| Title | AN ACT relating to out-of-network billing. |
|---|---|
| Bill Documents | Original |
| Sponsors | R. Alvarado |
| Summary of Original Version | Amend KRS 304.17A-005 to define terms; create new sections of Subtitle 17A of KRS Chapter 304 to require the commissioner of insurance to establish a database of billed health care service charges; require an insurer to reimburse for unanticipated out-of-network care; prohibit balance billing from a provider who has been reimbursed as required; provide for an independent dispute resolution program to review reimbursements provided for unanticipated out-of-network care; allow unregulated health plans to opt-in to requirements; require insurers to provide certain notices in an explanation of benefits; amend KRS 304.17A-254 and 304.17A-505 to require certain disclosures; create a new section of KRS Chapter 365 to allow the Attorney General to enjoin persons violating Section 3; amend KRS 18A.225 to require the state employee health plan to comply with Sections 3 and 4 of the Act; amend KRS 304.17A-0954, 304.17A-096, 304.17A-500, 304.17A-550, 304.17A-580, 304.17A-649, 304.17B-001, 304.17B-015, 304.17B-033, 304.17C-010, 304.38A-010, and 304.39-241 to conform; repeal KRS 304.17A-640; EFFECTIVE January 1, 2022. |
| Index Headings |
Effective Dates, Delayed - Unanticipated out-of-network care, reimbursement and billing, January 1, 2022 Insurance, Health - Unanticipated out-of-network care, minimum reimbursement Insurance, Health - Unanticipated out-of-network care, notice Physicians and Practitioners - Unanticipated out-of-network care, balance billing, prohibition State Agencies - Commissioner of insurance, database of billed health care services charges State Agencies - Commissioner of insurance, unanticipated out-of-network care independent dispute resolution program State Employees - Health plan, unanticipated out-of-network care, minimum reimbursement Administrative Regulations and Proceedings - Commissioner of insurance, database of billed health care services charges Attorney General - Balance billing and reimbursement, injunction |
| 12/09/20 | Prefiled by the sponsor(s). |
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Last updated: 1/4/2021 4:38 PM (EST)
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