26RS SB 78

Senate Bill 78

Actions

Last Action	01/13/26: to Committee on Committees (S)
Title	AN ACT relating to health care provider credentialing.
Bill Documents	Introduced
Fiscal Impact Statements	Actuarial Analysis Health Mandate Local Mandate State Employee Health Plan Impact
Bill Request Number	324
Sponsor	D. Douglas
Summary of Original Version	Create a new section of Subtitle 12 of KRS Chapter 304 to define terms; consolidate and modify existing credentialing requirements; require insurers and providers to use the Council for Affordable Quality Healthcare (CAQH) credentialing form; prohibit insurers from requiring or otherwise requesting a provider to disclose any information that is not requested on the CAQH form or that relates to a provider's former or current health condition under certain circumstances; prohibit insurers from requiring a provider to be board certified; amend KRS 18A.225 to require the state employee health plan to comply with the credentialing requirements; amend KRS 205.560 to conform; amend KRS 216B.155 to conform and to prohibit health care facilities licensed under KRS Chapter 216B from requiring or otherwise requesting a provider to disclose a former or current health condition under certain circumstances; amend KRS 304.17A-545 and 311.6207 to conform; repeal KRS 304.17A-525 and 304.17A-576, relating to credentialing to consolidate provisions; direct that certain provisions apply to contracts issued or renewed on or after the effective date of the Act; require administrative bodies to amend any administrative regulations that conflict with the Act.
Index Headings of Original Version	Contracts - Credentialing, health care providers, requirements Health Care Professionals - Credentialing requirements Hospitals And Health Facilities - Provider credentialing, requirements Insurance, Health - Health care provider credentialing, requirements Medicaid - Health care provider credentialing, uniform form State Agencies - Cabinet for Health and Family Services, provider credentialing State Agencies - Department for Medicaid Services, health care provider credentialing, uniform form State Agencies - Department of Insurance, health care provider credentialing State Employees - Health plan, health care provider credentialing, requirements Actuarial Analysis - Credentialing, health care providers, requirements Local Mandate - Credentialing, health care providers, requirements State Employee Health Plan Mandate - Credentialing, health care providers, requirements