HB 864/FN (BR 1312) - R. Palumbo, R. Adkins, S. Alexander, M. Bowling, L. Brandstetter, J. Bruce, T. Burch, J. Clarke, B. Colter, J. Crenshaw, H. Deskins Jr, C. Hoffman, J. Jenkins, S. Johns, E. Jordan, M. Marzian, M. Rader, D. Sims, J. Stacy, K. Stein, G. Stumbo
AN ACT relating to health and welfare.
Create various new subtitles of KRS Chapter 304 to require health insurance benefit plans to make available and offer coverage for all stages of breast reconstruction surgery following a mastectomy that resulted from breast cancer if the insurer also covers mastectomies, diagnosis and treatment of endometriosis and endometritis if the insurer also covers hysterectomies, bone density testing for women age 35 and older to obtain baseline data for early detection of osteoporosis, prescription drugs and over the counter drugs for the purpose of smoking cessation therapy; Prohibit insurers from offering coverage for mastectomies that requires performance of the procedure on an outpatient basis; Amend KRS 216.2920 to add and define the terms "facility" and "health care provider"; Amend KRS 216.2921 to require the Cabinet for Human Resources collection of specified health data in a timely manner; Require the cabinet to make every effort to make health data findings that can serve as a basis to educate consumers and providers to improve patient morbidity and mortality outcomes; Amend KRS 216.2923 to require the appointment and convening of the permanent advisory committee on health data no later than 30 days after the effective date of the Act; Require a member of the Kentucky Commission on Women be included on the permanent advisory committee; Specify duties of the permanent advisory committee; Require rather than permit the cabinet to promulgate administrative regulations imposing civil fines for failure to report specified health data; Amend KRS 216.2925 to require health data collected to include disease-specific demographic data reflecting patient gender, age, ethnicity, geographic region, and socio-economic status; Create a new section of KRS Chapter 194 to require creation of an Office of Women's Health by the year 2000; Set forth duties of the office; Create a new section of KRS Chapter 205 to allow public assistance recipients convicted of a drug felony after August 22, 1996, to remain eligible for program benefits if assessed as chemically dependent and participating in or successfully completed a chemical dependency treatment program or is pregnant; Appropriate $1,499,00 for fiscal year 1999 and $1,500,000 for fiscal year 2000 to the Cabinet for Human Resources, Department for Mental Health and Mental Retardation, to match federal Medicaid funding to support chemical dependency prevention and treatment services for women of child-bearing age.
HB 864 - AMENDMENTS
HFA (1, J. Gooch) - Retain original provisions except require that all benefits included apply only to the standard benefit health plans issued under Subtitle 17 of KRS Chapter 304 and KRS 304.17A-160.
HFA (2, M. Marzian) - Amend to delete the requirement for health insurers to cover smoking cessation drugs and therapy for women and to include bone density testing for women over age 35 only when indicated by the health care provider.
SCS/FN - Retain original provisions except delete requirement that certain health data collected include disease-specific demographic data reflecting patient gender, age, ethnicity, geographic region, and socio-economic status; delete appropriation to match federal Medicaid funding to support chemical dependency prevention and treatment services for women of child-bearing age.
SCA (1/Title, B. Bailey) - Make title amendment.
SFA (2, T. Philpot) - Require that physicians inform that having an abortion has risk of infection, hemorrhage, danger to subsequent pregnancies, and breast cancer, and give them appropriate counseling.
SFA (3, B. Jackson) - Permit rather than require the Cabinet for Human Resources to issue administrative regulations to provide penalties for noncompliance with certain health data collection requirements.
SFA (4, N. Kafoglis) - Amend KRS 314.142 to revise the membership of the Sexual Assault Nurse Examiner Advisory Council to add the commissioner of the Department for Social Services instead of the Secretary of the Cabinet for Human Resources, the Executive Director of the Governor's Office of Child Abuse and Domestic Violence Services; the Kentucky Association of Sexual Assault Programs instead of the Statewide Association of Rape Crisis Centers, the Commissioner of the Kentucky State Police, and the chair of the Kentucky Association of Baccalaureate and Higher Degree Nursing Programs instead of the chair of the Council on Postsecondary Education; require one Advisory Council member be a physician with forensic experience appointed by the Governor from a list of three names recommended by the Kentucky Medical Association; direct that any person holding a credential as a Sexual Assault Nurse Examiner as defined in KRS 314.011(14) have the right to use the title "Sexual Assault Nurse Examiner" and the abbreviation "SANE"; prohibit any other person from assuming the title or using the abbreviation.
SFA (5, N. Kafoglis) - Permit rather than require the Cabinet for Human Resources to issue administrative regulations to provide penalties for noncompliance with certain health data collection requirements.
SFA (6, T. Philpot) - Require that physicians inform that having an abortion has risk of infection, hemorrhage, danger to subsequent pregnancies, and breast cancer, and give them appropriate counseling.
SFA (7, N. Kafoglis) - Amend to delete the requirement for health insurers to cover smoking cessation drugs and therapy for women and to include bone density testing for women over age 35 only when indicated by the health care provider.
Mar 3-introduced in House
Mar 4-to Health and Welfare (H); posted in committee
Mar 10-posting waived
Mar 12-reported favorably, 1st reading, to Calendar
Mar 13-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for March 16, 1998; floor amendments (1) and (2) filed
Mar 17-3rd reading, floor amendment (1) rejected; passed 95-0 with floor amendment (2)
Mar 18-received in Senate
Mar 19-to Appropriations and Revenue (S)
Mar 24-reported favorably, 1st reading, to Consent Calendar with Committee Substitute and commitee amendment (1)
Mar 25-floor amendment (2) filed to bill, floor amendments (3) (4) (5) (6) and (7) filed to Committee Substitute; 2nd reading, to Rules; posted for passage in the Consent Orders of the Day for March 26, 1998
Mar 26-taken from the Consent Orders of the Day, placed in the Regular Orders of the Day; 3rd reading,; floor amendment (6) defeated; passed 37-0 with Committee Substitute, committee amendment (1-title), floor amendments (4) (5) and (7); received in House; posted for passage for concurrence in Senate Committee Substitute, committee amendment (1-title), floor amendments (4) (5) and (7)
Mar 31-House concurred in Senate Committee Substitute, committee amendment (1-title), floor amendments (4) (5) and (7); passed 94-0
Apr 1-enrolled, signed by each presiding officer, delivered to Governor
Apr 9-signed by Governor
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