Last Action | signed by Governor (Acts, ch. 187) |
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Title | AN ACT relating to telehealth. |
Bill Documents |
Current/Final
Introduced |
Bill Request Number | 464 |
Sponsors | R. Alvarado, C. Embry Jr., M. Wilson |
Summary of Original Version | Create a new section of KRS Chapter 205 to require the cabinet to regulate telehealth; set requirements for the delivery of telehealth services to Medicaid recipients; require equivalent reimbursement for telehealth services; require provision of coverage and reimbursement for telehealth; prohibit the cabinet from requiring providers to be physically present with a recipient; prohibit prior authorization, medical review, or administrative clearance if not required for the in-person service; prohibit demonstration of necessity; prohibit requiring providers to be part of a telehealth network; specify that Medicaid shall not be required to provide coverage for services that are not medically necessary or pay for transmission costs; amend KRS 205.510 to define terms; amend KRS 205.559 to add telehealth; amend 304.17A-005 to redefine "telehealth"; amend KRS 304.17A-138 to require health benefit plan coverage of telehealth to the same extent as though provided in person; prohibit health benefit plans from requiring providers to be physically present with a patient; prohibit prior authorization, medical review, or administrative clearance if not required for the in-person service; prohibit demonstration of necessity; prohibit requiring providers to be part of the telehealth network or subject to Telehealth Board oversight; specify that health benefit plans shall not be required to provide coverage for services that are not medically necessary or pay for transmission costs; amend KRS 342.315 to conform; amend KRS 18A.225 to require any fully insured health benefit plans or self-insured plans issued or renewed after July 1, 2019, to public employees to comply with KRS 304.17A-138; repeal KRS 194A.125; EFFECTIVE July 1, 2019. |
Index Headings of Original Version |
Boards and Commissions - Telehealth Board, eliminating Effective Dates, Delayed - Telehealth, requiring coverage of July 1, 2019 Health and Medical Services - Telehealth, requiring coverage of Insurance, Health - Telehealth, requiring coverage of Medicaid - Telehealth, coverage of State Employees - Telehealth, requiring coverage of |
Proposed Amendments |
Senate Committee Substitute 1 Senate Floor Amendment 1 Senate Floor Amendment 2 Senate Floor Amendment 3 House Floor Amendment 1 House Floor Amendment 2 |
Votes | Vote History |
01/26/18 |
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01/29/18 |
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02/14/18 |
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02/15/18 |
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02/20/18 |
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02/21/18 |
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02/23/18 |
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02/26/18 |
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02/27/18 |
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03/01/18 |
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03/13/18 |
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03/20/18 |
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03/21/18 |
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03/22/18 |
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04/14/18 |
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04/26/18 |
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Amendment | Senate Committee Substitute 1 |
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Summary | Retain provisions of the bill; direct the cabinet to require specialty care to be provided by a Medicaid provider and require coordination with a patient's primary care provider; change "health benefit plan" to "Medicaid managed care organization"; require a telehealth provider to be licensed in Kentucky to receive reimbursement; add provision to allow providers to negotiate a contract for a lower rate for telehealth services compared to the same service provided in person; add provision to allow the Medicaid program to establish a different rate compared to the same service provided in person; add to definition of telehealth to clarify that telehealth includes store and forward services; EFFECTIVE JULY 1, 2019. |
Index Headings |
Boards and Commissions - Telehealth Board, eliminating Effective Dates, Delayed - Telehealth, requiring coverage of July 1, 2019 Health and Medical Services - Telehealth, requiring coverage of Insurance, Health - Telehealth, requiring coverage of Medicaid - Telehealth, coverage of State Employees - Telehealth, requiring coverage of |
Amendment | Senate Floor Amendment 1 |
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Sponsor | R. Alvarado |
Summary | Amend definition of telehealth to clarify that the face-to-face encounter requirement is met with the use of store and forward technology in which the health care provider has access to the patient's or client's medical history prior to the telehealth encounter; EFFECTIVE July 1, 2019. |
Index Headings |
Boards and Commissions - Telehealth Board, eliminating Effective Dates, Delayed - Telehealth, requiring coverage of July 1, 2019 Health and Medical Services - Telehealth, requiring coverage of Insurance, Health - Telehealth, requiring coverage of Medicaid - Telehealth, coverage of State Employees - Telehealth, requiring coverage of |
Amendment | Senate Floor Amendment 2 |
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Sponsor | R. Alvarado |
Summary | Amend definition of telehealth to clarify that the face-to-face encounter requirement is satisfied with the use of asynchronous telecommunications technologies in which the health care provider has access to the patient's or client's medical history prior to the telehealth encounter; EFFECTIVE July 1, 2019. |
Index Headings |
Boards and Commissions - Telehealth Board, eliminating Effective Dates, Delayed - Telehealth, requiring coverage of July 1, 2019 Health and Medical Services - Telehealth, requiring coverage of Insurance, Health - Telehealth, requiring coverage of Medicaid - Telehealth, coverage of State Employees - Telehealth, requiring coverage of |
Amendment | Senate Floor Amendment 3 |
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Sponsor | W. Schroder |
Summary | Create a new section of KRS 311.710 to 311.820 to require that a physician be present in the same room with the woman when performing an abortion and prohibiting the use of telehealth in the performance of an abortion; amend KRS 311.990 to state that any person violating this provision is guilty of a Class D felony. |
Index Headings |
Boards and Commissions - Telehealth Board, eliminating Effective Dates, Delayed - Telehealth, requiring coverage of July 1, 2019 Health and Medical Services - Telehealth, requiring coverage of Insurance, Health - Telehealth, requiring coverage of Medicaid - Telehealth, coverage of State Employees - Telehealth, requiring coverage of |
Amendment | House Floor Amendment 1 |
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Sponsor | J. Jenkins |
Summary | Amend to add health care providers that are certified as well as licensed; EFFECTIVE JULY 1, 2019. |
Index Headings |
Boards and Commissions - Telehealth Board, eliminating Effective Dates, Delayed - Telehealth, requiring coverage of July 1, 2019 Health and Medical Services - Telehealth, requiring coverage of Insurance, Health - Telehealth, requiring coverage of Medicaid - Telehealth, coverage of State Employees - Telehealth, requiring coverage of |
Amendment | House Floor Amendment 2 |
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Sponsor | J. Gooch Jr. |
Summary | Remove reimbursement equivalency requirement for telehealth; EFFECTIVE July 1, 2019. |
Index Headings |
Boards and Commissions - Telehealth Board, eliminating Effective Dates, Delayed - Telehealth, requiring coverage of July 1, 2019 Health and Medical Services - Telehealth, requiring coverage of Insurance, Health - Telehealth, requiring coverage of Medicaid - Telehealth, coverage of State Employees - Telehealth, requiring coverage of |
Last updated: 1/16/2019 3:00 PM (EST)