House Bill 140

Actions | Amendments
Last Action 03/22/21: signed by Governor (Acts Ch. 67)
Title AN ACT relating to telehealth.
Bill Documents Current/Final
Introduced
Fiscal Impact Statements Health Mandate
Additional Fiscal Impact Statements Exist
Bill Request Number 163
Sponsors D. Frazier, K. Moser, T. Bojanowski, R. Dotson, K. Fleming, R. Huff, C. Massey, J. Miller, R. Roberts, K. Timoney, S. Westrom, B. Wheatley
Summary of Original Version Create various new sections of KRS Chapter 211 to define terms; require the Cabinet for Health and Family Services to establish minimum standards to telehealth; reestablish the requirement for the Cabinet for Health and Family Services and managed care organizations to study the impact of telehealth on the state's health care delivery system; prohibit certain practices in telehealth; authorize health practitioner licensure boards to promulgate administrative regulations related to telehealth; amend KRS 205.510 to revise definitions; amend KRS 205.559 to require reimbursement rates for telehealth to be equivalent to reimbursement rates for the same service provided in person, permit the Department for Medicaid services to approve additional telecommunication technologies for telehealth, and to delete the requirement for the Cabinet for Health and Family Services and managed care organizations to study the impact of telehealth on the state's health care delivery system; amend KRS 205.5591 to require telehealth coverage and reimbursement rates to be equivalent to coverage requirements and reimbursement rates for the same service provided in person; amend KRS 304.17A-005 to delete the definition of "telehealth"; amend KRS 304.17A-138 to define "telehealth" and to require that telehealth coverage and reimbursement rates be equivalent to coverage and reimbursement for the same service provided in person; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if they determine that such approval is necessary; and certain sections EFFECTIVE January 1, 2022.
Index Headings of Original Version 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
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
Jump to Proposed Amendments House Committee Substitute 1 with Fiscal Impact Statements
House Floor Amendment 1
House Floor Amendment 2
House Floor Amendment 3
House Floor Amendment 4
Senate Committee Substitute 1 with Fiscal Impact Statements
Votes Vote History

Actions

Top | Amendments
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)

Proposed Amendments

Top | Actions
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
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

Last updated: 4/14/2021 8:30 AM (EDT)
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