Amend KRS 304.17A-600 to define "health care provider"; make conforming amendments; create new sections of KRS 304.17A-600 to 304.17A-633 to establish eligibility criteria and requirements for prior authorization exemptions; establish requirements for rescinding prior authorization exemptions; set forth requirements for external reviews of prior authorization exemption denials and rescissions; establish requirements for sending forms and notices to health care providers; provide that nothing shall be construed to authorize a health care provider to act outside the provider's scope of practice or require an insurer or private review agent to pay for a health care service performed in violation of law; require the commissioner of the Department of Insurance to establish forms; amend KRS 304.17A-605 to establish applicability of provisions relating to prior authorization exemptions to certain insurers and private review agents; amend KRS 304.17A-607 to establish requirements for prior authorizations; amend KRS 304.17A-611 to prohibit the retrospective denial, reduction in payment, and review of health care services for which a health care provider has a prior authorization exemption and establish exceptions; amend KRS 304.17A-621 to conform; amend KRS 304.17A-627 to prohibit conflicts of interest with independent review entities and reviewers of prior authorization exemption denials and rescissions; require independent review entities and reviewers of prior authorization exemption denials and rescissions to submit an annual report to the Department of Insurance; amend KRS 304.17A-633 to require the commissioner of the Department of Insurance to report on external reviews of prior authorization exemptions denials and rescissions; amend KRS 304.17A-706 to conform; amend KRS 205.536 to require managed care organizations contracted to provide Medicaid benefits to comply with the sections on prior authorization exemptions; apply the provisions to contracts delivered, entered, renewed, extended, or amended on or after the effective date of the Act; require the Cabinet for Health and Family Services to seek approval if it is determined that such approval is necessary; EFFECTIVE, in part, January 1, 2025.
Rep. Tina Bojanowski
Sponsored bills
Create a section of KRS Chapter 158 to define terms to be used in the section; require the Kentucky Department of Education to establish an approved list of reading curriculum that does not use a three-cueing system; require that school districts not use any curriculum that employs a three-cueing system; prohibit the use of a three-cueing system in teacher professional development; require the Educational Professional Standards Baord (EPSB) to promulgate regulations establishing curriculum for each approved educator preparation program; amend KRS 164.306 to specify that educator preparation programs shall use evidence-based reading instruction and intervention programs and shall not provide instruction on a three-cueing system; amend KRS 161.028 to require the EPSB to include in the standards set for teacher preparation programs that the programs shall use evidence-based reading instruction and intervention programs and shall not provide instruction on a three-cueing system.
Create a new section of KRS Chapter 2 to designate June 12 of each year as Women Veterans Appreciation Day in the Commonwealth; EMERGENCY.
Amend KRS 620.050 to allow identified persons or entities to have access to confidential information related to child dependency, neglect, and abuse reports for the purpose of a bona fide research, quality improvement, or evaluation project.
Amend KRS 18A.225, 78.510, 156.095, 158.038, 158.189, 158.196, 158.305, 158.4416, 160.152, 161.164, 161.220, and 218B.045 to remove references to public charter schools; repeal KRS 160.1590, 160.1591, 160.15911, 160.1592, 160.1593, 160.1594, 160.1595, 160.1596, 160.1597, 160.1598, 160.1599, and 161.141 relating to public charter schools.
Urge the United States Congress to amend Title II of the Social Security Act to repeal the government pension offset and the windfall elimination provision.
Amend KRS 160.160 to authorize local boards of education to establish score requirements on appropriate assessments for applicants to certified position vacancies and adopt necessary policies; amend KRS 161.030 to remove the authority of the Education Professional Standards Board to require successful completion of assessments prior to certification; amend KRS 156.101, 161.048, and 161.053 to conform; repeal KRS 161.1222, relating to a pilot teacher program.
Repeal KRS 510.100, relating to sodomy in the fourth degree; amend KRS 194A.380 and 532.031 to conform.
Create a new section of KRS Chapter 162 to define "single-user toilet facilities"; require the chief state school officer not approve plans for new school buildings or alterations to school buildings unless the plans provide sufficient single-user toilet facilities; require the Kentucky Board of Education to promulgate administrative regulations regarding the required number of single-user toilet facilities in school buildings, with a minimum requirement of one.
Amend KRS 158.196 to require social studies instruction, materials, and academic standards to include the roles and contributions of lesbian, gay, bisexual, and transgender (LGBT) people in the history of the United States and the Commonwealth.