AN ACT relating to health care transparency. Amend KRS 304.17A-005 to define "covered service," "emergency medical condition," "health care service," and "insured" or "covered person"; create a new section of Subtitle 17A of KRS Chapter 304 to define "allowed amount," "average allowed amount," "comparable health care service," "nonemergency health care service," "nonparticipating provider," and "participating provider"; require, for all health benefit plans, insurers to develop and implement an incentive program for covered persons who elect to receive a comparable health care service; require insurers to establish an interactive mechanism on a publicly accessible Web site that enables covered persons to obtain information about amounts paid for health care services by their insurer and a good-faith estimate of out-of-pocket costs for a nonemergency health care service; require health benefit plans to provide coverage for certain nonemergency services provided by a nonparticipating provider at prices that are the same or less than the average allowed amount for participating providers; amend KRS 304.17A-254 and 304.17A-527 to require insurers to obtain approval of the incentive program offered by that insurer from the Department of Insurance; require contracts with participating providers to include a clause requiring the provider to provide sufficient information to covered persons for the person to receive a good-faith estimate pursuant to the Act; amend KRS 304.17A-505 to conform; create a new section of KRS Chapter 367 to require nonparticipating providers to disclose the price of nonemergency health care services to covered persons; require health care providers to post notice to patients of their rights under this Act and to disclose prices charged for the most common health care services; create a new section of KRS Chapter 205 to require the Department for Medicaid Services or a managed care organization contracted to provide Medicaid services to develop, implement, establish, and provide the same incentive program, interactive mechanism, and coverage to Medicaid recipients that are required for insurers under the Act; amend KRS 304.17A-096, 304.17A-430, 304.17B-001, 304.17B-015, 304.17B-033, 304.17C-010, 304.38A-010, and 304.39-241 to conform; EFFECTIVE January 1, 2019.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2018
Committee Review
Feb 2018
Senate Passage
Mar 2018
House Passage
Governor
Introduced Feb 15, 2018
Last action Mar 29, 2018
Floor votes
How they voted
This bill passed the Senate. No roll call record of that vote is available.
Full legislative history
Actions timeline
Total actions
11
Key actions
1
Committee
1
Amendments
1
Mar 27, 2018
Introduced
Floor amendment (1) filed to Committee Substitute
upper
Mar 27, 2018
Upper · Passed
Passed over and retained in the Orders of the Day
upper
Feb 16, 2018
Committee
To Banking & Insurance (S)
upper
Feb 15, 2018
Introduced
Introduced in Senate
upper
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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