Create new sections of Subtitle 17C of KRS Chapter 304 to define terms; permit third-party access to provider network contracts if certain conditions are met; prohibit a dental carrier from canceling or otherwise ending a contractual relationship with a provider that opts out of third-party access; require a dental carrier to accept a qualified provider regardless of whether the provider opts out of third-party access; provide that a provider shall not be bound by third-party access granted in violation of the relevant provisions; establish exceptions to the third-party access provisions; allow a dental benefit plan to deny a claim for procedures included in a prior authorization when certain conditions are met; establish requirements for payments from the dental benefit plan to the dentist; require an insurer of a dental benefit plan to honor an assignment of benefits and make payments directly to the dentist or professional dental service corporation when certain conditions are met; permit a dentist or professional dental service corporation with a valid assignment of benefits to bill the insurer and notify the insurer of the assignment; require the dentist or professional dental service organization to provide the assignment of benefits to the insurer upon request; allow an assignment of benefits to be revoked when certain conditions are met; require the insurer of a dental benefit plan to send a revocation to the dentist or professional dental service corporation; establish the effective date of a revocation; require a dentist or professional dental service corporation to reimburse an insured under certain circumstances; prohibit provisions relating to third-party access, prior authorization, and assignment of benefits from being waived by contract; create a new section of Subtitle 17A of KRS Chapter 304 to require an insurer and its health insurance plans to comply with the provisions relating to third-party access, prior authorization, and assignment of benefits; amend KRS 304.17C-085 to define terms; prohibit a provider from charging more than the provider's rate for noncovered services under a limited health service benefit plan; prohibit the amount of a contractual discount for covered services from resulting in a fee less than the limited health service benefit plan would pay but for certain contractual limitations; require reimbursement by a limited health service benefit plan to be reasonable and prohibit nominal reimbursement in order to claim services are covered; amend KRS 304.17A-611 to require retrospective denials of dental services to comply with the new section on prior authorization; amend KRS 222.422 to conform; permit the commissioner of insurance to promulgate regulations.
Sponsored bills
Amend KRS 67.083 to allow a fiscal court of any county to levy all taxes not in conflict with the Constitution, provided that the fee or tax is allowed by the statutes of this state; amend KRS 92.281 to allow cities of all classes to levy all taxes not in conflict with the Constitution, provided that the fee or tax is allowed by the statutes of this state; amend KRS 610.350 to allow certain local government bodies to levy taxes within constitutional limitations, provided that the tax is allowed by the statutes of this state; amend KRS 83.520 to allow the legislative body of a city of the first class to levy all taxes, provided that the taxes are allowed by the statutes of this state; amend KRS 65.760 to allow local governments to levy certain taxes, provided that the taxes are allowed by the statutes of this state; create a new section of KRS Chapter 92 to prohibit municipal corporations that are authorized to levy and collect taxes or fees from levying the tax or fee unless the tax or fee is allowed by the statutes of this state; EFFECTIVE only upon the ratification by voters of an amendment to Section 181 of the Kentucky Constitution.
