Air

• ambulance, balance billing, prohibition of - HB 135; SB 261; HB 395
• ambulance providers, billed charges, assumption of - HB 135; SB 261; HB 395
• ambulance service provider, billing dispute resolution program, establishment of - HB 135; SB 261; HB 395

Autism

• coverage, age limits, removal of - HB 218
• coverage, dollar limits, removal of - HB 218
• coverage, requirement of - HB 218

Certificate of need, elimination of - HB 85

Children's Health Insurance Program, urging reauthorization of - SCR 106

Contracts

• with health facilities, billing restrictions, compliance requiring - SB 235
• with health facilities, requirements - SB 236

Cost sharing, definition of - HB 463

Coverage

• for standard fertility preservation services, providing for - SB 95
• for standard fertility preservation services, provision for - SB 95: HFA (1)
• for standard fertility preservation services, provision of - SB 95: HCS

Covered services, infertility, prohibited denial for - HB 493

electronic prior authorization, standards, establishing - SB 143

Emergency

• health care services, insurance coverage, requiring - SB 143
• medical services, concurrent review denial, prohibition of - HB 576; HB 582
• medical services, retrospective review denial, prohibition of - HB 576; HB 582
• services, medical necessity, presumption of - SB 143

Gender neutral language, including - HB 485

Health

• benefit plan, definition, reformatting of - SB 220
• benefit plans, evaluation and management services, reduced reimbursement, prohibition of - HB 582
• benefit plans, required reporting of - SB 121: SFA (4), SFA (5)
• care coverage, child support enforcement - SB 108

Hormonal contraceptive, twelve-month supply, dispensing of - HB 249

Incentive program, comparable health care service, requiring - SB 154; SB 154: SCS

Infertility treatment, insurance coverage, requirement of - HB 493

In-network

• facilities, out-of-network services provided at, reimbursement criteria for - SB 235; SB 236
• facilities, provision of out-of-network services, coverage requirements for - SB 235; SB 236

Insurer, assumption of charges, requirements for - HB 135; SB 261; HB 395

Insurers,

• billed claims, required reporting of - SB 79
• penalties imposed on pharmacists by - HB 463
• written procedures, accessibility requirement for - SB 143

Interactive mechanism, price transparency, establishing - SB 154; SB 154: SCS

Kentucky Office of Health Benefit Exchange, create - SB 132

Managed

• care networks, credentialing, network adequacy, appeals - HB 69; HB 69: HCS, HFA (1), SCS, SFA (1)
• care plans, evaluation and management services, reduced reimbursement, prohibition of - HB 582

Nonparticipating providers, nonemergency services, coverage for - SB 154; SB 154: SCS

Participating provider agreement, voiding provisions of - HB 582

Pharmacists, gag clauses, prohibition against - HB 463

Plan years 2019 and 2020, allow dependent subsidy, KTRS - SB 197: HFA (1)

Prescription drug coverage, payment required, limitation of - HB 463

Prior authorization, time frame, requirements of - SB 143

State/Executive Branch Budget, amendment of - HB 265: SCS

Telehealth, requiring coverage of - HB 12; SB 112; SB 112: HFA (1), HFA (2), SCS, SFA (1), SFA (2)

Unanticipated

• out-of-network care, balance billing, prohibition against - SB 79
• out-of-network care, minimum reimbursement for - SB 79
• out-of-network care, usual and customary rate, definition of - SB 79

Urgent health care services, prior authorization, time frame, establishment of - SB 143

Utilization review, licensed Kentucky provider, requiring - SB 143