House Bill 370

Actions | Amendments
Last Action 03/29/22: signed by Governor (Acts Ch. 48)
Title AN ACT relating to health care trade practices.
Bill Documents Acts Chapter 48
Current/Final
Introduced
Fiscal Impact Statement Health Mandate
Bill Request Number 1542
Sponsors D. Lewis, B. Reed, A. Bowling, K. Bratcher, P. Flannery, N. Kirk-McCormick, M. Lockett, C. Massey, S. McPherson, M. Pollock, S. Riley, S. Santoro, S. Sheldon, T. Smith, R. Webber, S. Westrom
Summary of Original Version Create new sections of Subtitle 17C of KRS Chapter 304 to define terms; permit third-party access to provider network contracts if certain conditions are met; prohibit a dental carrier from canceling or otherwise ending a contractual relationship with a provider that opts out of third-party access; require a dental carrier to accept a qualified provider regardless of whether the provider opts out of third-party access; provide that a provider shall not be bound by third-party access granted in violation of the relevant provisions; establish exceptions to the third-party access provisions; allow a dental benefit plan to deny a claim for procedures included in a prior authorization when certain conditions are met; establish requirements for payments from the dental benefit plan to the dentist; require an insurer of a dental benefit plan to honor an assignment of benefits and make payments directly to the dentist or professional dental service corporation when certain conditions are met; permit a dentist or professional dental service corporation with a valid assignment of benefits to bill the insurer and notify the insurer of the assignment; require the dentist or professional dental service organization to provide the assignment of benefits to the insurer upon request; allow an assignment of benefits to be revoked when certain conditions are met; require the insurer of a dental benefit plan to send a revocation to the dentist or professional dental service corporation; establish the effective date of a revocation; require a dentist or professional dental service corporation to reimburse an insured under certain circumstances; prohibit provisions relating to third-party access, prior authorization, and assignment of benefits from being waived by contract; create a new section of Subtitle 17A of KRS Chapter 304 to require an insurer and its health insurance plans to comply with the provisions relating to third-party access, prior authorization, and assignment of benefits; amend KRS 304.17C-085 to define terms; prohibit a provider from charging more than the provider's rate for noncovered services under a limited health service benefit plan; prohibit the amount of a contractual discount for covered services from resulting in a fee less than the limited health service benefit plan would pay but for certain contractual limitations; require reimbursement by a limited health service benefit plan to be reasonable and prohibit nominal reimbursement in order to claim services are covered; amend KRS 304.17A-611 to require retrospective denials of dental services to comply with the new section on prior authorization; amend KRS 222.422 to conform; permit the commissioner of insurance to promulgate regulations.
Index Headings of Original Version Health and Medical Services - Dental services, health insurance, requirements
Health and Medical Services - Dental services, provider, requirements
Health and Medical Services - Limited health service benefit plans, requirements, provider charges for services
Insurance, Health - Dental services, requirements
Insurance, Health - Limited health service benefit plans, requirements
Administrative Regulations and Proceedings - Commissioner of insurance, dental services, requirements
Health Benefit Mandate - Dental services, requirements
Physicians and Practitioners - Changes, limited health services, requirements
Jump to Proposed Amendments House Committee Substitute 1
House Floor Amendment 1
Votes Vote History

Actions

Top | Amendments
01/25/22
  • introduced in House
  • to Committee on Committees (H)
02/22/22
  • to Banking & Insurance (H)
02/23/22
  • reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/24/22
  • 2nd reading, to Rules
  • floor amendment (1) filed to Committee Substitute
  • posted for passage in the Regular Orders of the Day for Friday, February 25, 2022
02/25/22
  • 3rd reading, passed 90-0 with Committee Substitute (1) and Floor Amendment (1)
  • received in Senate
  • to Committee on Committees (S)
03/07/22
  • to Banking & Insurance (S)
03/15/22
  • reported favorably, 1st reading, to Consent Calendar
03/16/22
  • 2nd reading, to Rules as a consent bill
03/17/22
  • posted for passage in the Consent Orders of the Day for Tuesday, March 22, 2022
03/22/22
  • passed over and retained in the Consent Orders of the Day
03/23/22
  • 3rd reading, passed 36-0-1
03/24/22
  • received in House
  • enrolled, signed by Speaker of the House
  • enrolled, signed by President of the Senate
  • delivered to Governor
03/29/22
  • signed by Governor (Acts Ch. 48)

Proposed Amendments

Top | Actions
Amendment House Committee Substitute 1
Summary Retain original provisions, except delete various notice and disclosure requirements for contracting entities; require contracting entities to update list of third parties on Web site every 60 days; create exceptions to provider discount provisions; amend provision allowing a claim to be denied after prior authorization has been granted; delete section on assignment of benefits; delete section requiring insurers and health insurance plans to comply with requirements for dental carriers and dental benefit plans; delete provision amending KRS 222.422.
Index Headings Health and Medical Services - Limited health service benefit plans, requirements
Health and Medical Services - Limited health services, provider, charges, requirements
Insurance, Health - Dental services, requirements
Insurance, Health - Limited health service benefit plans, requirements
Physicians and Practitioners - Charges, limited health services, requirements
Administrative Regulations and Proceedings - Commissioner, Department of Insurance, dental services, requirements
Health and Medical Services - Dental services, health insurance, requirements

Amendment House Floor Amendment 1
Sponsor D. Lewis
Summary Make technical changes.
Index Headings Technical Corrections - HB 370/HCS1
Insurance, Health - Dental services, requirements
Health and Medical Services - Dental services, requirements

Last updated: 5/25/2022 2:58 PM (EDT)
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