| Last Action | 01/07/26: to Committee on Committees (H) |
|---|---|
| Title | AN ACT relating to health care billing practices. |
| Bill Documents | Introduced |
| Fiscal Impact Statement | Local Mandate |
| Bill Request Number | 80 |
| Sponsors | J. Hodgson, S. Baker, K. Banta, R. Bivens, S. Bratcher, E. Callaway, J. Calloway, J. Decker, K. Jackson, DJ Johnson, M. Lockett, C. Massaroni, M. Proctor, T. Roberts |
| Summary of Original Version | Repeal, reenact, and amend KRS 216B.250 as a new section of KRS Chapter 367 to define terms; require health facilities and other health care providers to provide itemized health care statements in certain circumstances; specify the contents of the health care statements; require that health care statements contain information about price classifications and claims made with third-party payors; prohibit health facilities and providers from charging for the health care statements; establish means by which patients may request a health care statement to be furnished; require health facilities and providers to make public postings and have appropriate staff available to respond to questions and resolve disputes; make conforming amendments; prohibit health facilities and other providers from requesting or accepting a total payment for health care services that exceeds an agreed-upon price or the amount the facility or provider is entitled to receive under state or federal law; authorize the Attorney General to enforce certain state and federal laws regulating health care prices; allow a violation to be cured for good-faith errors; establish causes of action and penalties for violation of health care billing requirements; authorize the Attorney General to enforce health care billing requirements; specify that remedies and penalties are cumulative; authorize the Attorney General to promulgate administrative regulations to effectuate or aid in the effectuation of health care billing requirements; amend KRS 304.14-410, 304.32-1551, 214.556, 216B.990, and 216B.300 to conform; EFFECTIVE January 1, 2027. |
| Index Headings of Original Version |
Local Mandate - Health care billing practices, requirements Administrative Regulations And Proceedings - Attorney General, health care billing practices Attorney General - Health care billing practices, enforcement Civil Actions - Health care billing violations Consumer Protection - Health care billing practices, requirements Consumer Protection - Health care services, total payment, requirements Contracts - Health care services, total payment, requirements Effective Dates, Delayed - Health care billing practices, requirements, January 1, 2027 Federal Laws And Regulations - No Surprises Act, health care price regulations, enforcement Health And Medical Services - Health care billing practices, requirements Health And Medical Services - Health care services, total payment, requirements Health Care Professionals - Health care billing practices, requirements Health Care Professionals - Health care services, total payment, requirements Hospitals And Health Facilities - Health care billing practices, requirements Hospitals And Health Facilities - Health care services, total payment, requirements Insurance, Health - Health care billings, claim and price information, requirements Medicaid - Health care billings, claim and price information, requirements Public Health - Health care billings, claim and price information, requirements |
| 01/07/26 |
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Last updated: 1/9/2026 3:24 PM (EST)