summary
Introduced
01/13/2026
01/13/2026
In Committee
01/15/2026
01/15/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
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.
AI Summary
This bill aims to streamline and standardize the process by which health care providers are credentialed, meaning their qualifications are evaluated and approved, to participate in managed care plans, which are health insurance plans that coordinate financing and delivery of care. Key provisions include requiring insurers and providers to use the Council for Affordable Quality Healthcare (CAQH) credentialing form, a standardized application, and prohibiting insurers from requesting information not on this form or from requiring providers to disclose current or past health conditions unless those conditions directly impact their ability to provide safe and competent care. The bill also eliminates the requirement for providers to be board-certified and consolidates existing credentialing laws by repealing certain sections. Additionally, it ensures that the state employee health plan and health care facilities licensed under KRS Chapter 216B will adhere to these new credentialing requirements, with these changes applying to contracts issued or renewed on or after the bill's effective date, and mandates that administrative bodies update any conflicting regulations.
Committee Categories
Health and Social Services
Sponsors (2)
Last Action
to Health Services (S) (on 01/15/2026)
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/26RS/sb78.html |
| BillText | https://apps.legislature.ky.gov/recorddocuments/bill/26RS/sb78/orig_bill.pdf |
| Local Mandate Fiscal Impact | https://apps.legislature.ky.gov/recorddocuments/note/26RS/sb78/LM.pdf |
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