| Title | AN ACT relating to surprise billing. |
|---|---|
| Bill Documents | Original |
| Sponsors | C. Stevenson |
| Summary of Original Version | Amend KRS 304.17A-005 to define "balance billing," "cost sharing," 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," "covered person" and "usual and customary rate"; 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 covered person; amend KRS18A.225, 304.17A-0954, 304.17A-096, 304.17A-500, 304.17A-580, 304.17A-649, 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, 2021. |
| Index Headings |
Effective Dates, Delayed - Unanticipated out-of-network care, reimbursement and billing, January 1, 2021 Insurance, Health - Unanticipated out-of-network care, minimum reimbursement for Physicians and Practitioners - Unanticipated out-of-network care, balancing billing, prohibition against State Agencies - Department of Insurance, commissioner, database of billed health care service charges State Employees - State employee health plan, unanticipated out-of-network care, minimum reimbursement for Administrative Regulations and Proceedings - Department of Insurance, commissioner, database of billed health care services |
| 12/13/19 | Prefiled by the sponsor(s). |
|---|
Last updated: 1/6/2020 3:52 PM (EST)
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