Senate Bill 194

Last Action 02/24/20: to Banking & Insurance (S)
Title AN ACT relating to surprise billing.
Bill Documents Introduced
Bill Request Number 1174
Sponsor R. Girdler
Summary of Original Version Amend KRS 304.17A-500 to define terms; create a new section of KRS 304.17A-500 to 304.17A-590 to define "covered health care services"; require health benefit plans to provide coverage and reimburse for covered health care services provided by a nonparticipating health care provider at an in-network facility; prohibit nonparticipating health care providers from attempting to collect payment from a covered person for covered health care services other than applicable cost-sharing; amend KRS 304.17A-580 to add provisions of KRS 304.17A-641 and require insurers to reimburse a nonparticipating provider for the provision of emergency medical conditions and emergency department screening and stabilization services at an in-network facility; amend KRS 304.17A-254 and KRS 304.17A-527 to provide requirements for contracts between insurers and providers who are health facilities; amend KRS 304.17A-565 to provide that the provisions of KRS 304.17A-500 to KRS 304.17A-590 shall not be construed to preempt or supersede other rights or remedies available to covered persons under law; amend KRS 18A.225 to require the state employee health plan to comply with Sections 2, 3, 4, 6; amend KRS 304.17B-001 and KRS 304.17A-649 to conform; repeal KRS 304.17A-640 and 304.17A-641; EFFECTIVE January 1, 2021.
Index Headings of Original Version Effective Dates, Delayed - Nonparticipating health care providers, billing restrictions and reimbursement for, January 1, 2021
Health and Medical Services - Nonparticipating health care providers, billing and reimbursement for
Hospitals and Nursing Homes - Contracts with insurers, required provisions of
Insurance, Health - Contracts with health facilities, required provisions of
Insurance, Health - In-network facilities, nonparticipating health care provider, coverage and reimbursement for
Physicians and Practitioners - Nonparticipating health care providers, billing and reimbursement for
State Employees - State employee health plan, in-network facilities, out-of-network services, coverage requirement for


  • introduced in Senate
  • to Banking & Insurance (S)

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