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Senate Bill 265

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Last Action 03/06/20: to Banking & Insurance (S)
Title AN ACT relating to consumer protections in health care.
Bill Documents Introduced
Bill Request Number 1527
Sponsor W. Schroder
Summary of Original Version Create a new section of KRS Chapter 367 to require health care providers to provide good faith estimates to patients for scheduled health care services; require health care providers and insurers to disclose certain information for scheduled health care services that are covered under a covered person's health plan; prohibit balance billing for certain nonparticipating providers that fail to provide a good faith estimate; prohibit balance billing for certain emergency services; prohibit insurers and health facilities from representing that a health facility is a participating provider under certain circumstances; establish penalties and enforcement by the Attorney General; amend KRS 304.17A-580 to require health plans to cover certain emergency services; establish reimbursement requirements for certain emergency services provided by a nonparticipating provider at an out-of-network facility; amend KRS 304.12-020 to provide that it shall be an unfair or deceptive trade practice for an insurer to violate Section 1 of the Act; state that certain contracts that are contrary to the Act shall be unenforceable and void.
Index Headings of Original Version Health and Medical Services - Emergency medical services, coverage of
Health and Medical Services - Health care providers, good faith estimate, requirement for
Insurance, Health - Balance billing, health care services, prohibition of
Insurance, Health - Emergency medical services, coverage of
Insurance, Health - Health insurers, good faith estimate, requirement for
Physicians and Practitioners - Balance billing, health care services, prohibition of
Physicians and Practitioners - Emergency medical services, coverage of
Physicians and Practitioners - Health care providers, good faith estimate, requirement for
Attorney General - Health and medical services, regulation of
Attorney General - Health insurance practices, regulation of
Consumer Affairs - Balance billing, health care services, prohibition of
Consumer Affairs - Health care providers, good faith estimate, requirement for

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03/04/20
  • introduced in Senate
03/06/20
  • to Banking & Insurance (S)


Last updated: 10/27/2020 12:10 PM (EDT)
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