Kentucky
General Assembly

12/14/18	Prefiled by the sponsor(s).
01/08/19	introduced in Senate
01/09/19	to Banking & Insurance (S)
02/19/19	reported favorably, 1st reading, to Calendar with Committee Substitute (1) floor amendment (1) filed to Committee Substitute
02/20/19	2nd reading, to Rules
02/21/19	posted for passage in the Regular Orders of the Day for Thursday, February 21, 2019 3rd reading, passed 33-1 with Committee Substitute (1) and floor amendment (1)
02/22/19	received in House
02/25/19	to Banking & Insurance (H) posted in committee
02/27/19	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/28/19	2nd reading, to Rules floor amendment (1) filed to Committee Substitute
03/06/19	posted for passage in the Regular Orders of the Day for Thursday, March 7, 2019
03/12/19	3rd reading, passed 97-1 with Committee Substitute (1) and floor amendment (1)
03/13/19	received in Senate posted for passage for concurrence in House Committee Substitute (1) and floor amendment (1) on Wednesday, March 13, 2019 Senate concurred in House Committee Substitute (1) and floor amendment (1) Bill passed 37-0
03/14/19	enrolled, signed by President of the Senate enrolled, signed by Speaker of the House delivered to Governor
03/26/19	signed by Governor (KY Acts ch. 190)

Amendment	Senate Committee Substitute 1
Fiscal Impact Statement	Health Mandate to Senate Committee Substitute 1
Summary	Retain original provisions, except add requirement that prior authorization for a drug prescribed to a covered person with a condition that requires ongoing medication therapy shall cover changes in dosage prescribed by the health care provider during the period of authorization; amend KRS 304.17A-005 to add amyotrophic lateral sclerosis to definition of "high-cost condition" and incorporate most recent version of statute; amend KRS 304.17A-580 to remove utilization review requirements and presumption of medical necessity for emergency screening and stabilization services; amend KRS 304.17A-600 to include requests for life-supporting or life-sustaining devices as "urgent health care services"; amend KRS 304.17A-603 to add preauthorization review requirements for insurers; amend exception to timeframes provided in KRS 304.17A-607 to make technical correction.
Index Headings	Insurance, Health - SB 54 Insurance, Health - Electronic prior authorization, standards, establishing Insurance, Health - Insurers, written procedures, accessibility requirement for Insurance, Health - Prior authorization, time frame, requirements of Insurance, Health - Urgent health care services, prior authorization, time frame, establishment of Local Government - Governmental units, regulation of electronic prescribing, standards, requiring Pharmacists - Prior authorization, time span of authorization, establishing Physicians and Practitioners - Prior authorization, time span of authorization, establishing Physicians and Practitioners - Urgent health care services, prior authorization, time frame, establishing State Agencies - Governmental units, regulation of electronic prescribing, standards, requiring Medicaid - Department of Medicaid Services, required compliance of Unified Local Governments - Governmental units, regulation of electronic prescribing, standards, requiring Administrative Regulations and Proceedings - Governmental units, regulation of electronic prescribing, standards, requiring Cities - Governmental units, regulation of electronic prescribing, standards, requiring Counties - Governmental units, regulation of electronic prescribing, standards, requiring Boards and Commissions - Governmental units, regulation of electronic prescribing, standards, requiring Technical Corrections - SB 54 Health Benefit Mandate - Urgent health care services, prior authorization, time frame, establishment of

Amendment	Senate Floor Amendment 1
Sponsor	R. Alvarado
Summary	Amend KRS 304.17A-600 to remove requests for life-supporting or life-sustaining devices as "urgent health care services."
Index Headings	Insurance, Health - Prior authorization, time frame, requirements of Insurance, Health - Urgent health care services, prior authorization, time frame, establishment of Pharmacists - Prior authorization, time span of authorization, establishing Physicians and Practitioners - Prior authorization, time span of authorization, establishing Physicians and Practitioners - Urgent health care services, prior authorization, time frame, establishing Medicaid - Department of Medicaid Services, required compliance of

Amendment	House Committee Substitute 1
Fiscal Impact Statement	Health Mandate to House Committee Substitute 1
Summary	Retain original provisions, except add language allowing a health benefit plan to coordinate or adopt a process for electronic prior authorizations; amend language relating to when prior authorization requirements apply for ongoing medication therapy drugs; add exceptions to prior authorizations requirements for ongoing medication therapy drugs; amend KRS 205.522 to specify that compliance with specific provisions is as applicable; amend KRS 304.17A-005 to modify definition of "medically necessary health care services"; amend KRS 304.17A-603 to modify language relating to prior authorization and notification requirements; amend KRS 304.17A-607 to add licensed physicians who are of a similar specialty and subspecialty to utilization review requirements.
Index Headings	Local Government - Governmental units, regulation of electronic prescribing, standards, requiring Pharmacists - Prior authorization, time span of authorization, establishing Physicians and Practitioners - Prior authorization, ongoing medication therapy, requirements of Physicians and Practitioners - Prior authorization, time span of authorization, establishing Physicians and Practitioners - Urgent health care services, prior authorization, time frame, establishing State Agencies - Governmental units, regulation of electronic prescribing, standards, requiring Technical Corrections - SB 54 Medicaid - Department of Medicaid Services, required compliance of Unified Local Governments - Governmental units, regulation of electronic prescribing, standards, requiring Administrative Regulations and Proceedings - Governmental units, regulation of electronic prescribing, standards, requiring Cities - Governmental units, regulation of electronic prescribing, standards, requiring Counties - Governmental units, regulation of electronic prescribing, standards, requiring Boards and Commissions - Governmental units, regulation of electronic prescribing, standards, requiring Health Benefit Mandate - Governmental units, regulation of electronic prescribing, standards, requiring

Amendment	House Floor Amendment 1
Sponsor	B. Rowland
Summary	Amend utilization review timeframe for nonurgent health care services from 72 hours to five days.
Index Headings	Health and Medical Services - Nonurgent health care services, utilization review decision, timeframes, establishing Insurance, Health - Nonurgent health care services, utilization review decision, timeframes, establishing Physicians and Practitioners - Nonurgent health care services, utilization review decision, timeframes, establishing