Last Action | 03/01/18: to Banking & Insurance (H) |
---|---|
Title | AN ACT relating to health insurance. |
Bill Documents | Introduced |
Fiscal Impact Statement | Health Mandate |
Bill Request Number | 1815 |
Sponsors | K. Moser, D. St. Onge |
Summary of Original Version | Amend KRS 304.17A-254 and 304.17A-527 to prohibit insurers from reducing a negotiated rate for evaluation and management services solely because the provider also billed for other services on the same day; amend KRS 304.17A-580 to prohibit an insurer from denying coverage for emergency services in a concurrent or retrospective review based on the final diagnosis of the insured; establish time frame for prior authorization of poststabilization treatment; allow for a hospital providing emergency services to be paid at a negotiated rate; repeal KRS 304.17A-640, 304.17A-641, and 304.17A-649; amend KRS 18A.225 to conform. |
Index Headings of Original Version |
Health Benefit Mandate - Managed care plans, evaluation and management services, reduced reimbursement, prohibition of Emergency Medical Services - Concurrent review denial, prohibition of Emergency Medical Services - Poststabilization treatment, preauthorization of Emergency Medical Services - Retrospective review denial, prohibition of Hospitals and Nursing Homes - Emergency medical services, concurrent review denial, prohibition of Hospitals and Nursing Homes - Emergency medical services, negotiated rate for Hospitals and Nursing Homes - Emergency medical services, retrospective review denial, prohibition of Hospitals and Nursing Homes - Participating provider agreement, voiding provisions of Insurance, Health - Emergency medical services, concurrent review denial, prohibition of Insurance, Health - Emergency medical services, retrospective review denial, prohibition of Insurance, Health - Health benefit plans, evaluation and management services, reduced reimbursement, prohibition of Insurance, Health - Managed care plans, evaluation and management services, reduced reimbursement, prohibition of Insurance, Health - Participating provider agreement, voiding provisions of Physicians and Practitioners - Emergency medical services, concurrent review denial, prohibition of Physicians and Practitioners - Emergency medical services, retrospective review denial, prohibition of Physicians and Practitioners - Participating provider agreement, voiding provisions of |
02/27/18 |
|
---|---|
03/01/18 |
|
Last updated: 9/1/2020 2:57 PM (EDT)
To receive notice when the record is updated follow @LRCTweetBot. @LRCTweetBot