Kentucky
General Assembly

12/11/20	Prefiled by the sponsor(s).
01/05/21	introduced in House to Committee on Committees (H)
01/13/21	to Health and Family Services (H)
02/02/21	posted in committee
02/04/21	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/09/21	2nd reading, to Rules floor amendments (1), (2) and (3) filed to Committee Substitute
02/10/21	posted for passage in the Regular Orders of the Day for Thursday, February 11, 2021
02/11/21	floor amendment (4) filed to Committee Substitute
02/22/21	3rd reading, passed 95-0 with Committee Substitute and floor amendments (1) and (4)
02/23/21	received in Senate
02/25/21	to Health & Welfare (S)
03/03/21	reported favorably, 1st reading, to Calendar with Committee Substitute (1)
03/04/21	2nd reading, to Rules posted for passage in the Regular Orders of the Day for Friday, March 5, 2021
03/05/21	3rd reading, passed 35-0 with Committee Substitute
03/11/21	received in House to Rules (H)
03/12/21	posted for passage for concurrence in Senate Committee Substitute
03/15/21	House concurred in Senate Committee Substitute passed 91-0 enrolled, signed by Speaker of the House enrolled, signed by President of the Senate delivered to Governor
03/22/21	signed by Governor (Acts Ch. 67)

Amendment	House Committee Substitute 1
Fiscal Impact Statement	Health Mandate to House Committee Substitute 1
Summary	Retain original provisions; require telehealth services to meet clinical, technology, and medical coding standards established by a state agency authorized or required to promulgate administrative regulations related to telehealth; and prohibit the Department for Medicaid Services and managed care organizations from denying reimbursement for covered telehealth services based on quality-of-care protocols established by healthcare facilities; authorize the Cabinet for Health and Family Services and Department for Medicaid Services to promulgate emergency administrative regulations; make technical corrections.
Index Headings	Health Benefit Mandate - Telehealth, coverage and reimbursement rates, establishment

Amendment	House Floor Amendment 1
Sponsor	L. Willner
Summary	Permit practitioners who participate in a recognized interstate compact to provide telehealth services to individuals located in Kentucky and to receive reimbursement for telehealth services provided to individuals located in Kentucky; define "behavioral health professional."
Index Headings	Health and Medical Services - Telehealth, interstate licensure compacts Mental Health - Behavioral health professional, definition Physicians and Practitioners - Telehealth providers, interstate licensure compacts

Amendment	House Floor Amendment 2
Sponsor	D. Frazier Gordon
Summary	Amend definition of "telehealth" to exclude certain basic communications between a provider and a patient.
Index Headings	Health and Medical Services - Telehealth, definition

Amendment	House Floor Amendment 3
Sponsor	K. Moser
Summary	Require that reimbursements paid to rural health clinics for telehealth services include an originating site fee and that Medicaid reimbursements paid to rural health clinics for telehealth services include a supplemental reimbursement.
Index Headings	Hospitals and Nursing Homes - Rural health clinics, telehealth reimbursements

Amendment	House Floor Amendment 4
Sponsor	K. Moser
Summary	Amend the definition of telehealth to exclude certain basic communications between a provider and a patient; require the payment of an originating site fee to rural health clinics, federally qualified health centers, and federally qualified health center look-alikes; require that reimbursements paid to rural health clinics, federally qualified health centers, and federally qualified health center look-alikes include a supplemental reimbursement; permit Medicaid managed care organizations and insurers to utilize audits for medical coding accuracy.
Index Headings	Health and Medical Services - Telehealth, definition Insurance, Health - Telehealth, audits, medical coding accuracy Insurance, Health - Telehealth, reimbursement Medicaid - Telehealth, audits, medical coding accuracy Medicaid - Telehealth, reimbursement

Amendment	Senate Committee Substitute 1
Fiscal Impact Statement	Health Mandate to Senate Committee Substitute 1
Summary	Retain original provisions; establish that certain administrative regulations for telehealth shall be no more restrictive than administrative regulations for in-person services; permit the Department for Medicaid Services, managed care organizations, and insurers to enter into an contractual agreement with providers for lower reimbursement rates for telehealth services; make technical corrections; Effective January 1, 2022.
Index Headings	Effective Dates, Delayed - Telehealth, health benefit plans, January 1, 2022 Health and Medical Services - Telehealth, coverage and reimbursement rates, establishment Insurance, Health - Telehealth, coverage and reimbursement rates, establishment Physicians and Practitioners - Telehealth, coverage and reimbursement rates, establishment Public Assistance - Medicaid, telehealth coverage and reimbursement rates, establishment Public Medical Assistance - Telehealth, coverage and reimbursement rates, establishment Health Benefit Mandate - Telehealth, coverage and reimbursement rates, establishment Medicaid - Telehealth, coverage and reimbursement rates, establishment Boards and Commissions - Health practitioner licensure boards, telehealth