appropriately licensed or credentialed in Kentucky; define telehealth.
Index Headings	Federal Laws and Regulations - Community action agencies, telehealth services at Health and Medical Services - Telehealth and home telemonitoring, services permitted for Physicians and Practitioners - Telehealth and home telemonitoring, services provided for State Agencies - Department for Medicaid Services, submission of waiver Medicaid - Home telemonitoring waiver, submission of Medicaid - Telehealth, community action agencies providing Administrative Regulations and Proceedings - Home telemonitoring regulations, promulgation of Aged Persons and Aging - Community Action Agencies, telehealth services at Charitable Organizations and Institutions - Community action agencies, telehealth services at Communications - Telehealth and home telemonitoring