Amend KRS 241.010 to define "barrel-aged and batched cocktails," "private selection event," and "private selection package" and to redefine "consumer" and "vintage distilled spirit"; create a new section of KRS Chapter 243 to establish a "limited nonquota package license" that allows designated alcoholic beverage drink licensees to sell vintage distilled spirits and private selection packages; amend KRS 243.027 to authorize a manufacturer to ship samples to persons or entities engaged in private selection events; indicate that the shipped sample quantity limits apply to each separate recipient; amend KRS 243.029 to require a direct shipper licensee to include all applicable taxes in the selling price for alcoholic beverages; include sales tax as a separate item on the customer's invoice; amend KRS 243.030 to set a $300 annual fee for a limited nonquota package license and for an off-premises retail sales outlet license; amend KRS 243.0305 to allow a distiller to conduct private selection events and sell private selection packages at retail; set package and sample limits for sales at fairs, festivals, and other similar types of events; permit distillers to purchase jointly branded souvenir packages from microbreweries; restrict a distiller to only one off-premises retail site for each of its licensed premises; amend KRS 243.110 to make a limited nonquota package license compatible with listed drink licenses; amend KRS 243.232 to authorize a limited nonquota package license holder to sell vintage distilled spirits; amend KRS 243.240 to exclude private selection package sales from the normal quota retail package license restrictions; amend KRS 243.260 to issue a special temporary license for farmers markets; amend KRS 243.884 to exempt most private selection package sales from the wholesale tax; amend KRS 244.240 to exclude a distiller selling private selection packages or supplying barrels for barred-aged and batched cocktails from the interlocking interests prohibition; amend KRS 244.260 to permit a retailer to keep distilled spirits or wine in a container for preparing barred-aged and batched cocktails; align distilled spirit container limits with the largest applicable federal standard of fill size; amend KRS 243.034 and 243.0341 to conform.
Amend KRS 205.592 to extend Medicaid eligibility for certain new mothers for up to 12 months postpartum; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek a federal waiver or other approval if they determine that such waiver or approval is necessary.
Amend KRS 314.042 to require that advanced practice registered nurses exempted from a CAPA-NS include certified nurse practitioners, certified nurse midwifes, and certified registered nurse anesthetists; allow the CAPA-CS to include limitations on drugs and amounts and requirements for the APRN to communicate with the physician before prescribing; establish conditions for an APRN to prescribe controlled substances without a CAPA-CS after four years of controlled substance prescribing authority under a CAPA-CS; require an APRN to confirm with the nursing board that the APRN's license is in good standing before prescribing without a CAPA-CS; set procedures for the nursing board's license review, including promulgation of administrative regulations; exempt an equivalently qualified out-of-state APRN from the CAPA-CS requirement to prescribe under licensure by endorsement; prohibit an APRN from prescribing controlled substances without a CAPA-CS until the board has completed its review and notified the APRN in writing; create a new section of KRS Chapter 194A to create the Controlled Substance Prescribing Boards Advisory Council within the Office of the Inspector General; establish membership of the board; require meetings to discuss matters relating to the prescribing on controlled substances; require annual report.
Create various new sections of KRS 218A to define terms and establish a medicinal cannabis program; create a new section of KRS Chapter 138 to establish an excise tax on certain transfers of medicinal cannabis; amend KRS 139.470 to exempt the sale of medical cannabis from the state sales tax; amend KRS 138.870 to exempt medicinal cannabis from the excise tax on controlled substances; amend KRS 216B.402 to require hospital emergency departments to report cases of cannabinoid hyperemesis syndrome to the Department for Public Health; amend KRS 218A.010, 218A.1421, 218A.1422, and 218A.1423 to conform; amend KRS 218A.202 to require the Department for Public Health to utilize the electronic system for monitoring controlled substances to monitor medicinal cannabis; amend 218A.500 to conform; amend KRS 342.815 to establish that the Employerâs Mutual Insurance Authority shall not be required to provide coverage to an employer if doing so would subject the authority to a violation of state or federal law; some sections EFFECTIVE July 1, 2023; APPROPRIATION.
Amend KRS 530.020 to specify the family relationships covered in the statute; to specify that a person who does not consent to incest is a victim; make changes to the enhancement requirements.
Amend KRS 202A.0811 to clarify that the respondent be evaluated by a mental health professional and not examined, specify where and by when a qualified mental health professional's findings shall be certified, and specify when a date for a hearing shall be set; amend KRS 202A.0815 to expand the class of individuals who can have access to assisted outpatient treatment by modifying the criteria requirements for court-ordered assisted outpatient treatment.
Amend KRS 508.100 to increase penalties if the victim is under 12 years of age.
Adjourning the House of Representatives in honor of Kentucky Educational Television.