Bill
Bill > SB311
summary
Introduced
03/02/2026
03/02/2026
In Committee
03/02/2026
03/02/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
Create a new section of Subtitle 17A of KRS Chapter 304 to prohibit insurers offering or providing health benefit plans from changing a participating provider's reimbursement, payment methodology, fee schedule, or claim adjudication terms through any provider manual, policy update, or other document incorporated by reference in the agreement; provide that a change to a material term affecting reimbursement shall be effective only by written amendment executed by both parties; provide that the requirements are in addition to any requirement under other laws; provide that any modification, reduction, or other change adopted in violation of the section is void and unenforceable; amend KRS 304.17A-235 to conform; direct that the Act applies to contracts issued or renewed on or after the effective date of the Act.
AI Summary
This bill prohibits health insurers from unilaterally changing the terms of their agreements with healthcare providers, such as reimbursement rates or payment methods, through documents like provider manuals or policy updates that are incorporated by reference. Instead, any significant changes affecting a provider's payment must be made through a formal written amendment signed by both the insurer and the provider. The bill also clarifies existing procedures for how insurers must notify providers of material changes to their contracts, ensuring providers have adequate time and information to respond, and states that any changes made in violation of these rules will be void and unenforceable. These new requirements apply to health insurance contracts issued or renewed on or after the bill's effective date.
Sponsors (1)
Last Action
to Committee on Committees (S) (on 03/02/2026)
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/sb311.html |
| BillText | https://apps.legislature.ky.gov/recorddocuments/bill/26RS/sb311/orig_bill.pdf |
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