SB121
WWW Version
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SB 121 (BR 900) - R. Girdler
AN ACT relating to the motor vehicle reparations act.
Amend KRS 304.39-020 to define "health care provider"; amend the definition of "medical expense"; make technical corrections; amend KRS 304.39-130 to increase loss per week dollar cap to $400; amend KRS 304.39-241 to clarify when a reparation obligor must honor a written direction of benefits provided by an insured; amend KRS 304.39-245 to prohibit providers from charging or balance billing for an amount in excess of that which would be allowed under the definition of "medical expense" for services covered under basic reparation benefits; EFFECTIVE January 1, 2019.
AMENDMENTS
SFA1( R. Girdler ) - Keep original provisions; amend the definition of provider to include similarly licensed pactitioners in other jurisdictions; include reference to billing requirements under the Workers' Compensation medical fee schedule; delete billing requirement for CPT codes; amend special application section to apply to losses incurred on or after the effective date of the act.
SFA2( R. Girdler ) - Keep original provisions; amend the definition of provider to include similarly licensed practitioners in other jurisdictions; include reference to billing requirements under the Workers' Compensation medical fee schedule; delete billing requirement for CPT codes; amend special application section to apply to losses incurred on or after the effective date of the act; EFFECTIVE January 1, 2019.
SFA3( W. Westerfield ) - Amend original provisions to amend the definition of provider to include similarly licensed practitioners in other jurisdictions; include reference to billing requirements under the Workers' Compensation medical fee schedule; include massage therapy in the definition of medical expenses; include charges for massage therapy performed in coordination with or out of a provider's business location; amend language determining when medical expenses are deemed medically necessary; delete billing requirement for CPT codes; amend special application section to apply to losses incurred on or after the effective date of the act; EFFECTIVE January 1, 2019.
SFA4( S. Meredith ) - Amend to add definitions for current procedural terminology, international statistical classification of diseases, and usual and customary rate; amend the definition of medical expenses to limit them to the workers compensation fee schedule for providers that are not hospitals, and for providers that are hospitals to either the negotiated contractual fee between the hospital and a reparations obligor or 80% of the usual and customary rate; and create a new section of Subtitle 39 of KRS Chapter 304 to require the commissioner of insurance to collect information from health benefit plants regarding billed charges, and either to select a nonprofit to distribute the information to or to publish the information annually on its Web site; EFFECTIVE January 1, 2019
SFA5( R. Girdler ) - Amend original provisions to include in the definition of "medical expenses" charges incurred for nonmedical remedial treatment rendered in accordance with a recognized religious method of healing.
SFA2( R. Girdler ) - Keep original provisions; amend the definition of provider to include similarly licensed practitioners in other jurisdictions; include reference to billing requirements under the Workers' Compensation medical fee schedule; delete billing requirement for CPT codes; amend special application section to apply to losses incurred on or after the effective date of the act; EFFECTIVE January 1, 2019.
SFA3( W. Westerfield ) - Amend original provisions to amend the definition of provider to include similarly licensed practitioners in other jurisdictions; include reference to billing requirements under the Workers' Compensation medical fee schedule; include massage therapy in the definition of medical expenses; include charges for massage therapy performed in coordination with or out of a provider's business location; amend language determining when medical expenses are deemed medically necessary; delete billing requirement for CPT codes; amend special application section to apply to losses incurred on or after the effective date of the act; EFFECTIVE January 1, 2019.
SFA4( S. Meredith ) - Amend to add definitions for current procedural terminology, international statistical classification of diseases, and usual and customary rate; amend the definition of medical expenses to limit them to the workers compensation fee schedule for providers that are not hospitals, and for providers that are hospitals to either the negotiated contractual fee between the hospital and a reparations obligor or 80% of the usual and customary rate; and create a new section of Subtitle 39 of KRS Chapter 304 to require the commissioner of insurance to collect information from health benefit plants regarding billed charges, and either to select a nonprofit to distribute the information to or to publish the information annually on its Web site; EFFECTIVE January 1, 2019
SFA5( R. Girdler ) - Amend original provisions to include in the definition of "medical expenses" charges incurred for nonmedical remedial treatment rendered in accordance with a recognized religious method of healing.
Feb 01, 2018 - introduced in Senate
Feb 02, 2018 - to Banking & Insurance (S)
Feb 06, 2018 - reported favorably, 1st reading, to Calendar
Feb 07, 2018 - 2nd reading, to Rules
Feb 12, 2018 - floor amendment (1) filed
Feb 13, 2018 - floor amendment (2) filed
Feb 21, 2018 - floor amendment (3) filed
Feb 22, 2018 - floor amendment (4) filed
Feb 28, 2018 - floor amendment (5) filed
Mar 02, 2018 - posted for passage in the Regular Orders of the Day for Monday, March 5, 2018
Mar 05, 2018 - 3rd reading; floor amendments (1) and (2) withdrawn; passed 21-16 with floor amendments (3) (4) and (5)
Mar 06, 2018 - received in House
Mar 12, 2018 - to Banking & Insurance (H)
Mar 13, 2018 - posted in committee