House Bill 138

Actions
Last Action 01/10/19: to Banking & Insurance (H)
Title AN ACT relating to surprise billing.
Bill Documents Introduced
Impact Statements Health Mandate
Bill Request Number 399
Sponsors J. Sims Jr, C. Stevenson
Summary of Original Version Amend KRS 304.17A-005 to define "balance billing," "cost sharing," "covered person," "usual and customary rate," and other terms; create new sections of Subtitle 17A of KRS Chapter 304 to require the insurance commissioner or a designated nonprofit organization to establish and maintain a database of billed health care services charges collected from insurers; define "unanticipated out-of-network care"; require an insurer to reimburse for unanticipated out-of-network care at the lower of the billed amount or the usual and customary rate less any cost sharing owed by the covered person; prohibit balance billing from a provider who has been reimbursed as required; allow a provider to bill for any applicable cost-sharing requirements owed by the insured; amend KRS 304.17A-096, 304.17A-430, 304.17A-500, 304.17B-001, 304.17B-015, 304.17B-033, 304.17C-010, 304.18-114, 304.38A-010, and 304.39-241 to conform; repeal KRS 304.17A-640; EFFECTIVE January 1, 2020.
Index Headings of Original Version Effective Dates, Delayed - Health care services, out-of-network care, reimbursement and billing, January 1, 2020
Insurance, Health - Insurers, billed claims, required reporting of
Insurance, Health - Unanticipated out-of-network care, balance billing, prohibition against
Insurance, Health - Unanticipated out-of-network care, minimum reimbursement for
Insurance, Health - Unanticipated out-of-network care, usual and customary rate, definition of
Physicians and Practitioners - Out-of-network health care services, balance billing, prohibition against
State Agencies - Database of billed health care services charges, commissioner of insurance
Health Benefit Mandate - Unanticipated out-of-network care, balance billing, prohibition against

Actions

Top
01/09/19
  • introduced in House
01/10/19
  • to Banking & Insurance (H)


Last updated: 5/10/2019 10:34 AM (EDT)
To receive notice when the record is updated follow @LRCTweetBot.