summary
Introduced
01/05/2021
01/05/2021
In Committee
02/22/2021
02/22/2021
Crossed Over
Passed
Dead
03/30/2021
03/30/2021
Introduced Session
2021 Regular Session
Bill Summary
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.
AI Summary
This bill amends KRS 304.17A-005 to define terms and creates new sections of Subtitle 17A of KRS Chapter 304 to require the insurance commissioner to establish a database of billed health care service charges, require insurers to reimburse for unanticipated out-of-network care, prohibit balance billing from reimbursed providers, provide for an independent dispute resolution program to review reimbursements, allow unregulated health plans to opt-in to these requirements, and require insurers to provide certain notices in an explanation of benefits. The bill also amends various other KRS sections to conform with these new requirements and repeals KRS 304.17A-640. The provisions of the bill take effect on January 1, 2022.
Committee Categories
Business and Industry
Sponsors (2)
Last Action
to Banking & Insurance (S) (on 02/22/2021)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://apps.legislature.ky.gov/record/21RS/sb19.html |
| BillText | https://apps.legislature.ky.gov/recorddocuments/bill/21RS/sb19/orig_bill.pdf |
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